Medication Management and Adherence Among Cognitively Impaired Older Adults
Medication Management and Adherence Among Cognitively Impaired Older Adults
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DOI：
10.1300/j083v47n03_03
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发表时间：
2006-01-01
影响因子：
3.2
通讯作者：
Bader, Theresa
中科院分区：
文献类型：
--
作者：
Cotrell, Victoria;Wild, Katherine;Bader, Theresa
本研究考察了患者认知状态、认知缺陷、药物管理技能和实际服药依从性之间的关系。对27名阿尔茨海默病患者和20名健康对照者在药物管理相关任务中的预期和客观表现进行了评估。照顾者也被评估他们对受照顾者管理能力的预测。在第一次访谈和30天后分别进行了药片计数。mmse和缺陷意识与从家庭成员获得帮助的数量有关，表明照顾者倾向于准确评估其亲属的药物管理能力。依从率是可以接受的，但一些护理人员选择的干预策略不能有效地确保足够的依从性。需要进一步的研究来确定非正式照顾者采取的各种策略的有效性。(C) 2006年，霍沃斯出版社出版。版权所有。
This study examined the relationship between patients' cognitive status, deficit awareness, medication management skills, and actual medication adherence. Twenty-seven persons with Alzheimer's disease and 20 healthy controls were evaluated for their predicted and objective performance on tasks related to medication management. Caregivers were also evaluated for their prediction of the care recipient's management abilities. A pill count was taken at the initial interview and 30 days later. MMSEand deficit awareness were related to amount of help received from a family member, suggesting that caregivers tend to accurately assess their relatives'medication management abilities. Adherence rates were acceptable, but some intervention strategies selected by caregivers were not effective in assuring adequate adherence. Additional study is needed to determine the effectiveness of various strategies adopted by informal caregivers. (C) 2006 by The Haworth Press, Inc. All rights reserved.