Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA 98195, USA.
Inform Health Soc Care. 2013 Sep;38(3):211-22. doi: 10.3109/17538157.2012.741084. Epub 2013 Jan 16.
Older adults with multiple chronic conditions face the complex task of medication management involving multiple medications of varying doses at different times. Advances in telehealth technologies have resulted in home-based devices for medication management and health monitoring of older adults. We examined older adults' perceptions of a telehealth medication dispensing device as part of a clinical trial involving home healthcare clients, nurse coordination and use of the medication dispensing device.
Ninety-six frail older adult participants who used the medication dispensing device for 12 months completed a satisfaction survey related to perceived usefulness and reliability. Results were analyzed and grouped by themes in the following areas: Ease of Use, Reliability, Medication Management Assistance, Routine Task Performance and Acceptability.
Nearly all participants perceived the medication dispensing device as very easy to use, very reliable and helpful in the management of their medications. Eighty-four percent of participants expressed a desire to use the machine in the future.
The technology-enhanced medication management device in this study is an acceptable tool for older adults to manage medication in collaboration with home care nurses. Improved usability and cost models for medication dispensers are areas for future research.
患有多种慢性病的老年人面临着复杂的药物管理任务,需要管理多种不同剂量的药物,且服用时间也不同。远程医疗技术的进步使得老年人可以在家中使用设备进行药物管理和健康监测。我们调查了老年人对远程医疗药物配药设备的看法,该设备是一项涉及家庭保健客户、护士协调和药物配药设备使用的临床试验的一部分。
96 名体弱的老年参与者使用药物配药设备 12 个月,完成了一项与感知有用性和可靠性相关的满意度调查。结果根据以下主题进行了分析和分组:易用性、可靠性、药物管理辅助、日常任务执行和可接受性。
几乎所有参与者都认为药物配药设备非常易于使用,非常可靠,并有助于管理他们的药物。84%的参与者表示希望将来使用该机器。
本研究中的增强型药物管理设备是老年人与家庭护理护士合作管理药物的一种可接受工具。改善用药分配器的可用性和成本模型是未来研究的方向。