Дисертації з теми "Patient medication education"
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1
Cady, Paul Stevens. "Patient counseling and satisfaction/dissatisfaction with prescription medication." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184469.
Анотація:
This study was undertaken to test the satisfaction process as it relates to the consumption of prescription medication. The disconfirmation of expectations model was used as a framework for the study. The study sought to evaluate the impact the provision of drug information has on the satisfaction/dissatisfaction process. To accomplish this, consumers recruited from two community pharmacies were provided with a scenario that described the purchase, and consequences of taking a prescription product intended for the treatment of migraine headache. Each subject received a scenario that contained one of four (4) levels of drug information. The four levels were: (1) no drug information; (2) information about side effects; (3) information about effectiveness; and (4) information about effectiveness and side effects. Each subject also received a scenario that described one of four therapeutic outcomes. They were: (1) no side effects with total elimination of headaches; (2) no side effects with partial elimination of headaches; (3) side effects with total elimination of headaches; and (4) side effects with partial elimination of headaches. The disconfirmation of expectation model was supported by the study. Using an ANOVA model, analyses revealed that the provision of drug information resulted in more positive disconfirmation and higher levels of satisfaction when the outcome of therapy was less than optimal. The measures of future intention were also affected by the provision of drug information. Further analyses revealed satisfaction was a function of expectation and disconfirmation.
2
Dinh, Kim, MaiHuong Nguyen, Ngoc Bich, Terri Warholak, and Hanna Phan. "Patient Perceptions of Medication Education in a Vietnamese Community." The University of Arizona, 2011. http://hdl.handle.net/10150/614603.
Анотація:
Class of 2011 AbstractOBJECTIVES: To determine the perceptions of a Vietnamese population provided medication counseling in Vietnamese and their understanding of the directions, the indication, side effects, and importance of adherence to their medications. They also rated the helpfulness of the counseling. METHODS: Vietnamese speaking pharmacists performed medication reviews with Vietnamese adults who self-identified their level of English proficiency. Participants rated the helpfulness of the reviews on understanding medication directions, indication, side effects, and importance of adherence. Demographic data also was collected. The questionnaires were administered after each “brown bag” session. RESULTS: Twenty-nine Vietnamese patients received counseling; all completed the questionnaire (no English proficiency = 8; some = 11; full proficiency = 10). Average number of years residence in the United States was 17.4 (SD = 9.6 years, range from 2 months to 35 years). Approximately half of the patients (44.8%) found having pharmacists who spoke Vietnamese to be the most helpful; 48.2% answered “both” language fluency and shared culture were most helpful. The service was rated “somewhat to very helpful” in understanding medication directions (93%), indication (86%), side effects (79%), and the importance of adherence (79%). CONCLUSION: Overall, subjects found medication review services helpful when provided in their native language, indicating the need for language-directed services to help non-English speaking patients understand their medications.
3
Rice, Cameron R. "Review and Implementation of Orthopedic Patient Medication Education Best Practices." Wittenberg University Honors Theses / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=wuhonors162402923964133.
4
Thomas, Valarie Finley. "Increasing Patients' Understanding of Prescribed Medication Adherence." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5422.
Анотація:
The cost of healthcare in the United States has increased due to growing numbers of patients who live with chronic health problems, such as heart disease. The cost of healthcare is compounded by the cost in terms of complications of cardiovascular disease secondary to medication non-adherence. Education about medication use and adherence, safety, and side effects was needed for patients in a cardiovascular unit to improve adherence to medications as prescribed. Results of a health care provider (HCP) and nursing staff needs assessment provided by the site showed the need for improved cardiovascular medication education. The project focused question asked if cardiovascular patient medication education provided to HCPs and nursing staff would be incorporated into practice by the HCPs and nursing staff. The purpose of the project was to improve the education provided to patients by the HCPs and nursing staff. A literature review provided content for the educational program. Strategies to promote adherence and medication safety and a patient education worksheet were presented with guidance on implementation. Post education qualitative results from HCPs and nursing staff showed that the sheet was implemented and helpful with educating cardiovascular patients. This project promotes positive social change by the implementation of a patient education program that may improve patient education and adherence to cardiovascular medications. As a result, improved adherence to medications may reduce patient and healthcare related costs long term.
5
Hayes, Karen S. "Geragogy-based medication instruction for the rural elderly patient discharged from the emergency department." free to MU campus, to others for purchase, 1996. http://wwwlib.umi.com/cr/mo/fullcit?p9812954.
6
Mullan, Judy. "To develop and trial a new warfarin education program." Access electronically, 2005. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060221.101350/index.html.
Анотація:
Thesis (Ph.D.)--University of Wollongong, 2005.Typescript. This thesis is subject to a two year embargo until 17/11/2007 and may only be viewed and copied with the permission of the author. For further information please Contact the Archivist. Includes bibliographical references: leaf 226-249.
7
Juste, Francoise. "Staff Education Module for Bar Code Medication Administration." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4862.
Анотація:
Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the United States, the absence of a BCMA nursing staff educational module affected the use of this safety tool leading to an increase of medication errors. The purpose of this DNP project was to develop a comprehensive educational module to promote BCMA in the pediatric unit of the hospital. Two theories were used to guide the translation of research into practice. Lewin's theory of planned change was used as a conceptual model to understand human behavior related to change management. Also employed was Benner's novice to expert theory to define the learning process. The research question for this project involved whether a staff education module of BCMA would optimize the medication administration process and prevent medication errors. The research design included an expert panel that used a 5-point Likert scale to evaluate the BCMA education module for clearness, effectiveness, relevance and utilization in practice. Subsequently, the effectiveness of the module was determined through a descriptive analysis. Findings that resulted from the analysis of the evidence revealed 80% percent felt the education module will increase BCMA compliance and all agreed the education module would help identify areas of needed improvement with the current process. The social change of this study will impact nurses to deliver medications safely with the use of BCMA resulting in improved patient outcomes and safe medication administration.
8
Ward, Kayla, Maria Tedesco, Danielle Okerblom, Lisa Goldstone, and Terri Warholak. "A Comparative Study of Self-Reported Medication Knowledge and Attitudes of Patients With Psychiatric Conditions With or Without Participation in Patient Medication Education Group." The University of Arizona, 2015. http://hdl.handle.net/10150/614022.
Анотація:
Class of 2015 AbstractObjectives: To compare the self-reported medication knowledge and attitudes of patients with psychiatric disorders who attended a patient medication education group (PMEG) versus those who did not. Methods: A convenience sample of 288 patients being discharged from an adult inpatient psychiatric unit was used. Just prior to discharge, patients were offered the opportunity to complete a questionnaire to assess their medication knowledge and attitudes. Patients who consented and attended the PMEG were assigned to the treatment group (n=81), while those who did not attend the PMEG were assigned to the control group (n= 207). The survey included nine statements for which the patients selected either agree or disagree. A Rasch analysis was used to analyze scaled questions. Chi-squared tests and Mann-Whitney U were used to analyze nominal and ordinal data, respectively. Demographic data was also collected. An alpha priori of 0.05 was applied. A Bonferroni correction was applied for multiple tests. Results: Patients who attended the PMEG were found to have a higher level of education compared to those who did not attend (p=0.037). There were no significant differences in knowledge and/or attitudes between those who attended PMEG during this admission versus those who did not attend (p=0.065). However, those who attended a PMEG during a previous hospital admission had a more positive attitude toward taking their medications (p=0.025). Conclusions: Results suggest that attitudes toward taking medications may gradually improve over time after patients attend a PMEG during an acute inpatient psychiatric admission.
9
Henderson, Martha Heckbert 1945. "The role of family participation in a medication information program on schizophrenic clients' medication behaviors: a replication." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/558181.
10
Ancheschi, Evellyn, Nicole Henry, and Cassandra Votruba. "Awareness of Medication-Related Fall Risk Before and After Online Education." The University of Arizona, 2017. http://hdl.handle.net/10150/624019.
Анотація:
Class of 2017 AbstractObjectives: The aim of this project was to assess community-dwelling older adults’ knowledge of prescription and Over-the-Counter (OTC) medications associated with fall risk, then provide an online educational intervention tailored to older adults on the topics they answer incorrectly. The knowledge assessment of the missed questions will be repeated after the online education to detect the effectiveness of the online intervention in increasing the knowledge of community-dwelling older adults. Methods: This study used an interventional design with pre-test, post-test survey method to quantitatively analyze community-dwelling older adults’ knowledge on medication-related fall risk. The persons taking the survey were community dwelling older adults, 65 years of age and older, living in the greater Tucson and Phoenix areas. Data was obtained through an online Qualtrics questionnaire between February 1, 2016 and February 1, 2017. The survey respondents answered questions regarding prescription and OTC medications associated with fall risk. For the questions they answered incorrectly, an online educational intervention tailored to older adults was provided immediately. The knowledge assessment of the missed questions was repeated after the online education to detect the effectiveness of the intervention. Results: Questionnaires were completed by 302 community-dwelling older adults. The mean age of the participants was 79 (range 65 to > 96), and majority were women (61.2%). A majority of respondents (53.87%) reported falling once in the last 5 years. Of the total participants, 50% were taking between 5 and 9 prescribed medications and 56% taking 0 to 4 OTC medications. The primary outcome of this study is that online education was effective in educating community dwelling older adults on medication-related fall risk. Patients whose pharmacist had previously educated them did not directly correlate with better performance on the pretest than those who did not receive counseling. Participants that received online education during the survey improved their score from 69% before education to 84% post education. Conclusions: The online educational intervention on medication-related fall among older adults was effective and informative. Such educational strategy may be used by pharmacists to educate older patients using medications that may increase fall risks.
