School of Nursing, Illinois Wesleyan University, PO Box 2900, Bloomington, IL 61702-2900 USA.
Appl Nurs Res. 2010 Feb;23(1):22-9. doi: 10.1016/j.apnr.2008.03.005. Epub 2009 Jan 15.
Older adults continue to experience problems with their medications, such as adverse drug events, incorrect use of prescription medications, and nonadherence to drug therapy. Using the qualitative approach of naturalistic inquiry, 27 community-dwelling adults over age 74 were interviewed and encouraged to describe situations or variables that help or hinder in their cardiovascular medication management processes. Helpful strategies included simplification, use of visual and tactile cues, and development of a medication routine. Hindering situations included decreased mental or sensory alertness, getting out of the routine, and not feeling well. Nurses can devise assessment and interventional methodologies from the themes described.
老年人在用药方面仍存在问题，如药物不良反应、处方药使用不当和不遵医嘱等。本研究采用自然探究的定性方法，对 27 名 74 岁以上的社区居住成年人进行了访谈，并鼓励他们描述有助于或阻碍其心血管药物管理过程的情况或变量。有用的策略包括简化、使用视觉和触觉提示以及养成用药习惯。有阻碍的情况包括警觉性或感知力下降、脱离常规和感觉不适。护士可以根据描述的主题设计评估和干预方法。
