Conn V, Taylor S G, Stineman A
J Community Health Nurs. 1992;9(1):1-11. doi: 10.1207/s15327655jchn0901_1.
Community-dwelling older adults often manage numerous prescriptive medications. The purpose of this study was to describe prescriptive medication management by older adults recently discharged from hospitals. The sample (N = 179) included adults, 65 to 101 years old, who managed a total of 950 prescriptive medications. Overall, subjects reported high confidence in their ability to manage medications. The lowest confidence levels were reported for recognizing unwanted side effects of medications. Although "forgetting" was the most commonly given reason for missed doses, one fourth of the reasons for missed doses indicated deliberate omission. Almost half of the subjects received assistance from others with their medications; most of the assistance served to counteract the tendency to forget medication doses. The results of this study provide a research-based foundation for community health nursing efforts to strengthen the effectiveness of older adults' medication self-care behaviors.
居住在社区的老年人通常要服用多种处方药。本研究的目的是描述近期出院的老年人的处方药管理情况。样本（N = 179）包括65至101岁的成年人，他们共管理950种处方药。总体而言，受试者表示对自己管理药物的能力有很高的信心。对于识别药物的不良副作用，信心水平最低。虽然“忘记”是漏服药物最常见的原因，但四分之一的漏服原因表明是故意漏服。几乎一半的受试者在服药方面得到了他人的帮助；大多数帮助是为了抵消忘记服药剂量的倾向。本研究结果为社区健康护理工作提供了基于研究的基础，以加强老年人药物自我护理行为的有效性。
