基于医学教学法的用药知识普及对身体多病老年人坚持用药的影响:随机对照试验

IF 0.7 Q4 NURSING
Wichanee Jaimalai, S. Panuthai, Rojanee Chintanawat, Phanida Juntasopeepun
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引用次数: 0

摘要

不坚持用药会导致不良的临床结果,尤其是对身体多病的老年人而言。Medagogy模式是一种患者教育过程,它能提高患者的用药知识,从而达到坚持用药的目的。这项随机对照试验研究了基于 "医学教学法 "的 "用药知识提升计划 "对身体多病的老年人坚持用药的影响。100 名居住在泰国北部、年龄在 60 岁及以上、患有两种或两种以上身体慢性疾病的参与者被随机分配到对照组(50 人)或实验组(50 人)。对照组只接受常规护理,而实验组则接受以医学为基础的用药知识提升计划。该项目包括通过转化式学习和回授法交流基于 P-病理生理学、I-适应症、T-治疗和 S-特异性的信息,共六节课,每周两次,持续三周。在计划实施的第 8 周,使用简要用药问卷对用药依从性进行测量。数据分析采用了描述性统计、配对检验和独立 t 检验。结果显示,在接受该计划后,实验组在坚持用药方面的平均得分明显高于对照组。结果表明,通过转化式学习提高用药知识,改善了身体多病老年人的用药依从性。因此,护士可以利用基于医学教学法的用药知识提升计划来提高这一人群的用药依从性。建议在其他慢性疾病中进一步测试该计划的通用性,并将数字技术或电子健康融入该计划中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Medagogy–Based Medication Literacy Enhancement on Medication Adherence Among Older Persons with Physical Multimorbidity: Randomized Controlled Trial
Medication non-adherence leads to poor clinical outcomes, particularly in older people with physical multimorbidity. The Medagogy model is a patient education process which enhances medication literacy resulting in medication adherence. This randomized controlled trial examined the effect of the Medagogy-Based Medication Literacy Enhancement Program on medication adherence among older persons with physical multimorbidity. One hundred participants aged 60 and over with two or more physical chronic conditions living in northern Thailand were randomly assigned into either a control group (n = 50) or an experimental group (n = 50). The control group received only usual care, while the experimental group received the Medagogy-Based Medication Literacy Enhancement Program. The program consisted of exchanging information based on the P-pathophysiology, I-indication, T-treatment, and S-specific through transformative learning and the teach-back method, with six sessions, implemented twice a week for three weeks. Medication adherence was measured using the Brief Medication Questionnaire at the 8th week of the program. Data were analyzed using descriptive statistics and Paired and Independent t-tests. The results showed that after receiving the program, the experimental group had a significantly higher mean score for medication adherence than the control group. The results indicated that enhancing medication literacy through transformative learning resulted in improvement in medication adherence among older persons with physical multimorbidity. Therefore, nurses can use the Medagogy-Based Medication Literacy Enhancement Program to improve medication adherence among this population group. Further testing in other chronic conditions for the generalizability of the program and integrating digital technology or e-Health into the program are suggested.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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