Medication Adherence in Older Adults: A Qualitative Study.
Medication Adherence in Older Adults: A Qualitative Study.
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DOI：
10.1080/03601277.2013.802186
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发表时间：
2014-01-01
影响因子：
1.5
通讯作者：
Krousel-Wood MA
中科院分区：
文献类型：
--
作者：
Holt EW;Rung AL;Leon KA;Firestein C;Krousel-Wood MA
为了有效地解决老年人的服药依从性问题并改善心血管健康，需要对这一年龄段面临的障碍以及提高服药依从性最有效和可行的方法有更深入的了解。我们在老年高血压患者中进行了一项焦点小组研究(n=25)，这项研究来自老年患者服药依从性队列研究(COSMO)。使用结构化指南收集关于坚持的障碍以及干预策略的可接受性和可行性的反馈。最终的编码框架概述了影响老年人依从性的个人、关系、医疗保健系统和环境或政策层面的因素，包括记忆、知识、态度和信念、副作用、社会支持、与医疗保健提供者的互动以及药物填充的成本和便利性。病人的反应突出了障碍的各种性质，需要采取多面性和量身定制的干预措施。
To effectively address medication adherence and improve cardiovascular health among older adults, a deeper understanding is needed of the barriers that this age group faces and approaches that would be most effective and feasible for improving adherence. We conducted a focus group study (n=25) in a diverse population of older adults with hypertension recruited from the Cohort Study of Medication Adherence in Older Adults (CoSMO). A structured guide was used to collect feedback on barriers to adherence and acceptability and feasibility of intervention strategies. The final coding framework outlines factors at the individual, relationship, health care system, and environmental or policy level which affect adherence in older adults, including memory, knowledge, attitudes and beliefs, side effects, social support, interaction with health care providers, and cost and convenience of medication filling. Patient responses highlighted the varied nature of barriers and the need for interventions which are both multi-faceted and tailored.
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影响因子：
16.4
作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
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