11
McConnell, Angela H. "Influence of Patient Engagement Protocol on Health Outcomes and Medication Adherence of Patients with Metabolic Syndrome." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2741.
Анотація:
August 2016
Management of metabolic syndrome (MetS) may be enhanced by promoting patient engagement. Training health care providers in the conceptual and practical application of integrative patient centered care tools may promote patient lifestyle behaviors for better management of MetS. The purpose of this quantitative quasi-experimental study was to assess the impact of training providers in integrative patient centered care for patients with MetS. The biopsychosocial construct provided the conceptual framework for the study. Two groups of physicians were included; one received training in an integrative model (IM) while the second received no training and provided usual care (UC). Following training, patient disease biometrics and medication adherence were monitored for approximately four months. Due to a diminished sample size in the completer data set, an intention to treat (ITT) data set was created with baseline values brought forward. In the ITT set, BMI decreased significantly (p=0.005, d=0.18) with each group over time: (IM: 32.9 -± 7.3 Kg/m2 to 31.6 -± 6.8 Kg/m2) and (UC: 32.1 -± 6.7 to 31.5 -± 6.3 Kg/m2). However, there were no statistically significant differences between these two groups' measures. In the completer set, BMI decreased significantly (p < 0.05, d=0.18) over time with the IM group, but not the UC group: (IM: 35.14 -± 7.9 Kg/m2 to 33.65* -± 7.62 Kg/m2) and (UC: 32.4 -± 6.62 Kg/m2 and (32.4 -± 6.5 Kg/m2); indicating a possible relationship between the intervention training (IM) and improved health outcomes. Thus, providers are assisting patients with important lifestyle choices to better manage MetS, potentially leading to social change around improved patient health care behaviors and advancement in providers' patient centered practices.
12
Gaddis, LaQuasha Arenese. "Association of Social Support and Patient-Provider Communication and Medication Adherence." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6564.
Анотація:
The prevalence of hypertension in African Americans is the highest of any population in the United States, and this population also demonstrates lower rates of adherence to mediation. Social support and patient-provider communication have been considered as reinforcing factors to help hypertensive patients achieve optimal blood pressure control. The purpose of this study was to examine the association of social support and patient-provider communication and medication adherence for hypertensive African American men and women. The study was guided by the theory of reasoned action. This study was conducted to determine whether social support and patient-provider communication was associated with medication adherence by self-report, age, and gender. A quantitative cross-sectional design with secondary data analyses was used. The sample included 566 hypertensive African American men and women between the ages of 21and 65 years who participated in a survey administered in the Counseling African Americans to Control Hypertension clinical trial collected between 2004 and 2011. The independent variables were social support and patient-provider communication; the dependent variable was medication adherence. Descriptive, 2-way analysis of variance and hierarchical logistic regression model analyses indicated a significant association between patient-provider communication and medication adherence. There was no significant difference in the relationship between social support, patient-provider communication, and age and gender and medication adherence. The implications of this study for social change include improvement in policies and development programs to support the critical role of providers in ensuring medication adherence in hypertensive African American patients.
13
Terrones, Tracy Lee. "Education of Anti-Platelet Medication to Improve Adherence for the Hispanic Patient Post Percutaneous Coronary Intervention." Thesis, Grand Canyon University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13425392.
Анотація:
Hispanic patients in the United States had increased incidence of cardiovascular disease as compared to non-Hispanic whites. The purpose of this project was to implement an evidence-based educational program to improve the health knowledge of adult Hispanic patients who have had percutaneous coronary intervention (PCI) living in a community in the desert southwest. An educational improvement program on medication comprehension was in need to improve the healthcare continuum for adult Hispanics at risk post-PCI. Non-adherence to dual anti-platelet therapy (DAPT) could have resulted in stent thrombosis, a potentially fatal event. The human caring theory and the cultural care theory were the theoretical frameworks for this project. Adult Hispanic patients at a cardiac catheterization lab in the southern United States near the border were screened and 12 out of 33 eligible patients were enrolled. The questionnaires were conducted pre-procedure, followed by an investigator administered educational program. The same questionnaire was given to post-PCI patients prior to discharge to measure improvement in knowledge post-education. There was a statistically significant difference in the pre-/post-education scores following the education program with a p-value of < 0.05. This improved understanding could increase medication adherence to DAPT medication for post-PCI patients, thereby reducing morbidity and mortality for these patients by reducing stent thrombosis rates. Inexpensive and highly efficacious, education should be emphasized as part of any procedural preparation.
14
Miller, Kristi, Lisa Haddad, and Kenneth D. Phillips. "Educational Strategies for Reducing Medication Errors Committed by Student Nurses: A Literature Review." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/ijhse/vol3/iss1/2.
Анотація:
Medication errors cause harm, yet most of them are preventable (Institute of Medicine, 2006). Nurses spend 40% of their time administering medications; therefore they play a key role in the reduction of medication errors. Little empirical evidence has been collected about the effectiveness of nursing education in reducing medication errors committed by nursing students. Traditional educational interventions focus on the five rights of medication administration; however, the literature shows that interventions focused on instilling a culture of safety have a greater impact on reducing medication errors. The purpose of this article is to review educational strategies that have been implemented and tested in pre-licensure nursing programs to reduce medication errors committed by nursing students.
15
Davis, Erica, Sarah Norman, Lisa Goldstone, and Terri Warholak. "Evaluation of a Pharmacist-Led Medication Education Group on Patient-Reported Attitudes and Knowledge, Including a Rasch Analysis of the Questionnaire Used." The University of Arizona, 2013. http://hdl.handle.net/10150/614232.
Анотація:
Class of 2013 AbstractSpecific Aims: To assess the effect of a pharmacist-led education group on psychiatric patient-reported attitudes, knowledge, and confidence in self-managing medications. The reliability and validity of the questionnaire given to patients who attended a pharmacist-led medication education group was also evaluated. Methods: A retrospective pre-post questionnaire was distributed patients and collected variables collected including patient self-reported medication knowledge and attitudes, demographics, previous psychiatric hospitalizations, length of group attended, and outpatient pharmacist relationships. Knowledge and attitude items were measured on a 4-point Likert-type scale with response options ranging from “agree” to “disagree.” Rasch analysis was conducted to ensure all items measured the same construct and the probability of the person responding to an item was not dependent on other assessment items. Rasch measurement includes several diagnostic indices that allow item-specific and person-specific examinations of data reliability and measurement fit. In addition, the Rasch technique makes it possible to evaluate the contribution of each person’s measures on each item. A z-test was used to evaluate for instrument content gaps and a dependent t-test was performed to measure for statistical differences before and after the intervention. Main Results: Sixty patients responded to the Medication Attitude and Knowledge Questionnaire over a 16-week period. Gaps identified were not statistically significant (p=0.1064 and 0.5305) indicating that content validity is comprehensive. On a group level, no significant differences were identified in patient answers before and after the intervention (p=0.2162, p=0.8292). When each patient was analyzed separately, only one patient out of 60 showed a significant difference in answers after the intervention. Results also demonstrated that after attending a group, 100% of patients indicated they intended to adhere to their medication regimen post-discharge. Conclusion: This evaluation was unique because patient attitudes were explored before and after medication education group attendance. Medication Attitude and Knowledge items were valid and reliable.
16
Hussey, Leslie C. Trischank (Leslie Corrine Trischank). "Medication Knowledge and Compliance among the Elderly: Comparison and Evaluation of Two Teaching Methods." Thesis, University of North Texas, 1989. https://digital.library.unt.edu/ark:/67531/metadc331602/.
Анотація:
The problem of this study was to compare and evaluate two methods of teaching medication compliance to an elderly population with a variety of medical problems, cultural backgrounds, and educational levels. Eighty patients over 65 years old who were attending clinic at a county health care facility participated in the study and were randomly placed into two groups. The Medication Knowledge and Compliance Scale was used to assess the patients' medication knowledge and self—reported compliance. Group I (control) received only verbal teaching. Group II (experimental) received verbal teaching as well as a Picture Schedule designed to tailor the patients' medication schedule to their daily activities. Each patient was re—evaluated two to three weeks later. Medications were also counted at each visit and prescription refill records were examined. Knowledge and compliance did increase significantly among all 80 participants. Patients in Group II demonstrated a significantly greater increase in compliance than Group I but did not show a greater increase in knowledge. Patients in Group II also improved compliance as evidenced by their prescription refill records. This study demonstrates that even though significant barriers to learning exist, knowledge and compliance can be significantly improved when proper teaching techniques are utilized.
17
Leveille, Deborah. "Deliberate Practice of IV Medication Procedures by Student Nurses: Feasibility, Acceptability, and Preliminary Outcomes: A Dissertation." eScholarship@UMMS, 2015. https://escholarship.umassmed.edu/gsn_diss/42.
Анотація:
Background: Medication errors continue to be one of the most prevalent problems in healthcare related to patient safety, often resulting in injury or death, with higher incidences of error occurring with intravenous medications. The purpose of this study was to explore the use of deliberate practice (DP) with second-degree nursing students in developing and maintaining fundamental intravenous medication management practices required for safe practice.
Method: This was a feasibility study using a two-arm, single-blind, randomized controlled trial design. Vygotsky’s Zone of Proximal Development model was used to explore the use of a DP teaching intervention to achieve competency in skills associated with safe IV medication management. A convenience sample of first-year, first-semester nursing students enrolled in an accelerated graduate program (N = 32) were invited to participate; 19 enrolled, and 12 completed the study. Students (n = 12) received three 30- minute one-on-one practice sessions at 2-week intervals with an expert nurse (the intervention group focused on IV skills and the control group on skills unrelated to IVs). Pre- and post-intervention instruments tested participants’ confidence with IV management and safety skills. The primary outcome was their ability to safely administer and monitor IV medications during a 20-minute videotaped medication administration scenario.
