{"title":"了解老年冠状动脉疾病患者在家中自我用药管理：一项定性研究。","authors":"Mengqi Xu, Suzanne Hoi Shan Lo, Lingyan Zhu, Xiaoli Huang","doi":"10.2147/PPA.S537115","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The medication self-management at home among older adults with coronary artery disease is found suboptimal, leading to discrepancies from the prescriptions. More support is expected to meet their needs in medication self-management. This study aims to understand medication self-management at home of older adults with coronary artery disease.</p><p><strong>Methods: </strong>From June to August 2024, a descriptive qualitative study was conducted among 28 older adults with coronary artery disease and six healthcare professionals. Older adults participated in interviews before and one month after hospital discharge. The healthcare professionals were interviewed once. The semi-structured interviews were conducted face-to-face or through a virtual platform. Thematic analysis was used in data analysis.</p><p><strong>Findings: </strong>Two themes with five sub-themes emerged: 1. Dealing with unknown when starting new regimens: seeking support from healthcare professionals when starting medication self-management, self-information seeking is far from satisfactory. 2. Exploring strategies to support adherence to medications: difficulties in integrating medication taking into daily routine, aids as reminders for medication taking, and requesting help from caregivers.</p><p><strong>Conclusion: </strong>Older adults with coronary artery disease struggled with seeking information to adapt to the new regimens and exploring different strategies to improve their adherence. Future interventions could improve their medication self-efficacy through patient-centred communication and peer education. Offering reliable information resources and improving the capacity to identify the accuracy of online information were important for self-information seeking. Besides, support in medication management aids and involving caregivers in medication management according to their needs were also warranted.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"3069-3082"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495938/pdf/","citationCount":"0","resultStr":"{\"title\":\"Understanding Medication Self-Management at Home Among Older Adults with Coronary Artery Disease: A Qualitative Study.\",\"authors\":\"Mengqi Xu, Suzanne Hoi Shan Lo, Lingyan Zhu, Xiaoli Huang\",\"doi\":\"10.2147/PPA.S537115\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The medication self-management at home among older adults with coronary artery disease is found suboptimal, leading to discrepancies from the prescriptions. More support is expected to meet their needs in medication self-management. This study aims to understand medication self-management at home of older adults with coronary artery disease.</p><p><strong>Methods: </strong>From June to August 2024, a descriptive qualitative study was conducted among 28 older adults with coronary artery disease and six healthcare professionals. Older adults participated in interviews before and one month after hospital discharge. The healthcare professionals were interviewed once. The semi-structured interviews were conducted face-to-face or through a virtual platform. Thematic analysis was used in data analysis.</p><p><strong>Findings: </strong>Two themes with five sub-themes emerged: 1. Dealing with unknown when starting new regimens: seeking support from healthcare professionals when starting medication self-management, self-information seeking is far from satisfactory. 2. Exploring strategies to support adherence to medications: difficulties in integrating medication taking into daily routine, aids as reminders for medication taking, and requesting help from caregivers.</p><p><strong>Conclusion: </strong>Older adults with coronary artery disease struggled with seeking information to adapt to the new regimens and exploring different strategies to improve their adherence. Future interventions could improve their medication self-efficacy through patient-centred communication and peer education. Offering reliable information resources and improving the capacity to identify the accuracy of online information were important for self-information seeking. Besides, support in medication management aids and involving caregivers in medication management according to their needs were also warranted.</p>\",\"PeriodicalId\":19972,\"journal\":{\"name\":\"Patient preference and adherence\",\"volume\":\"19 \",\"pages\":\"3069-3082\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495938/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Patient preference and adherence\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/PPA.S537115\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient preference and adherence","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/PPA.S537115","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Understanding Medication Self-Management at Home Among Older Adults with Coronary Artery Disease: A Qualitative Study.
Background: The medication self-management at home among older adults with coronary artery disease is found suboptimal, leading to discrepancies from the prescriptions. More support is expected to meet their needs in medication self-management. This study aims to understand medication self-management at home of older adults with coronary artery disease.
Methods: From June to August 2024, a descriptive qualitative study was conducted among 28 older adults with coronary artery disease and six healthcare professionals. Older adults participated in interviews before and one month after hospital discharge. The healthcare professionals were interviewed once. The semi-structured interviews were conducted face-to-face or through a virtual platform. Thematic analysis was used in data analysis.
Findings: Two themes with five sub-themes emerged: 1. Dealing with unknown when starting new regimens: seeking support from healthcare professionals when starting medication self-management, self-information seeking is far from satisfactory. 2. Exploring strategies to support adherence to medications: difficulties in integrating medication taking into daily routine, aids as reminders for medication taking, and requesting help from caregivers.
Conclusion: Older adults with coronary artery disease struggled with seeking information to adapt to the new regimens and exploring different strategies to improve their adherence. Future interventions could improve their medication self-efficacy through patient-centred communication and peer education. Offering reliable information resources and improving the capacity to identify the accuracy of online information were important for self-information seeking. Besides, support in medication management aids and involving caregivers in medication management according to their needs were also warranted.
期刊介绍：
Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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