Alicea-Planas Jessica, Neafsey Patricia J, Anderson Elizabeth
School of Nursing Unit 2026 University of Connecticut, Storrs, CT 06269 USA
J Commun Healthc. 2011 Apr 1;4(1):38-45. doi: 10.1179/175380611X12950033990179.
Adults over the age of 60 struggle with achieving target blood pressure readings due to difficulties seeing, hearing and understanding medical information which can result in poor adherence and drug interactions that can be fatal. According to the Institute of Medicine (2000) approximately 10% of adverse drug events may be attributed to communication failure between the provider and patient. Informing patients of potential drug interactions with over-the-counter (OTC) medications, supplements and alcohol use can contribute to better blood pressure control. The Next Generation Personal Education Program (PEP-NG) was designed to improve patient care by educating both older adults and their providers about the dangers of adverse drug interactions arising from self-medication. This web based program analyzes information entered by the patient user (with a stylus on a tablet computer) and delivers tailored interactive educational content applicable to the user's reported medication behaviors. This qualitative study demonstrated that even amongst participants that may not feel computer literate (older-age generation) it can be a useful tool for information dissemination and also a successful way to improve communication between provider and patient.
60岁以上的成年人在达到目标血压读数方面存在困难,原因是他们在视力、听力以及理解医学信息方面存在障碍,这可能导致依从性差以及产生致命的药物相互作用。根据医学研究所(2000年)的数据,大约10%的药物不良事件可能归因于医疗服务提供者与患者之间的沟通失败。向患者告知与非处方(OTC)药物、补充剂和饮酒相关的潜在药物相互作用,有助于更好地控制血压。下一代个人教育项目(PEP-NG)旨在通过教育老年人及其医疗服务提供者有关自我用药引起的不良药物相互作用的危险,来改善患者护理。这个基于网络的项目会分析患者用户(使用平板电脑上的手写笔)输入的信息,并提供适用于用户报告的用药行为的定制互动式教育内容。这项定性研究表明,即使在那些可能觉得自己不懂电脑的参与者(老年一代)中,它也可以成为信息传播的有用工具,也是改善医疗服务提供者与患者之间沟通的成功方式。