Results: Low recruitment (19 of 32) and high attrition (37%) were observed. Participants completing the study (5 in the intervention group and 7 in the control group) reported that the time required to attend the sessions was not burdensome (91.7%); time allotted was adequate (100%); 100% reported positive experience; 91.7% found the DP sessions essential to learning. Change in confidence scores for IV skills were not significant (P = 0.210), but were higher in the intervention group (2.97–4.14 = 1.50 change) compared to the control group (2.71–3.77 = 1.04 change). Significant differences were found in overall medication administration skills between the control and intervention groups (t [-2.302], p = 0.044) in favor of the intervention group, particularly with medication preparation skills (p = 0.039). Overall raw scores were low in both groups; only 16–42 (26%–70%) of the total 60 steps required for safe practice were completed. Participants scored lowest in the evaluation phase, with all participants performing less than 50% of the 14 steps.
Conclusion: Even though participant satisfaction was high, significant attrition occurred. Students reported the DP sessions to be beneficial and they felt more confident in performing skills, but three 30-minute sessions (90 minutes) were not adequate to develop, maintain, or refine all the IV-management skills associated with safe medication practices. Determining the length and duration of DP sessions as well as comparing the efficacy of DP sessions between individual and group sessions with varying doses and frequencies is needed to advance our understanding of using DP within nursing education.
18
Armstrong, Karen Andrea. "The relationship of health literacy and locus of control to medication compliance in older African Americans." unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-08202007-161830/.
Анотація:
Thesis (M.A.)--Georgia State University, 2007.Title from file title page. Patricia Clark, committee chair; Elisabeth Burgess, Molly Perkins, committee members. Electronic text (72 p.) : digital, PDF file. Description based on contents viewed Nov. 8, 2009. Includes bibliographical references (p. 59-67).
19
Navaratnam, Prakash. "Predictors of the prescribing of asthma pharmacotherapy in the ambulatory patient population of the United States." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1171582748.
20
Figueira, Ana Laura Galhardo. "Contribuição de intervenções educativas para o conhecimento da doença, adesão ao tratamento e controle glicêmico das pessoas com diabetes mellitus." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-02022016-094301/.
Анотація:
Trata-se de uma pesquisa de avaliação, realizada por análise de resultados, do tipo \"antes e depois\", cujo objetivo geral foi avaliar a contribuição de intervenções educativas em diabetes mellitus, para o conhecimento sobre a doença, adesão ao tratamento medicamentoso e controle glicêmico das pessoas com diabetes mellitus tipo 2. O estudo foi desenvolvido em unidade ambulatorial de um hospital universitário, nível terciário de atenção à saúde do interior paulista, no período de junho de 2011 a maio de 2013. As intervenções educativas desenvolveram-se em quatro sessões, em grupo aberto, por meio dos \"Mapas de Conversação em Diabetes\", fundamentadas nos pressupostos teóricos da Teoria Social Cognitiva, cujos temas foram respectivamente: \"como o corpo e o diabetes funcionam\", \"alimentação saudável e atividade física\", \"tratamento medicamentoso e monitoramento da glicose no sangue\" e \"atingindo as metas com a insulina\", com dois momentos adicionais para a coleta dos dados, antes e após as intervenções. Os dados foram coletados por meio dos instrumentos Diabetes Knowledge Scale (versão brasileira) e Medida de Adesão aos Tratamentos. Mediante os critérios de inclusão e exclusão, a amostra ficou constituída por 82 pessoas, das quais 48 (58,5%) eram do sexo feminino e 34 (41,5%), do masculino, com média de idade de 60,43 (DP= 8,38) anos e escolaridade de 4,86 (DP= 3,86) anos de estudo; 59 (72%) eram casados, 44 (53,7%), procedentes da região de Ribeirão Preto e 44 (53,7%), aposentados ou pensionistas. Entre os outros resultados, destacam-se o tempo médio de diagnóstico da doença de 15,38 (DP= 8,22) anos; 56 (68,3%) possuíam pressão arterial sistólica alterada, 19 (23,2%), pressão arterial diastólica alterada e 43 (52,4%) eram obesos. O uso de antidiabéticos orais foi referido por 71 (86,6%) dos participantes, e o uso de insulina, por 68 (82,9%); 60 (73,2%) relataram o seguimento regular da dieta e 38 (46,3%), a prática regular de exercício físico. Para o valor de p<0,05, observou-se que, após o término das intervenções educativas, houve melhora do escore médio total das variáveis referentes ao conhecimento, à adesão ao tratamento medicamentoso (antidiabéticos orais) e à taxa de hemoglobina glicada. Na análise dessas variáveis, em suas respectivas categorias, houve um maior número de pessoas nas categorias: \"bom conhecimento\" (p<0,05), \"adesão ao tratamento medicamentoso\" (antidiabéticos orais) e \"normal\" para a taxa de hemoglobina glicada. Conclui-se que as intervenções educativas contribuíram para a melhora do conhecimento sobre o diabetes mellitus, adesão ao tratamento medicamentoso e para a diminuição da taxa de hemoglobina glicada da amostra estudada e reitera-se a educação em diabetes mellitus como uma estratégia fundamental para o cuidadoThis evaluation research was conducted using \"before and after\" analysis of results. The general objective was to evaluate the contribution of educational interventions in diabetes mellitus for knowledge about the disease, adherence to drug treatment and glycemic control of people with type 2 diabetes mellitus. The study was conducted in an outpatient unit of a tertiary-level university hospital in the state of São Paulo, Brazil, from June 2011 to May 2013. The educational interventions have been developed in four sessions, in open group, through the \"Conversation Maps in Diabetes\", based on the theoretical framework of the Social Cognitive Theory, whose themes were as follows: \"how the body and diabetes work\", \"healthy eating and physical activity\", \"drug treatment and blood glucose monitoring\" and \"reaching the targets with insulin\", with two additional moments for data collection, before and after the interventions. Data were collected using the instruments Diabetes Knowledge Scale (Brazilian version) and Treatment Adherence Measure. Appling the inclusion and exclusion criteria, the sample consisted of 82 people, of whom 48 (58.5%) were female and 34 (41.5%) male, with mean age of 60.43 (SD= 8.38) years and schooling of 4.86 (SD= 3.86) years of study; 59 (72%) were married, 44 (53.7%) coming from the region of Ribeirão Preto and 44 (53.7%) retirees or pensioners. Among the results, it is highlighted the average time to diagnose the disease, 15.38 (SD= 8.22) years; 56 (68.3%) had altered systolic blood pressure, 19 (23.2%) altered diastolic blood pressure and 43 (52.4%) were obese. The use of oral antidiabetic drugs was reported by 71 (86.6%) participants, and the use of insulin by 68 (82.9%); 60 (73.2%) reported regular monitoring of the diet and 38 (46.3%) regular physical activity. For the value of p<0.05, it was observed that after completion of educational interventions, there was improvement in average total score of variables related to knowledge, adherence to drug therapy (oral antidiabetic drugs) and glycated hemoglobin. In the analysis of these variables, in their respective categories, there were more people in the categories \"good knowledge\" (p<0.05), \"adherence to drug treatment\" (oral antidiabetic drugs) and \"normal\" for glycated hemoglobin. It is concluded that the educational interventions contributed to the improvement of knowledge on diabetes mellitus, adherence to drug therapy and decrease in glycated hemoglobin levels of the sample. It is reiterated that education in diabetes mellitus is a key strategy for care
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Chinem, Brunella Mendonça. "Os reflexos de intervenções de enfermagem sobre a adesão ao tratamento de pacientes hipertensos com pressão arterial não controlada." Universidade Federal de Goiás, 2013. http://repositorio.bc.ufg.br/tede/handle/tede/7823.
Анотація:
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Made available in DSpace on 2017-10-02T14:05:18Z (GMT). No. of bitstreams: 2 Dissertação - Brunella Mendonça Chinem - 2013.pdf: 1137216 bytes, checksum: 8a882914fd89ce5edb482ea3dff20945 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2013-11-08
Introduction: hypertension is a major public health problem. Among the difficulties of health professionals regarding this issue highlights the lack of patient adherence to treatment. The treatment and control of hypertension remain as challenges for health professionals, because compliance rates are still low. The nurse helps the patient hypertensive plan actions making the patient an active being in their treatment. Objective: to evaluate whether interventions can influence patient adherence to treatment and their perception of the disease and consequently in blood pressure control. Methods: this is a randomized clinical trial, conducted in specialized service. We identified all those who were there more than a year without attending to any query and these were considered in situations of abandonment of service. It was also calculated the rate of blood pressure control. The study variables were: socio-demographic variables, blood pressure values, number of antihypertensive use, lifestyle, risk factors for cardiovascular disease, body mass index, time since diagnosis, treatment time, and treatment time the specialized service, pharmacological treatment and knowledge, beliefs and perceptions of patients about their treatment and their disease. To assess compliance, we applied the Morisky-Green Test for both groups. For the evaluation of the knowledge, beliefs and perceptions was applied Illness Perception Questionnaire. Two groups were randomly. The study group (SG) received interventions with weekly phone calls between queries and also consultations nursing after medical consultation. The control group (CG) remained in routine follow-up. Results: In 2011, the dropout rate in service was 6.4%, and in 2012 this rate was 11.0%. The rate of blood pressure control in 2011 was 73.9% and in 2012 was 61.7%. Those who had uncontrolled pressure had more patients in situations of low adherence (64.5%) than the group of controlled hypertensive (43.3%). After the intervention, a reduction in mean systolic blood pressure was higher in the SG than in the CG. In the end, there was no individual alcoholics in GE. The difference in the reduction of membership fees was 46.6% in the EG and 27.6% GC statistically significant (p < 0.05). Those who had a higher perception of personal control over the disease had greater adherence to pharmacological treatment. Conclusion: we found a low dropout service compared to other centers. This is reflected in the high rate of BP control. Non-adherence to treatment may explain the lack of BP control. The intervention performed by nursing altered rates of adherence to treatment and BP control, and also interfered in decreased intake of alcoholic beverages occasional. The group that participated in the intervention showed better understand about the chronicity of the disease and also about its consequences.
