居家老年慢性病共病患者药物自我管理干预方案的实施

Implementation of medication self-management intervention program for home-residing elderly patients with multiple chronic conditions

目的评价居家老年慢性病共病患者药物自我管理方案的实施效果。方法基于自我决定理论和信息-动机-行为理论模型构建居家老年慢性病共病患者药物自我管理干预方案。随机选取郑州市2个社区卫生服务中心的80例老年慢性病共病患者,使用抽签法将A社区卫生服务中心分为对照组,B社区卫生服务中心为干预组,两组各40例。对照组实施有关药物知识的健康教育,每周1次,连续8周,干预组在对照组基础上实施药物自我管理干预,每周1次,连续8周。干预后采用药物自我管理量表、基本心理需要满足量表、合理服药自我效量表、服药依从性量表进行评价。结果干预后,干预组药物自我管理、基本心理需要满足、合理服药自我效能和服药依从性得分显著高于对照组(均P<0.05)。结论对居家老年慢性病共病患者实施药物自我管理干预方案,可提高患者药物自我管理水平,激发患者合理服药自我效能,提升患者服药依从性。

Objective To evaluate the effects of medication self-management intervention program for home-residing elderly patients with multiple chronic conditions.Methods Based on the self-determination theory and information-motivation-behavior theory model,the medication self-management intervention program was constructed for elderly home-residing patients with multiple chronic conditions.A total of 80 home-residing elderly patients with multiple chronic conditions were randomly selected from 2 community health service centers in Zhengzhou City.Community A was assigned into the control group and community B was assigned into the intervention group,with 40 cases in each group.The control group received health education about drug knowledge once a week for 8 weeks,and the intervention group received medication self-management intervention once a week for 8 weeks based on the control group.After the intervention,data were collected by using the Self-Administration of Medication(SAM)instrument,the Basic Psychological Needs Satisfaction Scale,the Rational Medication Self-efficacy Scale and the Medication Compliance Scale.Results The scores of drug self-management,basic psychological needs,rational medication self-efficacy and medication compliance in the intervention group were higher than those in the control group,with statistical differences(all P<0.05).Conclusion The medication self-management intervention program can improve the level of medication self-management,stimulate the level of rational medication self-efficacy and improve the medication compliance of home-residing elderly patients with multiple chronic conditions.