Liquori Gloria, Panattoni Nicolò, De Leo Aurora, Dionisi Sara, Giannetta Noemi, Gasperi Beatrice, Orsi Giovanni Battista, Di Muzio Flavio, Di Muzio Marco, Di Simone Emanuele
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00128 Rome, Italy.
Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.
Healthcare (Basel). 2024 Sep 25;12(19):1925. doi: 10.3390/healthcare12191925.
Patient adherence to drug treatment is crucial to the success of any prescribed therapy, especially in chronic conditions. The present phenomenological qualitative study aims to explore the elderly experience in managing their medication therapy and their perception of medication adherence. Based on Husserl's perspective, a qualitative descriptive study was conducted utilizing the phenomenological approach, specifically Interpretative Phenomenological Analysis (IPA). The data analysis followed Giorgi's phenomenological approach and the inductive content analysis method. Approval for the study was obtained from the relevant Ethics Committee. Themes emerged when participants described experiences about their own adherence to therapy. The following general theme emerged from the interviews and the phenomenological analysis: Generating awareness: taking therapy saves your life. It was followed by three other themes: (1) Drug therapy awareness; (2) Drug therapy in daily life; and (3) Drug therapy as a life partner. Elderly patients undergoing polypharmacological treatment emphasize the key factors for improving medication adherence, highlighting the influence of individual, motivational, and relational aspects. They express a strong desire for information and value the support of family doctors and nurses in managing therapy. Patient interviews indicate general support among elderly patients for using mobile health in pharmacological treatment, recognizing its potential and limitations.
患者对药物治疗的依从性对于任何规定治疗的成功至关重要，尤其是在慢性病治疗中。本现象学定性研究旨在探索老年人在管理药物治疗方面的经历以及他们对药物依从性的认知。基于胡塞尔的观点，采用现象学方法，特别是解释性现象学分析（IPA）进行了一项定性描述性研究。数据分析遵循 Giorgi 的现象学方法和归纳性内容分析法。该研究获得了相关伦理委员会的批准。当参与者描述他们自己坚持治疗的经历时，出现了一些主题。访谈和现象学分析得出了以下总体主题：提高认识：接受治疗能挽救生命。随后还有其他三个主题：（1）药物治疗意识；（2）日常生活中的药物治疗；（3）药物治疗是生活伴侣。接受多种药物治疗的老年患者强调了提高药物依从性的关键因素，突出了个人、动机和关系方面的影响。他们表达了对信息的强烈需求，并重视家庭医生和护士在管理治疗方面的支持。患者访谈表明老年患者普遍支持在药物治疗中使用移动健康，认识到其潜力和局限性。
