Antimisiaris Demetra, Folz Rodney J, Huntington-Moskos Luz, Polivka Barbara J
University of Louisville Schools of Public Health.
Jerald B. Katz Academy, Houston Methodist Research Institute, Houston TX.
J Nurse Pract. 2024 May;20(5). doi: 10.1016/j.nurpra.2024.104979. Epub 2024 Mar 27.
To explore specific medication literacy (SML) of older adults and associations of SML strength.
This was an observational study. Participants were at least 60 years old, with an asthma diagnosis and in good health. Data were collected by a registered nurse researcher. The SML data collection instrument gathered information about each medication a participant used: name, purpose, how taken, special instructions, adverse effects, and drug-drug or drug-disease interactions. An SML scoring rubric was developed.
All could provide name, and most provided purpose, how taken. The lowest SML domains were side effects and interactions. Age at time of asthma diagnosis correlated with stronger SML scores and living in a disadvantaged neighborhood correlated with lower SML scores.
Gaps in medication literacy may create less ability to self-monitor. Patients want medication literacy but struggle with appropriate, individualized, information.
The study provides insights on gaps and opportunities for SML.
探讨老年人的特定用药知识水平（SML）及其与SML强度的关联。
这是一项观察性研究。参与者年龄至少60岁，被诊断为哮喘且健康状况良好。数据由一名注册护士研究员收集。SML数据收集工具收集了参与者使用的每种药物的信息：名称、用途、服用方式、特殊说明、不良反应以及药物相互作用或药物与疾病相互作用。制定了一个SML评分标准。
所有人都能说出药物名称，大多数人能说出用途和服用方式。SML得分最低的领域是副作用和相互作用。哮喘诊断时的年龄与较高的SML得分相关，而生活在弱势社区与较低的SML得分相关。
用药知识方面的差距可能导致自我监测能力下降。患者需要用药知识，但在获取适当的、个性化的信息方面存在困难。
该研究为SML的差距和机会提供了见解。
