老年多重用药患者出院后对药物治疗的看法。
Beliefs about medication after hospital discharge in geriatric patients with polypharmacy.
作者信息
Mortelmans Laura, Goossens Eva, Dilles Tinne
机构信息
Department of Nursing and Midwifery Science, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
Department of Nursing and Midwifery Science, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35, 3000 Leuven, Belgium; Research Foundation Flanders (FWO), Egmontstraat 5, 1000 Brussels, Belgium; Department of Patient Care, Antwerp University Hospital (UZA), Drie Eikenstraat 655, 2650 Edegem, Belgium.
出版信息
Geriatr Nurs. 2022 Jan-Feb;43:280-287. doi: 10.1016/j.gerinurse.2021.12.007. Epub 2021 Dec 25.
OBJECTIVES
To describe beliefs about medication in geriatric patients with polypharmacy post-discharge and to evaluate the impact of discharge management on patients' medication beliefs.
METHODS
A cross-sectional study was conducted between November 2019 and March 2020 in twelve general hospitals in Belgium. Four hundred geriatric patients with polypharmacy were surveyed at hospital discharge and two to five days post-discharge using the Beliefs about Medicines Questionnaire and self-developed questionnaires.
RESULTS
According to participants, the benefits of medication outweighed the disadvantages as the mean necessity score (19.4/25) outweighed the mean concern score (11.9/25). Patients receiving help with medication management post-discharge had stronger necessity-, concern- and overuse-related beliefs. No patient- or discharge management-related factors were significant predictors of medication beliefs.
CONCLUSIONS
Assessing patients' medication beliefs and identifying and addressing patients' concerns, can be an opportunity to improve medication use, to prevent non-adherence and to enhance safe medication practices at home.
目的
描述老年多重用药患者出院后对药物治疗的看法，并评估出院管理对患者药物治疗观念的影响。
方法
2019年11月至2020年3月在比利时的12家综合医院进行了一项横断面研究。采用《药物治疗观念问卷》和自行编制的问卷，对400名老年多重用药患者在出院时及出院后2至5天进行了调查。
结果
根据参与者的说法，药物治疗的益处大于弊端，因为平均必要性得分（19.4/25）高于平均担忧得分（11.9/25）。出院后接受药物管理帮助的患者在必要性、担忧和过度用药相关观念方面更强。没有患者或出院管理相关因素是药物治疗观念的显著预测因素。
结论
评估患者的药物治疗观念，识别并解决患者的担忧，可能是改善药物使用、预防不依从性以及加强家庭安全用药实践的一个契机。
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