Introdução: a hipertensão arterial é um grande problema de saúde pública e a não adesão ao tratamento pelo paciente é um dos maiores desafios dos profissionais de saúde. A enfermagem tem importante papel em todas as fases do tratamento, seja no planejamento dos serviços de assistência, seja com ações educativas, estabelecendo vínculos com o paciente, e promovendo a adesão Objetivo: Avaliar os reflexos de intervenções de enfermagem sobre a adesão ao tratamento de pacientes hipertensos com pressão arterial (PA) não controlada. Metodologia: Trata-se de um ensaio clínico randomizado, realizado em serviço especializado, com pacientes hipertensos não controlados, com idade maior ou igual a 18 anos, e que tivessem acesso telefônico. As variáveis foram: sócio-demográficas, pressão arterial, anti-hipertensivos prescritos, hábitos de vida, fatores de risco para doenças cardiovasculares, índice de massa corpórea, tempo de diagnóstico, de tratamento e de tratamento no serviço adesão ao tratamento farmacológico e conhecimentos, crenças e percepções do paciente em relação ao seu tratamento e à sua doença. Para a avaliação da adesão, foi aplicado o Teste de Morisky-Green (TMG) para ambos os grupos. Para a avaliação dos conhecimentos, crenças e percepções foi aplicado o Illness Perception Questionnaire (IPQ-R). Foi calculada uma amostra de 110 indivíduos, sendo 55 para cada grupo, grupo estudo (GE) e grupo controle (GC). A participação nos grupos foi de modo aleatório. O GE recebeu as intervenções com telefonemas semanais entre as consultas e também a realização de consultas de enfermagem após a consulta médica. O GC permaneceu em seguimento de rotina, sem intervenção. A coleta de dados foi realizada no período de janeiro/2012 a março/2013. A análise estatística foi realizada com o auxílio SPSS/PC versão 20.0. Foram utilizados os testes Qui-quadrado ou Fisher, teste de Kolmogorov teste T-student, teste de Wilcoxon; nível de significância de 0,05 e intervalo de confiança de 95%. Resultados: houve maior redução da pressão arterial sistólica média no GE. No final, não havia nenhum indivíduo alcoolista no GE. Houve redução das taxas de baixa adesão em ambos os grupos, sendo a diferença na redução no GE de 46,6% no GC de 27,6 % (p<0,05). Aqueles que tinham maior percepção do controle pessoal sobre a doença tiveram maior adesão ao tratamento farmacológico. Conclusão: A intervenção realizada pela enfermagem alterou as taxas de adesão ao tratamento e de controle da PA, e também interferiu na diminuição de ingestão de bebidas alcoólicas ocasionais. O GE mostrou entender melhor sobre a cronicidade da doença e também com relação as suas consequências.
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McQueen, Chandrika. "Educating psychiatric nurses to improve medication adherence among schizophrenic patients." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6067.
Анотація:
The purpose of this project was to implement an educational program that provided psychiatric nurses with the knowledge and skills to engage patients with a diagnosis of schizophrenia in self-care management regarding medication and treatment adherence. The theory employed in the project was the educational theory. Evidence of effectiveness came from a pre- and postintervention assessment of nurses' knowledge and confidence in teaching about medication, along with a pre- and postassessment of knowledge gained as a result of the educational intervention. Pre- and posteducational rates of patient rehospitalization for medication nonadherence were compared. The results indicated a 15% rate of readmission of schizophrenia patients prior to the educational sessions. The 30-day readmission rate decreased to approximately 5% after the educational sessions. Based on these results, it was concluded that the educational project intervention had a positive impact on improving knowledge and insight of the nurses about nonadherence to medication among patients with schizophrenia. The positive social impact of improving nurses' knowledge of educating schizophrenic patients are increased patient well-being and reduced social costs associated with relapse and readmission. Recommendations from this project include that nurses should educate patients with schizophrenia on how to adhere to medication directives and the importance of doing so.
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Omile, Juliana Ifeoma. "Staff education on Metabolic Syndrome in Patients Taking Antipsychotic Medications." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7322.
Анотація:
Second-generation antipsychotics (SGAs) are prescribed for treatment of psychosis. A major side effect of SGAs is an increased risk of metabolic syndrome (MetS) with symptoms of hypertension, hyperlipidemia, hyperglycemia, and truncal obesity. A clinic in the northeastern United States was not screening patients for MetS when being treated with SGAs. The purpose of this project was to educate staff on MetS risk factors, signs, symptoms, and patient management with a goal to improve their knowledge of MetS. Lewin's change theory provided a conceptual framework for the project. The project question explored the development and evaluation of an educational module on MetS increased staff knowledge. Educational content was guided by current literature and the American Psychiatric Association and American Diabetic Association practice guidelines. Five expert panel members, consisting of 3 psychiatrists, an advance practice nurse, and a registered nurse reviewed the education program and evaluated content using a Likert-type questionnaire. Expert panel evaluations indicated that the module content contained useful clinical information on MetS screening for patients on SGAs. After panel review, the program was presented to 7 clinic staff. Pretest and posttest questionnaires asked 10 multiple choice questions and results were compared. Questions on SGA side effects, MetS complications, prevalence, baseline assessment measures, lab work, and needed collaboration were answered correctly by 6 of the participants pretest and all questions after receiving the education program. The project has the potential to promote positive social change through staff education on MetS screening for patients, thus improving patient outcomes.
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BARROS, Aloísia Pimentel. "Práticas no preparo e administração de medicamentos em unidade de terapia intensiva neonatal e pediátrica: uma pesquisa-ação." Universidade Federal de Pernambuco, 2015. https://repositorio.ufpe.br/handle/123456789/16904.
Анотація:
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TESE - ALOÍSIA PIMENTEL BARROS.pdf: 1927061 bytes, checksum: ab8816c302eba2f6832274e952f19f5f (MD5)Made available in DSpace on 2016-05-09T13:14:39Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) TESE - ALOÍSIA PIMENTEL BARROS.pdf: 1927061 bytes, checksum: ab8816c302eba2f6832274e952f19f5f (MD5) Previous issue date: 2015-09-30
Erros de medicação consistem emqualquer evento evitável que pode levar ao uso inapropriado de medicamentos ou causar dano a um paciente, enquanto o medicamento está sob o controle dos profissionais de saúde, pacientes ou consumidores. Existem tipos de erros diferentes, porém, os mais comuns ocorrem durante o preparo e a administração de medicamentos que são procedimentos desempenhados pela enfermagem.Pesquisas mostram que entre as estratégias desenvolvidas para prevenir os erros, está a educação dos profissionais envolvidos no processo. Dessa forma delineou-se a presente pesquisa com o objetivo de analisar a trajetória de uma equipe de Enfermagem na busca de melhores práticas no preparo e administração de medicamentos em Unidade de Terapia Intensiva Neonatal e Pediátrica. Foi realizado um estudo de intervenção, na modalidade de pesquisa-ação, desenvolvido em quatro etapas, com profissionais de enfermagem, no período de agosto de 2014 a janeiro de 2015 em uma UTI neonatal e pediátrica de um Hospital do Sistema Único de Saúde na cidade de Recife-PE. Na 1ª etapa, com 40 participantes, foi realizado um diagnóstico inicial para conhecer, a partir da perspectiva dos profissionais, fatores que contribuem para erros no preparo e administração de medicamentos. Na 2ª etapa foi desenvolvida uma ação educativa com 12 participantes, através de um grupo operativo (GO),que após identificar os principais fatores que contribuem para erros no preparo e administração de medicamentos, definiu como estratégias para transformação da realidade: a criação de um núcleo de educação permanente no cenário do estudo, as medicações serem despachadas da farmácia identificadas no sistema de cores, ambiente iluminado e com balcão exclusivo para o preparo de medicamentos, implantação dos 9 certos do preparo e administração de medicamentos em forma de banner, implantação de prescrição eletrônica, identificação com placas nos leitos dos pacientes em uso de medicamentos potencialmente perigosos e montar protocolos de preparo e administração de algumas medicações. Na 3ª etapa ocorreu a implantação das estratégias propostas pelo GO no cenário do estudo. Na 4ª etapa foram elencados,através de entrevista semi-estruturada, os limites e possibilidades das estratégias implantadas. Participaram dessa etapa 40 profissionais de enfermagem. O material coletado na 1ª e 4ª etapas foram submetidos a técnica de análise de dados proposto por Bardin. Na 1ª etapa emergiram as categorias de análise: conceito de erros de medicação, fatores contribuintes para a ocorrência do erro e educação como ferramenta para melhores práticas no preparo e administração de medicamentos. Os dados dessa etapa subsidiaram a ação educativa no GO na 2ª etapa, a qual permitiu o desenvolvimento das estratégias que poderiam prevenir os erros no preparo e administração de medicamentos. Na 4ª etapa ao serem elencados os limites e possibilidades das estratégias implantadas, cinco categorias emergiram: o fazer da equipe de enfermagem no preparo e administração de medicamentos em UTI neonatal e pediátrica, a rotina/prática não reflexiva como fator contribuinte para o erro de medicação, competências e habilidades mobilizados para o preparo e administração de medicamentos, ação educativa e as mudanças na prática do preparo e administração de medicamentos, limites identificados na ação educativa. Dessa forma, um processo de mudança foi iniciado e os participantes envolvidos comprovaram ser possível transformar a realidade quando a isso se propõem. A participação na ação educativa instrumentalizou-os para uma avaliação crítica no serviço, evidenciando um resultado positivo da intervenção.
