60岁及以上老年人用药依从性教育研究

Müge Yüksel Güner, Melike Kara, Nurtaç Kavukcu, Murat Çevik, Yasemin Gören, Dilber Kocaarslan, T. Şengezer, Dilek Aslan
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摘要

背景:在老年人中,服用所需剂量的药物有助于健康和福祉,因此是治疗有效性的重要组成部分,并最终对公共卫生和减少卫生保健预算产生预期影响。然而,众所周知,老年人的服药依从性往往达不到预期水平。因此,本研究旨在确定在土耳其安卡拉的两家医疗机构对60岁及以上的个体进行患者教育后的用药依从性。方法:本研究于2019年3月至7月在两所公立医院进行。315名60岁及以上的人参与了这项研究。接受定期医疗服务(未接受药物依从性教育)的161名受试者为第一组,接受药物依从性教育的154名受试者为第二组。教育手段是“反教”法。采用SPSS 23.0软件进行数据录入和分析。P值小于0.05为有统计学意义。结果:接受教育的参与者在了解药物的长期益处、副作用和储存条件的能力,以及何时不应服用药物的知识和重复使用药物信息的能力方面显示出统计学上显著的提高(p< 0.05)。结论:本研究表明,通过适当的沟通和培训,如医疗机构的“反导”方法,可以提高老年人的用药依从性。卫生工作者在这方面分配的时间有可能满足与遵守有关的需求。建议将这些技术纳入常规保健服务模式。
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An Education Study on the Medication Compliance of 60 Years and Older Individuals
Background: In old age, taking medications in the desired dosage contributes to health and well- being and is therefore an essential component of the effectiveness of treatments and ultimately the desired impact on public health and reduction of health care budgets. However, it is known that medication compliance among older persons is frequently not at the desired level. Therefore, this study aimed to determine the medication compliance after patient education was applied among 60 years of age and over individuals in two healthcare facilities in Ankara, Turkey. Methods: This study was conducted in two public hospitals between March and July 2019. 315 people aged 60 and over participated in the study. One hundred and sixty-one participants who received regular health services (without medication compliance education) were in Group 1, and 154 participants who received medication compliance education were in Group 2. The education tool was the “teach-back” method. SPSS 23.0 program was used for data entry and analysis. P values less than 0.05 were indicated for statistical significance. Results: Participants who received education showed a statistically significant improvement in their capacity to understand the long-term benefits of drugs, their side effects, and storage conditions, as well as their knowledge of when the drugs should not be taken and their ability to repeat information about the drugs used (p<0,05). Conclusion: This study has revealed that medication compliance among older individuals can be increased with appropriate communication and training method like the “teach-back” method in healthcare settings. Time allocated by health workers in this regard has the potential to respond to compliance-related needs. It is recommended that such techniques be integrated into routine health service models.
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