Effects on hypertensive patients’ satisfaction with information about their medication after nurses’ consultation training

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL

Pragmatic and Observational Research Pub Date : 2014-10-01 DOI:10.2147/POR.S58352

E. Drevenhorn, A. Bengtson, P. Nyberg, K. Kjellgren

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引用次数: 1

Abstract

Background There is a well-known problem in hypertension care with patients’ adherence to treatment. Patients who score high in answering the instrument Satisfaction with Information about Medicine Scale are reported to have greater adherence to their medication. Aim To explore how hypertensive patients’ satisfaction with information about their medicines was affected by nurses’ education in Motivational Interviewing. Material and methods The Stages of Change model and Motivational Interviewing was the theoretical base for consultation training for nurses. Nineteen nurses attended 3 days of video-recorded consultation training with simulated patients. They were updated in hypertensive medication and were trained in motivating patients to improve their self-management as well as adherence to lifestyle changes and medication. The satisfaction with information instrument identifies patients’ satisfaction with information about the action and usage of medication as well as potential problems with it. The instrument was used to assess how well the needs of individual patients for medicine information were met at baseline and 2 years after the training. The 19 trained nurses in the intervention group worked with 137 patients, and a control group of 16 nurses, who gave normal care, worked with 51 patients. Results There was a difference between the intervention and control group in total score (P=0.028) 2 years after the intervention. Patients in the intervention group perceived higher satisfaction with the action and usage of their medication (P=0.001) and a lower degree of potential problems with their medication (P=0.001). Patients in the control group also perceived a lower degree of potential problems with their medication (P=0.028). Conclusion We suggest that consultation training for nurses with the aim of motivating patients to be more self-directed in their self-care improves satisfaction with information about medication.

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护士会诊培训对高血压患者用药信息满意度的影响

背景高血压患者的治疗依从性是高血压护理中一个众所周知的问题。据报道，在回答仪器对药物信息满意度量表中得分高的患者对其药物的依从性更高。目的探讨动机性访谈中护士教育对高血压患者用药信息满意度的影响。材料与方法变化阶段模型和动机性访谈是护士会诊培训的理论基础。19名护士参加了为期3天的模拟患者视频咨询培训。他们接受了最新的高血压药物治疗，并接受了激励患者改善自我管理以及坚持改变生活方式和药物治疗的培训。对信息的满意度是指患者对药物的作用和使用信息以及潜在问题的满意度。该工具用于评估个体患者在基线和培训后2年对药物信息的需求得到满足的程度。干预组的19名训练有素的护士照顾137名患者，对照组的16名护士提供正常护理，照顾51名患者。结果干预2年后总分与对照组比较差异有统计学意义(P=0.028)。干预组患者对用药行为和使用的满意度较高(P=0.001)，用药潜在问题程度较低(P=0.001)。对照组患者对药物潜在问题的感知程度也较低(P=0.028)。结论通过对护士进行会诊培训，提高患者对药物信息的满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-

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期刊介绍： Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.