Medication error is any preventable event that may lead to inappropriate medication use or harm to a patient while the medicine is under the control of health professionals, patients or consumers. There are different types of errors, however, the most common occur during the preparation and administration of medications that are procedures performed by nurses. Research shows that among the strategies developed to prevent errors, is the education of professionals involved in the process. Thus it is outlined this research in order to analyze the trajectory of a nursing team in the search for best practices in the preparation and administration of drugs in the Intensive Care Unit Neonatal and Pediatric. Thus it is outlined this research in order to analyze the trajectory of a nursing team in the search for best practices in the preparation and administration of drugs in the Intensive Care Unit Neonatal and Pediatric. An intervention study was conducted in the form of action research, developed in four stages, with nursing professionals, in August 2014 to January 2015 in a neonatal and pediatric ICU of a Unified Health System Hospital in the city Recife-PE.In Step 1, with 40 participants, was held an initial diagnosis to know, from the perspective of professionals, factors that contribute to errors in the preparation and administration of medications. In the 2nd stage an educational activity with 12 participants was developed through an operative group (GO), that after identifying the main factors that contribute to errors in the preparation and administration of medicines, defined as strategies to transform reality: the creation of a core of permanent education in the study setting, medications are shipped from the pharmacy identified in the color system, lit environment with unique counter for medication preparation, implementation of 9 certain preparation and administration of medications in the form of banner, deployment electronic prescribing, identification plates the beds of patients on high-alert medications and assemble preparation protocols and administration of some medications. In the 3rd step was the implementation of the strategies proposed by the GO in the study setting. In the 4th stage were listed through semi-structured interview, the limits and possibilities of implemented strategies. Participated in this stage 40 nursing professionals. The material collected in the 1st and 4th stages were subjected to data analysis technique proposed by Bardin. In the 1st stage emerged the categories of analysis: concept of medication errors, contributing factors to the occurrence of the error and education as a tool for best practices in the preparation and administration of medications. The data that stage supported the educational activities in the GO in the 2nd step, which enabled the development of strategies that could prevent mistakes in the preparation and administration of medications. In the 4th stage to be listed the limits and possibilities of implemented strategies, five categories emerged: the making of the nursing staff in the preparation and administration of medicines in NICU and pediatric, routine / non reflective practice as a contributing factor to medication errors , skills and abilities mobilized for the preparation and administration of medicines, educational activity and changes in the practice of preparation and administration of medications, limits identified in the educational activity. Thus, a process of change has started and participants involved proved to be possible to transform reality when it proposed. Participation in educational activities instrumentalized them to a critical evaluation in the service, showing a positive result of the intervention.
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Ballard, Kacy C. "IMPLEMENTATION OF AN EDUCATIONAL SESSION TO IMPROVE COMPLIANCE OF REPORTING MEDICATION ERRORS AND NEAR MISSES AMONG ANESTHESIA PROVIDERS." Otterbein University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1459975850.
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Arterbury, Allison, Audrey Bushway, and Lisa W. Goldstone. "Effect of a Pharmacist Led Medication Education Group on Hospital Readmissions for Patients With Previous Inpatient Psychiatric Admissions." The University of Arizona, 2014. http://hdl.handle.net/10150/614146.
Анотація:
Class of 2014 AbstractSpecific Aims: It has been demonstrated through numerous studies that pharmacists have the ability to significantly impact patient outcomes. It is especially important to measure the effect that pharmacists have on psychiatric patient care as this is a population that is often underserved and can potentially benefit from pharmacist intervention. To date, there has been little research on pharmacist led patient medication education groups for patients with psychiatric diagnoses. Therefore, the purpose of this study was to assess the effectiveness of a pharmacist led medication education group in reducing adult psychiatric hospital readmission rates due to medication non-adherence. Methods: Patients admitted to an acute adult inpatient psychiatric unit at an academic medical center between September 1, 2011 and July 31, 2012 were included. A random sample of 100 patients that attended the medication education group (intervention group) and 100 patients that did not attend the group were selected (control group). The following data were collected: patient age, gender, ethnicity, insurance benefits, primary diagnosis, substance abuse history, number of medications at first discharge, length of stay on initial admission, time to first readmission, length of stay on first readmission, and reason for readmission (medication non-adherence versus other). A chi square analysis was conducted to determine if admission rates as well as reason for readmission were different between the two groups. An independent t test was conducted to determine if time to first readmission or length of stay on first readmission was different between the two groups. Main Results: There were 28 psychiatric hospital readmissions in the intervention group and 28 readmissions in the control group. Although these numbers were similar, there was a statistically significant difference in the number readmitted due to medication non-adherence, 11 in the intervention group vs. 19 in the control group (p=0.032). There was also a clinically significant difference in the time to readmission between the two groups (an average of 94.43 days in the intervention group vs. 60.70 days in the control group.) Conclusion: The pharmacist-led medication education group did not have an impact on readmission rate. However, the group did reduce the number of readmissions for medication non-adherence. There is a clinically significant increase in the time to readmission in patients that attended the medication education group. The data in this study support the implementation of pharmacist-led medication education groups to improve outcomes in adults admitted to acute inpatient psychiatry units.
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Ross, Tammy. "Increasing Medication Adherence in Hypertensive Patients With Million Hearts® Health Literacy Program." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5259.
Анотація:
Healthy People 2020 identified hypertension (HTN) as a controllable risk factor to prevent cardiovascular disease and stroke. Adhering to regular antihypertensive (AHT) medications improves outcomes in patients diagnosed with HTN by controlling blood pressure, reducing hospital visits, and promoting patient wellness. Medication adherence occurs when prescribed medicine regimens are utilized by the patient as directed to manage illness or disease, as evidenced by patients receiving medications at their pharmacy. The practice-focused question for this quality improvement project asked whether implementation of health literacy tools from Million Hearts® HTN Control: Action Steps for Clinicians, increased medication adherence as evidenced by regular medication pickups by adult hypertensive patients. Additionally, this project provided an assessment to identify the patient's current health literacy level using the Newest Vital Sign. The purpose of this quality improvement project was to improve health literacy about AHT medications to increase medication adherence in adults diagnosed with HTN. The logic model allowed for communication of resources, activities, and guidance during project implementation. Data related to medication pickups from adult participants, 1 male and 4 females aged 21-76, were analyzed using descriptive statistics via percent difference pre-post program. Results showed an 80% rate of medication adherence, however increased medication adherence was not achieved. Results also revealed a knowledge deficit in 20% of participants indicating they were unaware they had been prescribed combination AHT medication to control their blood pressure, and not knowing their most recent blood pressure results, or how their specific AHT medication regimen worked at controlling their HTN needs. These findings could lead to exploring additional underlying factors that impede medication adherence such as income, medication cost, insurance cost, and transportation needs. This project supports the need for health literacy to be addressed to improve knowledge and understanding about HTN, and implied the need to address the problem of low health literacy in patients with HTN. Implications for nursing practice include health literacy tools for community-based ambulatory clinics to influence medication adherence and self-care management of adults with HTN. Positive social change was demonstrated by providing health literacy to adult HTN population to improve medication adherence thus reducing health risk.
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Armstrong, Dometrives. "Educational Module Toolkit to Assist Adult Patients with Type II Diabetes Mellitus." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4498.
Анотація:
Diabetes is a challenging chronic disease for adult patients to manage effectively. Poor adherence to prescribed medications treatment is one of the main reasons for poor blood sugar control. Despite healthcare providers' efforts to emphasize the importance of taking medications, adult patients with Type II diabetes frequently present with complications related to persistent failure to adhere to prescribed medication regimen. These patients should thoroughly understand why adhering to a strict medication regimen to maintain control of their blood sugar is so important. The purpose of this project, guided by Orem's self-care deficit nursing theory, was to develop an educational module toolkit that identifies best practices for nurses to address issues of medication adherence with adult patients with Type II diabetes. Future implementation of these toolkit resources may enhance nurses' ability to teach adult patients how to adhere to their medication regimen. Five participants, all considered professional diabetes content experts, were invited to evaluate the educational module toolkit subject matter. The completion response rate was 100% (n = 5). The content experts rated survey items using a 5-point Likert scale where 1= strongly disagree, 2= disagree, 3= not applicable, 4 = agree and 5= strongly agree and responded to 2 questions that allowed for narrative feedback. The experts were satisfied with the content of the educational module toolkit; suggesting that the toolkit may serve as a functional guide for nurses assisting adult patients with diabetes. Improved medication regimen compliance may produce cascading effects; helping these patients achieve a better quality of life while producing positive social change within their families and communities.
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Salles, Roseluci Santos de. "Educação permanente: potencialidades para a cultura da qualidade em uma instituição pública de saúde." Universidade Federal Fluminense, 2013. https://app.uff.br/riuff/handle/1/1235.
