Hillman Lisa A, Peden-McAlpine Cynthia, Ramalho-de-Oliveira Djenane, Schommer Jon C
College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USA.
School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA.
Pharmacy (Basel). 2020 Dec 31;9(1):7. doi: 10.3390/pharmacy9010007.
This is a concept analysis of the medication experience with a focus on how it applies to the pharmaceutical care practice framework used by pharmacist practitioners. The medication experience is a vital component of pharmaceutical care practice and of patient-centered care. Although the experience of taking medication has been studied across disciplines for decades, a concept analysis of the medication experience is lacking. Rodgers' evolutionary concept analysis method was utilized. Ovid Medline, CINAHL, PsycINFO, Sociological Abstracts and Google Scholar databases, references and hand searches were used to compile an international dataset of 66 papers published from 1982 to 2020. As a result of the available literature, the medication experience is defined as one of ambivalence and vulnerability in which the patient is actively engaged in an ongoing process or negotiation, which is pragmatic to the ways in which they live and experience life, contextualized and nuanced within the social construction of their individual realities. The concept of medication experience is an important addition to the scientific literature. The definition of medication experience from the perspective of the patient will help to better explain the concept for future research and theory development to move the discipline of pharmaceutical care practice forward.
这是一项关于用药体验的概念分析，重点在于其如何应用于药剂师从业者所使用的药学服务实践框架。用药体验是药学服务实践以及以患者为中心的护理的重要组成部分。尽管服用药物的体验在多个学科中已被研究了数十年，但用药体验的概念分析却尚付阙如。本研究采用了罗杰斯的进化概念分析方法。通过检索Ovid Medline、CINAHL、PsycINFO、社会学文摘数据库以及谷歌学术，并查阅参考文献及进行手工检索，汇编了一个包含1982年至2020年发表的66篇论文的国际数据集。基于现有文献，用药体验被定义为一种矛盾与脆弱的状态，在此状态下患者积极参与一个持续的过程或协商，这一过程与他们的生活方式和生活体验紧密相关，并在其个体现实的社会建构中得以情境化且细致入微。用药体验这一概念是科学文献的重要补充。从患者角度对用药体验进行定义，将有助于更好地阐释这一概念，以推动未来研究和理论发展，进而促进药学服务实践学科的进步。
