利益相关者优先考虑痴呆患者和护理人员的药物管理信息资源:一项探索性研究。

IF 3.1 3区 医学 Q2 NEUROSCIENCES
Karen Watson, Amanda J Cross, Natali Jokanovic, Jacqueline Wesson, Joanne Lo, Yun-Hee Jeon, Carl R Schneider, Mouna J Sawan
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引用次数: 0

摘要

背景:痴呆症患者及其护理人员在药物管理方面的信息需求未得到满足,这使他们因药物相关伤害而住院的风险更高,而且往往是可以避免的。目前还没有共同设计的信息资源来指导阿尔茨海默病和其他痴呆症患者在护理环境中的药物管理。目的确定社区和老年护理机构中痴呆患者及其非正式照护者药物管理资源纳入的信息优先级。方法采用基于社区的参与式研究方法,对22名利益相关者进行了4个焦点小组和4次访谈:痴呆症患者(n = 2)、护理人员(n = 3)、医疗保健专业人员(n = 8)、倡导者和专业组织代表(n = 9)。使用内容分析来检查转录本,以确定信息优先级的共同问题和类别。结果确定了纳入药物管理信息资源的四个优先领域:1)问题提示,以促进个人、其护理人员和卫生专业人员之间的合作关系;2)知情同意和积极参与处方药物的共同决策;3)关于常用药物的益处和风险的额外信息;4)探索解决药物挑战的解决方案,支持依从性、行为的渐进改变、护理的转变和文化考虑。结论本研究确定的药物管理信息资源的优先级将为新的联合设计资源提供信息,以提高提供给痴呆症患者及其非正式照顾者的信息的质量和清晰度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stakeholder priorities for medication management information resources for people with dementia and carers: An exploratory study.

BackgroundPeople with dementia and their carers have significant unmet information needs regarding medication management, placing them at higher risk of hospitalization due to medication-related harm and is often avoidable. There are currently no co-designed information resources to guide people with Alzheimer's disease and other dementia in medication management across care settings.ObjectiveTo identify information priorities for inclusion in medication management resources for people with dementia and their informal carers in community and aged care settings.MethodsUsing community-based participatory research, four focus groups and four interviews were conducted with twenty-two stakeholders: people with dementia (n = 2), carers (n = 3), healthcare professionals (n = 8), and advocates and professional organization representatives (n = 9). Transcripts were examined using content analysis to identify common issues and categories for information priorities.ResultsFour priority areas were identified for inclusion in a medication management information resource: 1) question prompts to facilitate partnership between the individual, their carer and health professional, 2) informed consent and active participation in shared decision-making for prescribed medications 3) additional information on the benefits and risks of common medications, and 4) exploring solutions to address medication challenges that support adherence, progressive changes in behavior, transitions in care, and cultural considerations.ConclusionsPriorities for an information resource for medication management identified in our study will inform new co-designed resources for improving the quality and clarity of information provided to people with dementia and their informal carers.

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来源期刊
Journal of Alzheimer's Disease
Journal of Alzheimer's Disease 医学-神经科学
CiteScore
6.40
自引率
7.50%
发文量
1327
审稿时长
2 months
期刊介绍: The Journal of Alzheimer''s Disease (JAD) is an international multidisciplinary journal to facilitate progress in understanding the etiology, pathogenesis, epidemiology, genetics, behavior, treatment and psychology of Alzheimer''s disease. The journal publishes research reports, reviews, short communications, hypotheses, ethics reviews, book reviews, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research that will expedite our fundamental understanding of Alzheimer''s disease.
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