Анотація:
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Mestrado Profissional em Ensino na Saúde
Os processos de Educação Permanente surgem para os serviços em geral e seus setores de treinamento ou capacitação com a necessidade da adoção da concepção pedagógica problematizadora, com o propósito de estimular a reflexão da prática e a construção do conhecimento. Nas instituições de saúde não é diferente, porquanto seus trabalhadores cotidianamente precisam também aplicar adequadamente seus conhecimentos à realidade, o que frequentemente ocorre em um cenário complexo, onde a habilidade técnica deve-se aliar à de realizar ações que assegurem a continuidade do processo de trabalho. Nesse contexto, a segurança do paciente internado em um hospital está ligada ao desenvolvimento de algumas ações preventivas, que devem estar baseadas em princípios universais e na realidade específica da unidade de saúde. O gerenciamento do uso seguro de medicamentos é uma prioridade quando se trata de minimizar riscos para o paciente. Nesse cenário, foi delimitado como objetivo principal descrever sobre uma educação permanente fundada na cultura institucional da qualidade, a partir do cotidiano de profissionais envolvidos no processo de medicação do paciente internado; como objetivos secundários: relacionar as principais questões/problemas ligadas ao processo de educação permanente; conhecer possíveis estratégias adotadas pelos profissionais envolvidos com a saúde dos pacientes internados, no enfrentamento de questões ligadas ao processo de medicação e sua efetividade e; identificar estratégias educacionais com potencial de promover a interação/discussão e a solução multiprofissional de questões e problemas ligados ao processo de medicação dos pacientes internados. Metodologia: estudo descritivo de abordagem qualitativa, desenvolvido no Instituto Nacional de Traumatologia e Ortopedia (INTO), instituição pública de saúde, acreditada há seis anos, de referência nacional no atendimento de alta complexidade, localizado no município do Rio de Janeiro. Utilizaram-se como técnicas de coleta de dados: entrevistas em profundidade e grupo focal, em amostra intencional composta por 15 profissionais de saúde. Os dados foram tratados por análise de conteúdo conforme Bardin. Resultados: Da análise dos dados emergiram três categorias, a saber: A Educação Permanente para o compromisso; A Educação Permanente para o convívio e; A Educação Permanente para a mudança. As categorias emergidas mostraram as perspectivas do fenômeno estudado no que compete às dificuldades, ações multiprofissionais para resolução de problemas e para geração da mudança do processo de trabalho no que se relaciona ao processo de medicação do paciente internado. Conclusão: A concepção de Educação Permanente em um serviço de saúde no cumprimento de seu objetivo transformador de ações cotidianas prevê o conhecimento contínuo sobre seus trabalhadores e os aspectos que os tornam participantes do processo na construção de mudanças. A reflexão sobre educação em serviços de saúde dialoga com a que se dá sobre a qualidade da assistência em tais serviços. Assim, o desenvolvimento dos processos de trabalho de uma unidade hospitalar que prima pela qualidade na assistência prestada ao seu cliente, vai além de implementar uma metodologia de gestão que garanta a realização das tarefas conforme os padrões pré-estabelecidos em manuais, rotinas e protocolos.
The processes of Permanent Education for services in general and their training sectors or capacity with the need to adopt the questionable instructional design, in order to stimulate reflection on practice and knowledge construction. In health institutions is no different, because its workers daily need also appropriately apply their knowledge to reality, which often occurs in a complex scenario, where technical skill should be combined with actions to ensure continuity of the work process. In this context, the safety of the patient at hospital is linked to the development of some preventive actions, which must be based on universal principles and the specific reality of the health unit. Manage the safe use of medicines is a priority when it comes to minimizing risks to the patient. Main aim: to describe about one permanent education founded on institutional quality culture, from the everyday lives of professionals involved in medication process of the in-patient. Secondary aims: relate the main issues related to the process of education permanent; know possible strategies adopted by professionals involved with the health of hospitalized patients, in coping of issues related to the medication process and its effectiveness and; identify educational strategies with potential to promote interaction / discussion and multidisciplinary solution of issues and problems related to medication process of inpatients. Methodology: A descriptive qualitative study, developed at the National Institute of Traumatology and Orthopaedics (INTO), public health institution, accredited for six years, national reference in high-complexity care, located in the municipality of Rio de Janeiro. Were used as techniques of data collection: in-depth interviews and focus groups in intentional sample of 15 health professionals. Data were treated by content analysis according to Bardin. Results: Data analysis revealed three categories, namely: Permanent Education for commitment; Permanent Education for socializing and; Permanent Education for change. The categories that emerged showed the prospects of the studied phenomenon related to difficulties, multidisciplinary actions for problem solving and generation change in the working process as it relates to the process of inpatient medication. Conclusion: The concept of Permanent Education in a health service in fulfilling its goal of transforming everyday actions provides the continued knowledge about its employees and the aspects that make them participants in the construction process of change. The reflection about education in health services dialogues with a reflection that occurs about the quality of care in such services. Thus, the development of work processes within a hospital unit that excels in quality of care provided to your customer goes beyond implementing a management methodology that ensures the tasks according to pre-established standards in manuals, routines and protocols.
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Mora, Joseph W., and Kimberly J. Starkey. "Club Medbox: An Evaluation of a Pharmacist Run Adherence Group Focused on Improving Medication Therapy Adherence and Disease State Management in HIV Positive Patients." The University of Arizona, 2009. http://hdl.handle.net/10150/623995.
Анотація:
Class of 2009 AbstractOBJECTIVES: To evaluate Club Medbox, a pharmacist-run intervention in which a pharmacist addresses barriers to treatment that arise in patients with HIV via a weekly educational group session. METHODS: A retrospective chart review and patient interview were utilized to evaluate Club Medbox member characteristics and changes in clinical HIV markers over the course of membership; and survey instruments were used to assess patient-perceived impacts of Club Medbox on overcoming barriers to antiretroviral therapy adherence, general health, social support, and disease- state comprehension. RESULTS: A total of 28 patients met inclusion criteria and were included in this study. HIV-ASES scores were significantly increased (p <0.001). SF-12 scores showed significant improvement for the physical health domain (p <0.001) with minimal changes to the mental health domain (p=0.949). CD 4 counts, CD 4%, and undetectable viral load values were all observed with an upward trend from baseline until after intervention with Club Medbox. Social and educational participant influence were shown to improve based on interview responses (p <0.001). CONCLUSIONS: This investigation showed significant improvement in the confidence of participants to adhere to treatment plans when barriers are present, self-perceived physical health, disease state management, patient-perception of feelings of social support, and patient-understanding of HIV as a disease state from baseline until after Club Medbox affiliation. This study did not show an influence of Club Medbox participation on self-perceived mental health. Club Medbox should be considered an effective intervention in the improvement of medication therapy adherence and disease state management in HIV positive patients.
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Karmakar, Monita. "Predicting Adherence to Aromatase Inhibitor Therapy in Patients with Breast Cancer Using Protection Motivation Theory." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1365094849.
32
Negeliskii, Christian. "Efeito de uma intervenção educativa com profissionais de enfermagem acerca da segurança do paciente na administração de medicamentos injetáveis." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/130025.
Анотація:
O preparo e a administração de medicamento permanecem sendo um ponto crítico na prestação de uma assistência de qualidade para os indivíduos. Este estudo teve como objetivo analisar o efeito da intervenção educativa com profissionais de enfermagem acerca da segurança do paciente na administração de medicamentos injetáveis em um Hospital Público de Porto Alegre. A presente pesquisa teve uma abordagem prospectiva, com delineamento quase-experimental, antes e depois, para detectar e avaliar os não erros e erros durante o preparo e a administração de medicamentos.Os sujeitos foram auxiliares e técnicos de enfermagem, que atuavam na unidade de tratamento intensivo adulto com 59 leitos e em três unidades de internação (clínicas e cirúrgica). O estudo foi desenvolvido em quatro fases: observação não participante das áreas físicas de preparo de medicamento (I), observação não participante do processo de preparo e administração (II), grupos focais com parte dos sujeitos (III), e nova observação não participante (IV). Foram totalizadas 776 observações não participantes nas duas etapas (sendo 427 na II e 349 na fase IV). Cada observação foi correspondente ao preparo e administração de um medicamento injetável por trabalhador, durante o seu turno de trabalho. Realizaram-se no mínimo cinco observações de preparo de medicamentos por sujeito, com 74 sujeitos na etapa II e 61 auxiliares ou técnicos de enfermagem participantes na etapa IV. Na etapa III, a metade dos sujeitos foi convidada a participar dos grupos focais, no entanto, apenas 25 compareceram, formando o grupo intervenção e na IV etapa, os sujeitos da etapa II foram novamente convidados. Dos sujeitos, 81,1% foram do sexo feminino e 67,5% trabalhava apenas nessa instituição. A principal via de administração dos medicamentos injetáveis foi à intravenosa (63,7%, fase II e 58% fase IV). A pesquisa demonstrou consolidação dos pontos positivos da administração dos medicamentos, que foram evidenciados nas duas fases, onde três dos “nove certos” (paciente, medicamento e via certa) mantiveram 100% de execuções corretas pelos sujeitos pesquisados. Como também 99,7% das doses dos medicamentos foram administradas corretamente na quarta fase do estudo. Destacamos que a pesquisa apresentou um dado preocupante, no sentido de constatar que durante o processo de preparo e administração do medicamento ocorreram no mínimo dois erros potenciais de medicação (um no preparo e outro na administração), evidenciando a complexidade desse cuidado assistencial, tendo em vista as 32 etapas a serem realizadas para a segurança do paciente. Assim concluímos que o erro de medicação é a consequência, e não a causa dos problemas assistenciais, e que a abordagem de prevenção do erro foi sempre reativa. Contudo, o erro no preparo e administração de medicamentos injetáveis é decorrente de um conjunto de fatores que envolvem desde a área física inadequada, a falta de supervisão e controle, até o desconhecimento e em consequência a imprudência durante a execução das atividades. Dessa forma, a intervenção educativa por meio de grupos focais com os profissionais de enfermagem acerca de medidas de segurança ao paciente na administração de medicamentos auxiliou a reflexão dos sujeitos sobre as administrações medicamentosas injetáveis com segurança.The preparation and administration of medicines remains a critical issue in providing quality care to individuals. This study aims to analyze the effect of educational intervention with nursing professionals regarding patient safety in the administration of injectable drugs in a public hospital in Porto Alegre, Brazil. This research adopted a mixed, forward-looking approach, with a quasi-experimental design, in order to detect and evaluate errors and non-errors during preparation and administration of medications. Subjects were nursing auxiliaries and technicians who worked in the adult intensive care unit with 59 beds and three inpatient units (clinical and surgical). The study was developed in four phases: non-participant observation of the physical areas of medication preparation (I), non-participant observation of the preparation and administration process (II), focus groups with part of the subject (III), and new non-participant observation (IV). There have been 776 non-participant observations in total for both phases (being 427 in phase II and 349 in phase IV). Each observation was corresponding to the preparation and administration of an injectable drug per staff professional during their shift. At least five observations of medication preparation were carried out per subject, with 74 subjects in phase II and 61 auxiliary or technical nurses participating in phase IV. In phase III, half of the subjects were invited to participate in focus groups. However, only 25 attended them, forming the intervention group and, in phase IV, subjects from phase II were invited again. From the subjects, 81.1% were women and 67.5% worked only in that institution. The main route of administration of injectable drugs was intravenous (63.7% on phase II and 58% on phase IV). Research has demonstrated consolidation of the positive points of medication administration that were highlighted in the two phases, where three out of the nine rights (right patient, drug and via) kept 100% correct executions by researched subjects. Besides that, 99.7% of medication doses were properly administered in the fourth study phase. It is worth highlighting that the research presented worrying data, in the sense of verifying that the process of medication preparation and administration shows at least two medication potential error (one in preparation and in another administration), demonstrating the complexity of assistance care, in view of the 32 steps to be taken to patient safety. Therefore, we conclude that the medication error is a consequence, not the cause of healthcare problems, and the error prevention approach has always been reactive. However, the error in the preparation and administration of injectable drugs is due to a set of factors ranging from inadequate physical area to lack of supervision and control, knowledge and caution, and concern the implementation of activities. Thus educational intervention through focus groups with nursing professionals concerning patient safety measures in medication administration has helped in the reflection of the subjects regarding safe administration of injectable drug.
