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家庭照顾者参与管理老年人用药与照顾者信息寻求行为之间的关联。

The association between family caregivers' involvement in managing older adults' medications and caregivers' information-seeking behavior.

作者信息

Noureldin Marwa, Murawski Matthew M, Mason Holly L, Hyner Gerald C, Plake Kimberly S

出版信息

J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2):170-177.e1. doi: 10.1016/j.japh.2016.12.061. Epub 2017 Jan 11.

Abstract

OBJECTIVES

  1. To explore the association between family caregivers' involvement in managing care recipients' medications and their information-seeking behavior related to caregiving; and 2) to examine the sources used by caregivers when seeking information.

METHODS

A retrospective analysis of cross-sectional data from 2 national studies, the 2011 National Health and Aging Trends Study (NHATS) and its supplement, the National Study of Caregiving (NSOC), was conducted. A nationally representative sample of community-dwelling adults (≥65 years of age) completed NHATS interviews, and a sample of their family caregivers participated in NSOC. Caregiver involvement in medication management was assessed with the use of 2 items asking caregivers if they helped keep track of care recipients' medications or helped with injecting medications. Information seeking was assessed with the use of an item asking caregivers if they ever looked for caregiving-related information.

RESULTS

Out of 1367 caregivers interviewed, 54% reported helping to keep track of care recipients' medications and 8.7% assisting with injecting medications. Approximately 10.2% (n = 149) of caregivers reported seeking information to help them care for their care recipients. Caregivers sought information primarily on their own either through online resources or asking friends or relatives (73.3%). Sixty-four percent also sought information from medical providers or social workers. Adult children of caregivers were more likely to seek information for their older adult parents, based on bivariate analysis (P <0.01). In multivariable-adjusted models, caregivers who helped to keep track of medications had 2.30 (95% confidence interval [CI] 1.18 to 4.51) times higher odds of seeking information to help them to provide care for their care recipients. Caregivers helping with injecting medications were less likely to seek information (odds ratio 0.32, 95% CI 0.14 to 0.76).

CONCLUSION

Specific caregiver responsibilities, such as assisting with medication management activities, are associated with caregivers' information-seeking behavior related to care recipients' health. Health care providers, including pharmacists, can play an important role in helping caregivers to identify proper resources for information and in educating them about medication management.

摘要

目的

1)探讨家庭护理人员参与管理受护理者用药情况与其护理相关信息寻求行为之间的关联;2)调查护理人员在寻求信息时所使用的信息来源。

方法

对两项全国性研究的横断面数据进行回顾性分析,这两项研究分别是2011年全国健康与老龄化趋势研究(NHATS)及其补充研究——全国护理研究(NSOC)。一个具有全国代表性的社区居住成年人(≥65岁)样本完成了NHATS访谈,其家庭护理人员样本参与了NSOC。通过两个问题评估护理人员对用药管理的参与情况,这两个问题询问护理人员是否帮助跟踪受护理者的用药情况或协助注射药物。通过一个问题评估信息寻求情况,该问题询问护理人员是否曾寻找过与护理相关的信息。

结果

在接受访谈的1367名护理人员中,54%报告帮助跟踪受护理者的用药情况,8.7%协助注射药物。约10.2%(n = 149)的护理人员报告曾寻求信息以帮助他们照顾受护理者。护理人员主要通过在线资源或询问朋友或亲戚自行寻求信息(73.3%)。64%的护理人员还从医疗服务提供者或社会工作者那里寻求信息。根据双变量分析,护理人员中的成年子女更有可能为其老年父母寻求信息(P <0.01)。在多变量调整模型中,帮助跟踪用药情况的护理人员寻求信息以帮助他们为受护理者提供护理的几率高出2.30倍(95%置信区间[CI]为1.18至4.51)。协助注射药物的护理人员寻求信息的可能性较小(优势比为0.32,95%CI为0.14至0.76)。

结论

特定的护理人员职责,如协助用药管理活动,与护理人员与受护理者健康相关的信息寻求行为有关。包括药剂师在内的医疗保健提供者在帮助护理人员识别合适的信息资源以及对他们进行用药管理教育方面可以发挥重要作用。

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