Implementation of medication self-management intervention program for home-resi-ding elderly patients with multiple chronic conditions
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 as-signed 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)in-strument,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.
the elderlymultiple chronic conditionsmedication self-managementmedication self-efficacymedication compliancehealth educationnursing intervention
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