La preparación y la administración de fármacos sigue siendo un tema crítico en la prestación de una atención de calidad para las personas. Este estudio tuvo como objetivo analizar el efecto de la intervención educativa con los profesionales de enfermería con relación a la seguridad del paciente en la administración de medicamentos inyectables en un hospital público de Porto Alegre. Esta investigación tuvo un enfoque prospectivo, casi-experimental, del tipo antes y después, para detectar y evaluar los no errores y errores durante la preparación y administración de medicamentos. Los sujetos fueron auxiliares de enfermería y técnicos que trabajaban en la unidad de cuidados intensivos de adultos con 59 camas y tres unidades (clínicos y quirúrgicos). El estudio se realizó en cuatro fases: observación no participante de las áreas físicas de la preparación de la medicina (I), la observación no participante del proceso de preparación y administración (II), grupos de enfoque, como parte de los sujetos (III), y nueva observación no participante (IV). Fueron totalizaron 776 observaciones no participantes en dos etapas (con 427 en Segunda y 349 en fase IV). Cada observación era relevante para la preparación y administración de un producto inyectable por trabajador durante su turno. Había por lo menos cinco de preparación de medicamentos de observaciones por tema, con 74 sujetos en estadio II y 61 asistentes o técnicos de enfermería que participan en el paso IV. En la etapa III, la mitad de los sujetos fueron invitados a participar en grupos de enfoque, sin embargo, sólo 25 asistieron, formando el grupo de intervención y el estadio IV, las materias de la fase II se les preguntó de nuevo. De los sujetos, el 81,1% eran mujeres y el 67,5% trabajaba sólo en esa institución. La principal vía de administración de los medicamentos inyectables era intravenosa (63,7% en estadio II y el 58% en estadio IV). La investigación demostró la consolidación de los puntos positivos de la administración de los medicamentos, que se evidencia en dos fases, donde tres de los “nueve correctos (paciente, medicación y via correcta)” tuvieron 100% de realizaciones correctas entre los encuestados. Así como 99,7% de las dosis de medicación se administra correctamente en la cuarta fase del estudio. Hacemos hincapié en que la investigación presentó un dato preocupante, al ver que el proceso de preparación y administración de la droga tiene al menos dos errores potenciales de medicación (uno en preparación y en otro administración), que muestra la complejidad del cuidado asistencial, considerando los 32 pasos para realizarlo para garantizar la seguridad del paciente. Así llegamos a la conclusión de que el error de medicación es la consecuencia, no la causa de los problemas de bienestar y el enfoque de la prevención del error siempre ha sido reactiva. Sin embargo, el error en la preparación y administración de medicamentos inyectables se debe a una serie de factores que intervienen desde inadecuada área física, la falta de supervisión y control, a la desinformación y en consecuencia imprudencia na ejecución de las actividades. Por lo tanto la intervención educativa a través de grupos focales con profesionales de enfermería sobre las medidas de seguridad a la administración de la medicación al paciente ayudó a la reflexión de los sujetos en la inyección de las administraciones de medicamentos de forma segura.
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Spiesser-Robelet, Laurence. "Exploration des comportements des femmes allaitantes vis-à-vis des médicaments. Contribution à la conception d'interventions éducatives en santé." Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCD095.
Анотація:
L'allaitement maternel est un réel enjeu de santé publique au regard de ces bénéfices pour la santé de la mère comme de son enfant. La prise de médicaments représente un obstacle à l'allaitement et peut conduire à la non initiation de l'allaitement ou à son sevrage prématuré quelques soient les données biomédicales disponibles. La compréhension des comportements maternels face à la prise de médicament est essentielle à explorer pur pouvoir apporter des interventions éducatives adaptées pour répondre à cette problématique [...]This commentary follows the article of Moni R. Saha and her co-authors, entitled "Postpartum women's use of medicines and breastfeeding practices: a systematic review." As highlighted in this systematic review, medication use is common during the postpartum period often creating difficulty for mothers. Several studies illustrate the negative impact medication has on breastfeeding, initiation and duration despite reassuring advice from health professionals. Current data only describe the use of medication and behavior adopted by mothers when medication is prescribed. The factors influencing maternal behaviors have not been studied. Behaviors depend on knowledge, representations and attitudes.To better understand the behaviors of mothers faced with medication, we conducted a qualitative study, utilizing semistructured interviews to investigate knowledge, risk perception and difficulties women experienced. The study consisted of a description and comparison of the perceived needs of two populations : 19 breastfeeding mothers and 12 health professionals. Divergences between the two populations were highlighted, focusing specifically, on knowledge needed by the women. This commentary is intended to highlight the need for further research essential to explain the influences on maternal behavior when medication is a consideration, allowing health professionals to better help mothers deal with these situations frequently affecting their breastfeeding plans
34
Chiu, Yuan Ting, and 邱媛婷. "Studying effects of Web-based, Integrated Patient Education System on Diabetic Patients' Medication Adherence." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/54207709771392859800.
Анотація:
碩士臺北醫學大學
醫學資訊研究所
94
Diabetes is the fourth leading causes of death in Taiwan. Diabetes mellitus is a complex chronic metabolic disease. Without appropriate treatment complications often occur. Because diabetes patients are mostly the old people, they usually use more than two kinds of medication. Total proportion of medicine exceed 100%. Diabetes patient are the high dangerous group in using medicine. It is therefore imperative for diabetic patients to have good pharmaceutical education in order to have better results in glucose control. So diabetic patients' medication adherence plays an essential role in diabetes. As the Internet becomes more widely available, the general public is beginning to seek medical information and support online. This research has recruited total of 228 subjects, in which each subject has been assigned to either the control or the experimental group. Data was collected by means of interviewing and questionnaire at one endocrine out. The questionnaire was consisted of health belief scale, medication adherence behaviors scale , and medication knowledge scale. The research methods are conducted with pretest-posttest design. After the patient use the web-based, integrated patient education system in the experimental group, the outcomes will be evaluated by the posttest questionnaire. This web-based, integrated patient education system is to provide appropriate drug information by linking their prescribed medicines with their photos, directions of use and instructions to enhance pharmaceutical education in a hospital. Through accessing the on-line pharmaceutical education information, patients can have better knowledge with their medicines, and hence adhere to their orders better. Moreover, the system will also provide an automatic reminder service for medication intake and routine check-ups. From this research we can get the main results as the following: An analysis of pretest questionnaire of outcome in two groups revealed the lower scores of perceived seriousness, perceived susceptibility and the higher scores of perceived benefits, perceived barriers. However, the greater scores of the experimental group increase after intervention. The experimental group increase 1.97 scores than that in the control group. Subjects in the experimental group have a greater increase in medication knowledge test after intervention than the subjects in the control group. This web-based, integrated patient education intervention is positively related to an increase in the perceived efficacy and barriers of diabetes care after intervention. The new system strengthens patients’ understanding of pharmaceutical functions, side-effects and relevant knowledge thus increasing patients’ adherence of medication orders and having better control in their blood glucose levels.
35
Mauger, Penny. "Effect of slide-tape medication instruction on patients' knowledge base of lithium a research report submitted in partial fulfillment ... /." 1985. http://catalog.hathitrust.org/api/volumes/oclc/68787934.html.
36
Min, Seanny. "Putting evidence into practice creating health literacy and medication adherence tool /." 2009. http://worldcat.org/oclc/497250475/viewonline.
37
Li, Wen-Wen. "Cultural factors related to medication compliance in Chinese immigrants with hypertension /." 2004. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3136076.
38
Park, Daniel Youngjoon. "A Theoretically Informed mHealth Intervention to Improve Medication Adherence by Adults with Chronic Conditions: Technology Acceptance Model-Based Smartphone Medication Reminder App Training Session." Diss., 2019. http://hdl.handle.net/1805/21336.
