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护士对患者在医院用药自我管理问题的应对及建议的运用

Nurses' responses to patients' medication self-management problems in hospital and the use of recommendations.

作者信息

Mortelmans Laura, Goossens Eva, De Cock Anne-Marie, van den Bemt Patricia, Dilles Tinne

机构信息

Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing Science and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Research Foundation Flanders (FWO), Brussels, Belgium.

出版信息

Br J Clin Pharmacol. 2024 Oct;90(10):2684-2690. doi: 10.1111/bcp.16204. Epub 2024 Jul 31.

Abstract

This study aimed to describe the use of recommendations as a guide for healthcare providers to support patients experiencing medication self-management problems and to evaluate their feasibility, user-friendliness and usefulness. Between March and August 2023, 58 hospitalized patients completed a self-assessment on medication self-management problems. The problems addressed in this self-assessment were based on a list of frequently encountered medication self-management problems from previous research. Consequently, 18 nurses responded to the reported problems using the recommendations. Nurses evaluated the feasibility, user-friendliness and usefulness of these recommendations through a survey. A total of 217 medication self-management problems were reported by 58 patients. Nurses intervened in 52% of the problems using the recommendations. According to nurses, the recommendations were user-friendly and feasible but required a substantial time investment. Considering these pilot-based results, the recommendations have the potential to be a valuable resource for nurses in practice, though this potential requires further exploration.

摘要

本研究旨在描述如何将这些建议用作医疗保健提供者的指南,以支持有药物自我管理问题的患者,并评估其可行性、用户友好性和实用性。在2023年3月至8月期间,58名住院患者完成了关于药物自我管理问题的自我评估。本次自我评估中涉及的问题基于先前研究中列出的常见药物自我管理问题清单。因此,18名护士根据这些建议对报告的问题做出了回应。护士们通过一项调查评估了这些建议的可行性、用户友好性和实用性。58名患者共报告了217个药物自我管理问题。护士们根据建议对52%的问题进行了干预。护士们认为,这些建议对用户友好且可行,但需要投入大量时间。考虑到这些基于试点的结果,这些建议有可能成为护士在实践中的宝贵资源,不过这一潜力还需要进一步探索。

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