测试一种新型的图文并茂的用药清单，以提高心力衰竭和认知障碍退伍军人的依从性。
Testing a novel pictorial medication sheet to improve adherence in veterans with heart failure and cognitive impairment.
作者信息
Hawkins Lee Ann, Firek Christopher J
机构信息
Indiana Wesleyan University, Marion, IN, USA; VA Loma Linda Healthcare System, Loma Linda, CA, USA.
VA Loma Linda Healthcare System, Loma Linda, CA, USA.
出版信息
Heart Lung. 2014 Nov-Dec;43(6):486-93. doi: 10.1016/j.hrtlng.2014.05.003. Epub 2014 Jun 11.
OBJECTIVES
(a) To evaluate efficacy of a pictorial medication sheet to improve adherence in veterans with heart failure (HF) and cognitive impairment (CI); (b) to describe acceptance of the intervention.
BACKGROUND
CI is prevalent in HF and is associated with worsened medication adherence. The Veteran's Administration has developed a medication image library; however, use of images to improve adherence has not been tested.
METHODS
Thirty-six veterans with HF and CI were enrolled and provided pictorial medication sheets and an optional alarmed pillbox. Adherence pre-and post-intervention was determined by 30-day pill counts. Acceptance was assessed from interviews.
RESULTS
Twenty-seven veterans (75%) completed the study. Overall medication adherence was poor, however there was significant improvement from pre-intervention (M = 79.74, SD = ±16.98) to post-intervention (M = 84.74, SD = ±10.00) adherence (t(26) = 2.16, p < .05, Cohen's d = .42).
CONCLUSIONS
This pilot study provides preliminary evidence that medication images improve adherence with complex medication regimens. The intervention was well received by patients.
目的
(a) 评估一份图文并茂的用药说明对提高心力衰竭（HF）和认知障碍（CI）退伍军人用药依从性的效果；(b) 描述对该干预措施的接受情况。
背景
认知障碍在心力衰竭患者中很常见，且与用药依从性变差有关。退伍军人管理局已开发了一个用药图像库；然而，尚未对使用图像来提高依从性进行测试。
方法
招募了36名患有心力衰竭和认知障碍的退伍军人，并为他们提供图文并茂的用药说明和一个可选的带警报的药盒。干预前后的依从性通过30天的药丸计数来确定。通过访谈评估接受情况。
结果
27名退伍军人（75%）完成了研究。总体用药依从性较差，然而从干预前（M = 79.74，标准差 = ±16.98）到干预后（M = 84.74，标准差 = ±10.00）的依从性有显著改善（t(26) = 2.16，p <.05，科恩d值 =.42）。
结论
这项初步研究提供了初步证据，表明用药图像可提高对复杂用药方案的依从性。该干预措施受到了患者的好评。
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