提高出院后的药物依从性。
Improving drug compliance after hospital discharge.
作者信息
MacDonald E T, MacDonald J B, Phoenix M
出版信息
Br Med J. 1977 Sep 3;2(6087):618-21. doi: 10.1136/bmj.2.6087.618.
Abstract
The effect of counselling on medication errors was assessed in 165 elderly patients after leaving hospital. Counselling was effective, with counselled patients making under one-third of the errors made by uncounselled patients. Three types of memory aid were tried to supplement counselling. The pill wheel increased errors, a tablet identification card was unhelpful, and only a tear-off daily calendar seemed to improve results modestly. Counselling was virtually as effective in improving compliance in poorly orientated patients. A designated member of staff should spend about 15 minutes with each elderly patient before discharge to ensure that the discharge drug regimen is fully understood and remembered, that old tablets are destroyed and that other people's tablets are not taken.
摘要
对165名老年患者出院后进行了咨询对用药错误影响的评估。咨询是有效的，接受咨询的患者所犯错误不到未接受咨询患者的三分之一。尝试了三种记忆辅助工具来补充咨询。药轮增加了错误，片剂识别卡没有帮助，只有一张可撕下的每日日历似乎略微改善了结果。咨询在提高定向障碍患者的依从性方面几乎同样有效。一名指定的工作人员应在每位老年患者出院前花大约15分钟，以确保出院药物治疗方案得到充分理解和记住，旧药片被销毁且不服用他人的药片。
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本文引用的文献
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Gerontol Clin (Basel). 1968;10(5):271-80. doi: 10.1159/000245192.
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A review of medication errors and compliance in ambulant patients.流动患者用药错误与依从性综述。
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Medicines and elderly people: a general practice survey.药物与老年人：一项全科医疗调查。
Br Med J. 1976 Mar 6;1(6009):565-8. doi: 10.1136/bmj.1.6009.565.
4
Can drug compliance in the elderly be improved?老年人的药物依从性可以提高吗？
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5
Need for supervision in the elderly receiving long-term prescribed medication.长期接受处方药治疗的老年人对监督的需求。
Br Med J. 1976 Feb 28;1(6008):505-7. doi: 10.1136/bmj.1.6008.505.
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