[1]郭姣姣,刘方,张春慧,等.老年慢性病共病患者参与药物管理体验的现象学研究[J].军事护理,2023,40(03):19-22.[doi:10.3969/j.issn.2097-1826.2023.03.005]
　GUO Jiaojiao,LIU Fang,ZHANG Chunhui,et al.Experiences of Participation in Medication Management among Elderly Patients with Multiple Chronic Conditions:A Phenomenological Study[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):19-22.[doi:10.3969/j.issn.2097-1826.2023.03.005]
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老年慢性病共病患者参与药物管理体验的现象学研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年03期
页码:
19-22
栏目:
老年护理专栏
出版日期:
2023-03-15

文章信息/Info

Title:
Experiences of Participation in Medication Management among Elderly Patients with Multiple Chronic Conditions:A Phenomenological Study
文章编号:
2097-1826(2023)03-0019-04
作者:
郭姣姣1; 刘方2; 张春慧1; 张振香1; 张焱3; 易梦思1
(1.郑州大学 护理与健康学院,河南 郑州 450001; 2.郑州大学第五附属医院 护理教研室,河南 郑州 450052; 3.郑州大学第三附属医院 小儿神经内科,河南 郑州 450052)
Author(s):
GUO Jiaojiao1; LIU Fang2; ZHANG Chunhui1; ZHANG Zhenxiang1; ZHANG Yan3; YI Mengsi1
(1.School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China; 2.Teaching and Research Section of Nursing,The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China; 3.Department of Pediatric Neurology,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China)
关键词:
慢性病共病;  药物管理;  患者参与;  现象学研究
Keywords:
multiple chronic conditions;  medication management;  patient participation;  phenomenological research
分类号:
R473.59
DOI:
10.3969/j.issn.2097-1826.2023.03.005
文献标志码:
A
摘要:
目的 探讨老年慢性病共病患者参与药物管理体验,为制订药物教育方案提供参考。方法 采用目的抽样法选取17例老年慢性病共病患者为研究对象,对其进行半结构式访谈,采用现象学分析方法Colaizzi 7步分析法对资料进行整理分析。结果 共归纳出4个主题:参与态度积极、参与能力匮乏、过渡期不适应、信息沟通不充分。结论 老年慢性病共病患者药物管理体验多样,护理人员应综合考虑患者的认知能力及心理变化,提供个性化指导,引导患者充分利用社会支持,参与自身药物管理。
Abstract:
Objective To explore the experiences of participation in medication management among elderly patients with multiple chronic conditions,so as to provide references for developing medication training programs.Methods Purposive sampling was used to select 17 elderly patients with multiple chronic conditions for semi-structured interviews.The Colaizzi 7-step analysis,a phenomenological analysis method,was adopted to analyze the data.Results Four themes were summarized,including active participation attitude,lack of participation ability,maladaptation in transitional period,insufficient information communication.Conclusions There are diverse experiences of medication management among elderly patients with multiple chronic conditions.Nurses should provide individualized instructions considering the patients'cognitive abilities and psychological changes.Nurses should take full advantage of social support to guide patients to participate in their own medication management.

参考文献/References:

[1] 宁吉喆.第七次全国人口普查主要数据情况[J].中国统计,2021,69(5):4-5.
[2] 杨一帆,张雪永,陈杰,等.中国大中城市健康老龄化指数报告(2019～2020)(选摘)[J].质量与认证,2020,14(11):32-39.
[3] 王丽敏,陈志华,张梅,等.中国老年人群慢性病患病状况和疾病负担研究[J].中华流行病学杂志,2019,64(3):277-283.
[4] 王姣锋,王一倩,保志军,等.上海地区中老年体检人群慢性病及共病流行病学分析[J].老年医学与保健,2016,22(2):116-120.
[5] BUCKNALL T,DIGBY R,FOSSUM M,et al.Exploring patient preferences for involvement in medication management in hospitals[J].J Adv Nurs,2019,75(10):2189-2199.
[6] 刘明.Colaizzi七个步骤在现象学研究资料分析中的应用[J].护理学杂志,2019,34(11):90-92.
[7] KIM J M,SUAREZ CUERVO C,BERGER Z,et al.Evaluation of patient and family engagement strategies to improve medication safety[J].Patient,2018,11(2):193-206.
[8] ACKERMANN L L,STEWART E A,RIGGIO J M.Improved supervision and safety of discharge through formal discharge education[J].Am J Med Qual,2019,34(3):226-233.
[9] 雷田,陈恳,袁逸凡.MG科普动画对提升患者用药理解的研究[J].设计艺术研究,2021,11(3):36-41.
[10]BIERI M,DEL R C M,SANTIAGO DELEFOSSE M,et al.Beliefs about polypharmacy among home-dwelling older adults living with multiple chronic conditions,informal caregivers and healthcare professionals:a qualitative study[J/OL].[2021-09-13].
[11]ROGNAN S E,KALVEMARK SPORRONG S,BENGTSSON K R,et al.Empowering the patient?Medication communication during hospital discharge:a qualitative study at an internal medicines ward in Norway[J/OL].[2021-03-20].
[12]ALEXANDER K E,OGLE T,HOBETG H,et al.Patient preferences for using technology in communication about symptoms post hospital discharge[J].BMC Health Serv Res,2021,21(1):1-11.
[13]李韬,高琴,冯贺霞.互联网医疗在老年人健康管理中的应用及启示[J].医学信息学杂志,2021,4(9):2-6.
[14]凌韵.过渡期护理干预模式对神经内科介入患者心理弹性及健康生活方式的促进作用[J].中国实用护理杂志,2020,36(15):1144-1148.

备注/Memo

备注/Memo:
【 收稿日期 】 2022-07-12 【 修回日期 】 2023-02-05
【 基金项目 】 2022年度河南省重点研发与推广专项(22210 2310342); 2021年度中华护理学会立项课题(ZHKY202109)
【 作者简介 】 郭姣姣,硕士在读,电话:0371-66916121
【 通信作者 】 刘方,电话:0371-66916121
更新日期/Last Update: 2023-03-15