Andrews Angela M, Russell Cynthia L, Cheng An-Lin
J Gerontol Nurs. 2017 Oct 1;43(10):37-45. doi: 10.3928/00989134-20170523-01. Epub 2017 May 30.
Medication adherence is crucial in patients with heart failure; however, the rate of medication nonadherence in the heart failure population is 50%, making it a significant problem. The purpose of the current review was to summarize intervention studies designed to improve medication adherence in older adults with heart failure. A search was conducted to locate randomized controlled trials or quasi-experimental studies that tested interventions to improve medication adherence in patients 45 or older with heart failure. Five of eight studies (63%) showed a statistically significant improvement in medication adherence in intervention groups. Five of these six studies used a combination of educational, behavioral, and affective interventions, and focused on medication adherence alone versus multiple health behaviors. Interventions using combined approaches and focusing only on medication adherence show the most promise for future studies. [Journal of Gerontological Nursing, 43(10), 37-45.].
药物依从性对于心力衰竭患者至关重要；然而，心力衰竭人群中药物不依从率达50%，这使其成为一个重大问题。本综述的目的是总结旨在提高老年心力衰竭患者药物依从性的干预研究。通过检索来查找随机对照试验或准实验研究，这些研究测试了旨在改善45岁及以上心力衰竭患者药物依从性的干预措施。八项研究中的五项（63%）显示干预组的药物依从性有统计学意义的改善。这六项研究中的五项采用了教育、行为和情感干预相结合的方法，并且仅关注药物依从性与多种健康行为的对比。采用综合方法且仅关注药物依从性的干预措施在未来研究中最具前景。[《老年护理杂志》，43(10)，37 - 45。]
