Marshall Victoria K, Given Barbara A
Michigan State University.
Oncol Nurs Forum. 2018 Jul 2;45(4):508-526. doi: 10.1188/18.ONF.508-526.
Medication beliefs are linked to medication adherence in cancer treatment. Oral cancer treatments are increasing, making patients responsible for self-managing medication at home.
A literature search was performed using CINAHL®, PubMed, and PsycINFO. Included studies were published in English from 2000-2017 and examined medication beliefs among participants aged 18 years or older who were prescribed cancer medication.
Articles were organized by study design, how medication beliefs were measured, and whether psychometric testing was evaluated. Articles were scored to indicate rigor of medication belief measurements. Themes of factors associated with medication beliefs were compiled.
The review represented several cancer and cancer medication types. Various methods were used to elicit medication beliefs. Medication beliefs influence decisions to initiate or continue cancer medications, and those beliefs are multifaceted. Nurses have a critical role in evaluating and supporting facilitative medication beliefs.
Nurses can address medication beliefs and clarify treatment misconceptions. Understanding factors influencing medication beliefs can inform future interventions to improve adherence and symptom management.
用药信念与癌症治疗中的用药依从性相关。口腔癌治疗方法日益增多，使得患者需要在家自行管理用药。
使用护理学与健康领域数据库（CINAHL®）、医学期刊数据库（PubMed）和心理学文摘数据库（PsycINFO）进行文献检索。纳入的研究发表于2000年至2017年期间的英文文献，研究对象为年龄在18岁及以上且正在服用癌症药物的参与者的用药信念。
文章按照研究设计、用药信念的测量方法以及是否进行了心理测量测试进行组织。对文章进行评分以表明用药信念测量的严谨性。汇总了与用药信念相关的因素主题。
该综述涵盖了多种癌症及癌症用药类型。采用了多种方法来获取用药信念。用药信念会影响开始或继续使用癌症药物的决策，且这些信念是多方面的。护士在评估和支持促进性用药信念方面起着关键作用。
护士可以处理用药信念并澄清治疗误解。了解影响用药信念的因素可为未来改善依从性和症状管理的干预措施提供依据。
