Institute of Health and Society, Newcastle University, Newcastle, UK.
Br J Gen Pract. 2011 Feb;61(583):93-100. doi: 10.3399/bjgp11X556191.
Despite the rapid rise in the use of multicompartmental compliance aids (MCAs), little is known about the role they play in self-management of medication.
To explore the perceived benefits of MCAs for people using them to manage their own or a relative's medication.
Qualitative study using in-depth interviews.
West Northumberland.
Recruitment was via posters and leaflets in general practices and community pharmacies. In-depth interviews were conducted using a topic guide.
Nineteen people were interviewed. Three overarching themes emerged in relation to medicine taking: disruption, organisation, and adherence, which impacted on control. The medication regime had caused disruption to their lives and this had led to the purchase of an MCA. The MCA enabled them to organise their medication, which they believed had improved the efficiency of medicine taking and saved time. Although the MCA did not prompt them to take their medication, they could see whether they had actually taken it or not, which alleviated their anxiety. To meet their individual needs and lifestyles, some had developed broader systems of medication management, incorporating the MCA. For a small cost--the initial outlay for the MCA and time spent loading it--they gained control over the management of their medication and their condition.
This group found the use of an MCA to be beneficial, but advice and support regarding how best to manage their medication and on the most appropriate design to suit their needs would be helpful.
尽管多室顺应性辅助器具（MCAs）的使用迅速增加，但人们对其在药物自我管理中所起的作用知之甚少。
探索使用 MCAs 管理自己或亲属药物的人对其的认知益处。
采用深入访谈的定性研究。
诺森伯兰郡西部。
通过在普通诊所和社区药房张贴海报和传单进行招募。使用主题指南进行深入访谈。
共访谈了 19 人。与服药相关的三个总体主题分别为：干扰、组织和坚持，这些主题影响了控制感。药物治疗方案打乱了他们的生活，这导致他们购买了 MCA。MCA 使他们能够组织药物，他们认为这提高了服药的效率并节省了时间。虽然 MCA 并没有促使他们服药，但他们可以看到自己是否实际服药了，这减轻了他们的焦虑。为了满足个人需求和生活方式，一些人制定了更广泛的药物管理系统，将 MCA 纳入其中。他们只需付出较小的成本——MCA 的初始支出和加载它所需的时间——就获得了对药物管理和自身状况的控制感。
这组人发现使用 MCA 是有益的，但关于如何最好地管理他们的药物以及最适合他们需求的设计方面的建议和支持将是有帮助的。
