Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium.
Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium.
Int J Environ Res Public Health. 2021 Jun 30;18(13):7031. doi: 10.3390/ijerph18137031.
This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five days post-discharge. Geriatric patients with polypharmacy were questioned about medication management using a combination of validated (MedMaIDE) and self-developed questionnaires. Of 400 participants, 70% did self-manage medication post-discharge. Patients had a mean of four different deficiencies in post-discharge medication management (SD 2.17, range 0-10). Knowledge-related deficiencies were most common. The number of medicines and the in-hospital provision of medication management by nurses were significant predictors of post-discharge medication management deficiencies. In addition to deficiencies in knowledge, medication-taking ability and obtaining medication, non-adherence and disrupted continuity of medication self-management were common in geriatric patients with polypharmacy post-discharge. Improvements in in-hospital preparation could avoid medication self-management problems at home.
本研究旨在描述患有多种药物治疗的老年患者出院后的药物自我管理情况，描述所遇到的问题，并确定相关因素。在 2019 年 11 月至 2020 年 3 月进行的一项多中心研究中，在出院时和出院后 2 至 5 天收集数据。使用经过验证的（MedMaIDE）和自行开发的问卷结合的方式，对患有多种药物治疗的老年患者进行药物管理问题的询问。在 400 名参与者中，有 70%的患者在出院后能够自行管理药物。患者在出院后的药物管理方面平均存在四种不同的缺陷（SD2.17，范围 0-10）。与知识相关的缺陷最常见。药物数量和护士在院内提供的药物管理是出院后药物管理缺陷的显著预测因素。除了知识、服药能力和获取药物方面的缺陷外，患有多种药物治疗的老年患者出院后还普遍存在不遵医嘱和药物自我管理连续性中断的问题。改善院内准备可以避免在家中出现药物自我管理问题。
