School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
West J Nurs Res. 2024 Apr;46(4):307-314. doi: 10.1177/01939459241237671. Epub 2024 Mar 8.
Managing medications for Alzheimer's disease and related dementias is challenging for caregivers. Information about caregivers' strategies to manage these challenges is needed to inform intervention development.
This study aimed to understand caregivers' medication management experiences by analyzing online community discussions.
Posts were extracted from the ALZConnected Forum using keywords "medication" and "drug" via web scraping. The researchers applied thematic analysis.
Four major themes emerged: (1) role transition of medication management responsibilities, (2) caregivers' uncertainty about medication purpose and values, (3) conflicts between the care recipients and caregivers, and (4) difficulty accessing and affording medications.
The experiences shared on a non-moderated, unstructured online forum indicate that medication management is challenging and overwhelming for caregivers of people living with Alzheimer's disease and related dementias. Since this is a progressive disease with various stages and changing needs, caregivers' strategies vary and are often limited by available resources and support. Health care providers should offer training and support for caregivers to navigate the transfer of medication management responsibilities and changing care needs as the disease progresses.
管理阿尔茨海默病和相关痴呆症患者的药物是照护者面临的挑战。为了为干预措施的制定提供信息,需要了解照护者管理这些挑战的策略。
本研究旨在通过分析在线社区讨论来了解照护者的药物管理经验。
通过网络爬虫使用关键字“药物”和“药物”从 ALZConnected 论坛中提取帖子。研究人员应用主题分析。
出现了四个主要主题:(1)药物管理责任的角色转变,(2)照护者对药物用途和价值的不确定性,(3)照护对象和照护者之间的冲突,以及(4)药物获取和负担能力的困难。
在非监管、非结构化的在线论坛上分享的经验表明,对于患有阿尔茨海默病和相关痴呆症的人的照护者来说,药物管理具有挑战性和压倒性。由于这是一种具有不同阶段和不断变化需求的进行性疾病,因此照护者的策略各不相同,并且通常受到可用资源和支持的限制。医疗保健提供者应为照护者提供培训和支持,以应对药物管理责任和疾病进展过程中不断变化的护理需求的转移。