养老院慢性病患者服药安全行为体验的质性研究

Qualitative study on medication safety behavioral experience of patients with chronic diseases in nursing homes

目的:了解养老院罹患慢性病老年人服药安全行为的真实体验与应对方式,为老年人服药安全提供依据。方法:采用目的抽样法选取2019年1—4月武汉市3家养老院16例罹患慢性病的服药老年人作为研究对象,采用质性研究中现象学研究方法对其进行半结构式访谈,同时现场进行录音,借助NVivo8.0统计软件,根据Colaizzi分析法对资料进行分析,提炼主题。结果:养老院罹患慢性病老年人服药安全的真实体验可归纳为5大主题:服药品种多,记忆混淆;服药频次不一,难以把握;服药剂量大,担心不良反应;服药时间长,难以坚持;服药效果差,难以信赖。结论:养老院罹患慢性病老年人服药存在较多安全隐患,需及时采取相应措施进行干预,以防止服药相关不良事件的发生,保证老年人用药的安全性与有效性。

Objective:To understand the real experience and coping style of medication safety behaviors of the elderly suffering from chronic diseases in nursing homes and to provide evidence for the medication safety of the elderly.Methods:The objective sampling method was adopted to select 16 elderly patients suffering from chronic diseases in 3 nursing homes in Wuhan from January to April 2019 as the research objects.The phenomenological research method in qualitative research was used to conduct semi-structured interviews,and at the same time,on-site recording was conducted.With the help of NVivo8.0 statistical software,the data were analyzed according to Colaizzi analysis method and the themes were extracted.Results:The real experience of medication safety for elderly people suffering from chronic diseases in nursing homes can be summarized into five major themes,including many types of medications and confusion in memory,difficulty in medications due to different frequencies,large doses of medications and worried about side effects,taking medicine for a long time and difficulty in persisting and poor effects and difficulty in trusting.Conclusions:Elderly people suffering from chronic diseases have many hidden safety hazards in taking medicines.It is necessary to take appropriate measures to intervene in time to prevent the occurrence of adverse events related to taking medicines and to ensure the safety and effectiveness of medications for the elderly.