Beliefs about medication after hospital discharge in geriatric patients with polypharmacy

被引:7
|
作者
Mortelmans, Laura [1 ]
Goossens, Eva [1 ,2 ,3 ,4 ]
Dilles, Tinne [1 ]
机构
[1] Univ Antwerp, Fac Med & Hlth Sci, Ctr Res & Innovat Care CRIC, Dept Nursing & Midwifery Sci,Nurse & Pharmaceut C, Univ Pl 1, B-2610 Antwerp, Belgium
[2] Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Kapucijnenvoer 35, B-3000 Leuven, Belgium
[3] Res Fdn Flanders FWO, Egmontstr 5, B-1000 Brussels, Belgium
[4] Antwerp Univ Hosp UZA, Dept Patient Care, Drie Eikenstr 655, B-2650 Edegem, Belgium
关键词
Beliefs about medication; Medication management; Polypharmacy; Older people; OLDER PATIENTS; HEALTH-CARE; ADHERENCE; MEDICINES; QUESTIONNAIRE; PHYSICIAN; IMPACT;
D O I
10.1016/j.gerinurse.2021.12.007
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: To describe beliefs about medication in geriatric patients with polypharmacy post-discharge and to evaluate the impact of discharge management on patients' medication beliefs. Methods: A cross-sectional study was conducted between November 2019 and March 2020 in twelve general hospitals in Belgium. Four hundred geriatric patients with polypharmacy were surveyed at hospital discharge and two to five days post-discharge using the Beliefs about Medicines Questionnaire and self-developed questionnaires. Results: According to participants, the benefits of medication outweighed the disadvantages as the mean necessity score (19.4/25) outweighed the mean concern score (11.9/25). Patients receiving help with medication management post-discharge had stronger necessity-, concern-and overuse-related beliefs. No patient or discharge management-related factors were significant predictors of medication beliefs. Conclusions: Assessing patients' medication beliefs and identifying and addressing patients' concerns, can be an opportunity to improve medication use, to prevent non-adherence and to enhance safe medication practices at home. (c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:280 / 287
页数:8
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