Occupational Experiences of Medication Management Among Adults Living With Multiple Chronic Conditions.

IF 1.5 4区 医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-07-01 Epub Date: 2023-05-10 DOI:10.1177/15394492231172931
Amy Lorino, Pamela Talero Cabrejo, Susan Coppola
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Abstract

Adults with multiple chronic conditions (MCCs) often face difficulties with medication management, affecting their experiences of well-being and illness. The objective of this study was to identify and describe the occupational experiences of medication management and their impact on well-being and illness in adults living with MCCs. We used document analysis methods to analyze 134 illness narrative blog posts authored by 52 adults aged 18 and older with MCCs. Content and thematic analysis of their textual content was based on the Pan Occupational Paradigm. Medication management is enacted through the dimensions of doing, belonging, becoming, being, and knowing, in an interconnected, nonlinear manner, with a more notable impact on illness than well-being due to the complexities associated with medication management for MCCs. Occupational therapy practices for medication management should consider all occupational dimensions and their impact on health rather than focusing primarily on the performance of medication tasks and routines.

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患有多种慢性疾病的成年人在药物管理方面的职业体验。
患有多种慢性疾病(MCCs)的成年人在药物管理方面经常会遇到困难,这影响了他们的幸福感和疾病体验。本研究旨在确定和描述患有多种慢性疾病的成年人在药物管理方面的职业体验及其对幸福感和疾病的影响。我们采用文献分析方法,分析了 52 名 18 岁及以上患有 MCCs 的成年人撰写的 134 篇疾病叙事博文。根据泛职业范式对其文本内容进行了内容和主题分析。用药管理是通过 "做"、"归属"、"成为"、"存在 "和 "认知 "等维度以一种相互关联、非线性的方式进行的,由于与 MCCs 用药管理相关的复杂性,用药管理对疾病的影响比对健康的影响更为显著。用药管理的职业治疗实践应考虑所有职业层面及其对健康的影响,而不是主要关注用药任务和常规的执行。
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来源期刊
CiteScore
2.60
自引率
7.10%
发文量
54
期刊介绍: The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.
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