“这是一场孤独的战斗”：一项关于加拿大老年人慢性阻塞性肺疾病药物依从性及支持体验的定性研究
"It's a lonely battle": A qualitative study of older adult Canadians' experiences with chronic obstructive pulmonary disease medication adherence and support.
作者信息
Skerry Leanne, Kervin Emily, Freeze Tracy A, Brillant Andrew, Woodland Jennifer, Hanson Natasha
机构信息
Horizon Health Network, Research Services, Saint Joseph's Hospital, Saint John, New Brunswick.
Pharmacy Services, Saint Joseph's Hospital, Saint John, New Brunswick.
出版信息
Can Pharm J (Ott). 2022 Dec 21;156(1):32-41. doi: 10.1177/17151635221140412. eCollection 2023 Jan-Feb.
BACKGROUND
Medication adherence is critical for optimal management of chronic obstructive pulmonary disease (COPD) and is influenced by patient, treatment and societal factors. Currently, little is known about the patient perspectives of older adult Canadians with COPD regarding medication adherence. Therefore, the purpose of this study was to explore the lived experiences of older Canadian adults with COPD regarding medication adherence and management.
METHODS
Semi-structured interviews were conducted with 20 community-dwelling older adults with COPD, and iterative thematic analysis was performed.
RESULTS
Six themes emerged from these data: (1) continuity of care, (2) importance of pharmacy for information and care, (3) medication self-management, (4) "there needs to be more information," (5) drug costs a concern and (6) "it's a lonely battle."
CONCLUSION
Findings suggested a need for improved continuity of care, disease-related information provision and means of addressing psychosocial needs. Holistic approaches to patient education and self-management, with consideration for varying health literacy, are needed.
背景
药物依从性对于慢性阻塞性肺疾病（COPD）的优化管理至关重要，且受患者、治疗及社会因素影响。目前，对于患有COPD的加拿大老年人在药物依从性方面的患者观点知之甚少。因此，本研究的目的是探讨患有COPD的加拿大老年人在药物依从性和管理方面的生活经历。
方法
对20名社区居住的患有COPD的老年人进行了半结构化访谈，并进行了迭代主题分析。
结果
这些数据产生了六个主题：（1）护理连续性；（2）药房在信息和护理方面的重要性；（3）药物自我管理；（4）“需要更多信息”；（5）药物成本令人担忧；（6）“这是一场孤独的战斗”。
结论
研究结果表明需要改善护理连续性、提供疾病相关信息以及满足心理社会需求的方法。需要采用整体方法进行患者教育和自我管理，并考虑不同的健康素养。
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