Анотація:
Indiana University-Purdue University Indianapolis (IUPUI)Medication nonadherence among middle-aged to older adults with chronic conditions often stems from forgetting to take or fill medications as prescribed. A pilot study indicated the feasibility of technology acceptance model (TAM)-based smartphone medication reminder app (SMRA) training as a way to promote their app use and medication adherence. This dissertation assesses the viability and effect size of the modified TAM-based SMRA training in promoting app use and medication adherence, as well as its delivery design in preparation for a larger efficacy study. A two-group pretest-posttest design was employed. Twenty-nine adults aged over 40 years and taking medications for chronic condition management were recruited from Midwestern university and community sites. The training group (n = 15) received the modified TAM-based SMRA training; whereas the non-training group (n = 14) self-navigated app features. The training group reported significantly higher levels of perceived usefulness, perceived ease of use, positive subjective norm, and intention to use the app. In addition, the training group reported a higher proportion of active app use than the non-training group. Modified TAM-based SMRA training was not viable in increasing the levels of medication adherence variables. Effect sizes suggested at least 52 participants as a sample size for a larger efficacy study. Participants suggested that training could be improved by scheduling separate group training for iPhone and Android phone users, providing a live online training option, providing small group training with peer helper, tailoring training length to participant preference, and working with family members and healthcare providers as co-trainees and co-trainers.
39
Ng'oma, Mwawi Agnes. "Effects of psychoeducation on medication compliance and symptom management for clients with bipolar affective disorder attending community psychiatric clinics in Ethekwini health district." Thesis, 2005. http://hdl.handle.net/10413/2721.
Анотація:
This study was aimed at evaluating effects of psycho education on medication compliance and symptom management for clients with bipolar affective disorder attending community psychiatric clinics in the Ethekwini Health District of KwaZulu-Natal Province. A quantitative study was done using a quasi-experimental design. A one group pre-test and post-test design was used to assess the effects of psycho education. The population of the study were all clients with bipolar affective disorder attending Escoval House community psychiatric clinic and its satellite clinic (Austerville). Systematic sampling was used to select clients to participate in the study and a total of forty clients were selected. Two self-administered questionnaires were used to collect data. Clients were assessed in areas of their knowledge, medication compliance and symptom management (Pre-test). The group was then exposed to six sessions of psycho education, and they were assessed again a week after the psycho education (post-test) using the same instruments. The data was analyzed using the Statistical Package for Social Sciences (SPSS). Descriptive statistics were used to analyse participants' characteristics and some selected variables. Cross tabulations, chi-squares and paired t-tests were used on dependent variables and on social variables of interest to compare the changes in scores and means respectively and lastly to determine the relationship of social variables and the dependent variables. The findings of this study revealed that psycho education improved respondents' knowledge about their illness and symptom management techniques (with P-values ranging from 0.0001- 0.03), psycho education also improved medication compliance with P-value =0.000, but it did not affect the respondents' ability to use new techniques in managing their symptoms (with P-values ranging from 0.125- 0.75).Thesis (M.A.)-University of KwaZulu-Natal, 2005.
40
Baudrant-Boga, Magalie. "Penser autrement le comportement d'adhésion du patient au traitement médicamenteux : modélisation d'une intervention éducative ciblant le patient et ses médicaments dans le but de développer des compétences mobilisables au quotidien - Application aux patients diabétiques de type 2 -." Phd thesis, 2009. http://tel.archives-ouvertes.fr/tel-00488730.
Анотація:
L'ensemble des études évaluant l'observance médicamenteuse montre un taux moyen de 50%. Dans une première partie, nous décrivons l'évolution des définitions de ce phénomène puis les méthodes d'évaluation disponibles. L'indicateur de résultat défini par " l'adhérence médicamenteuse " se voit remplacer par un indicateur de processus " l'adhésion au traitement médicamenteux ". Dans une seconde partie, nous décrivons les différents facteurs pouvant influencer cette adhésion, catégorisés selon 5 dimensions : maladie, traitement médicamenteux, facteurs démographiques et socio-économiques, patient et/ou entourage et système de soins. Leurs impacts sur cette adhésion sont décrits et les modèles explicatifs sous-jacents explicités. En troisième partie, nous décrivons, en regard des 5 dimensions citées, les différentes stratégies d'interventions proposées, issues de la littérature (actions pratiques simples, interventions de type éducatives et/ou motivationnelles). De cette analyse, nous avons identifié 5 leviers d'actions potentiels. Un modèle d'intervention éducative intégrant ces leviers est proposé (application auprès de patients diabétiques de type 2). Cette adhésion sera favorisée en regard de 5 dimensions: 1.compétences d'autogestion mobilisables au quotidien vis-à-vis des médicaments; 2.sentiment d'efficacité personnelle; 3.motivation dans la gestion au quotidien des médicaments; 4.mobilisation des ressources du système de soins; 5.participation active du patient aux décisions thérapeutiques. L'intersection des 3 mondes, patient, soignant, éducateur, autour du médicament permettra de négocier une feuille de route menant vers l'adhésion au traitement médicamenteux.
41
Lin, Ying-Ling, and 林瑛鈴. "Evaluation of myocardial infarction medications and patient education by pharmacists." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/24199595948097354861.
Анотація:
碩士高雄醫學大學
藥學系碩士在職專班
104
Introduction Heart disease is the second most common cause of mortality in Taiwan 2014."Acute myocardial infarction" is one of the heart diseases that may cause severe and having fatal outcomes. Our study expects to improve post- MI patient’s medication knowledge by pharmacist, let people understand the importance of medical therapy and regularly return to clinic. And thus enhance the patient medication compliance, increasing patient self-care ability, expects to improve the overall quality of patient self-care and improve patient quality of life. Methods This study was conducted from January 1, 2011 to March, 2014 in a regional hospital in Taiwan. The aims of this study is to evaluation and discussion of myocardial infarction medications and patient education intervened by pharmacists. This research is divided in two parts; the retrospective study part, included 2008/01 ~2011/06 patient with a admission diagnosis "Acute myocardial infarction"( ICD 9. 410.) for chart review to collect related information; the prospective study, since January 1, 2011 until March 31, 2014, included patient with "Acute myocardial infarction"( ICD 9. 410.) admission diagnosis, we routinely survey myocardial infarction inpatient medications by pharmacist and arrangements bedside education for disease and medications when patient becomes stable. We informed consent to include patient for following telephone questionnaire intervention. Results The part of retrospective study included 72 patients. There are 49 males (68%) and 23 female (32%). Myocardial infarction occurred significantly more in male population and up to 2 times. The average age was 67 (± 14.46) years old, the youngest one was 38 years old, the eldest one was 96 years old. In the prospective study part, after review the appropriateness of myocardial infarction inpatient medication. There''re 26 medication recommendations, mainly to intervene drug of cardiovascular system. Overall of medication recommendations acceptance was 100%. There are a total of 58 inpatient medication education, patient satisfaction were mostly in 4~5 points (means satisfied). To include 24 patient for following telephone questionnaire intervention after a patient informed consent. A significant increase in the correct answer rate in after education questionnaire of [long-term medicines knowledge] and [relative risk factor of myocardial infarction] and [AMI medicines knowledge](p<0.05). Conclusion It''s difficult to predict the prognosis of patients post myocardial infarction. Long-term medication control was helpful for myocardial infarction discharge patients. To enhance the disease and medications control awareness from patient medication education by pharmacists. It can achieve the purpose of improving the overall disease control.
42
Song, Yaena. "Psycho-Social Determinants and Strategies for Facilitating Adherence to a Complex Medication Regimen in Cancer Treatment." Thesis, 2019. https://doi.org/10.7916/d8-qxym-5233.
Анотація:
Medication adherence in individuals taking multiple medications has received little research attention, despite its importance in clinical treatment and its relevance to achieving optimal health outcomes. With the growth of the aging population and prevalence of chronic diseases, adherence to multiple medication regimens has become a critical issue. This project, consisting of three related studies, investigated medication adherence of cancer patients who received an allogeneic hematopoietic cell transplant (alloHCT) and whose conditions require adherence to complex, multiple medication regimens for prolonged periods of time.
The Information-Motivation-Behavioral Skills (IMB) model was the theoretical framework for the study. This model posits that well-informed, highly motivated individuals have better adherence behaviors. In addition to having optimal information and motivation, patients also need to develop the appropriate behavioral skills to maximize the value of information, motivation and aid adherence. Thus, within this framework, the link between information, motivation, and adherence is mediated by behavioral skills. Using the IMB model, the aim of this project was to examine different approaches to facilitating medication adherence after transplant. The first study used a mixed-methods approach to examine the feasibility of using an electronic pillbox for assessing adherence to multiple medications. The second study utilized patient interview data to assess the link between social support and adherence to multiple medications. The third study also used patient interview data to identify adherence determinants and strategies that patients used after transplant.
The results of the first study show that even though some features of the electronic pillbox need to be modified, it is feasible to use it to facilitate medication adherence for patients after transplant. The second study demonstrated the importance of social support from lay caregivers, such as spouse and family members, as well as healthcare providers, for adherence tasks after transplant. Lay caregivers provided emotional and practical support, whereas healthcare providers were the main source of informational and medical support. The third study identified various determinants that facilitated and hindered medication adherence. The study also suggests practical lessons for adherence to multiple medications. Collectively, the findings provide a foundation for developing intervention approaches for this particular patient population.
43
林莉娟. "The outcomes of a medication and exercise re;ated educational program for the Parkinson's disease patients." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/38054497280919857950.
Анотація:
碩士長庚大學
護理學研究所
92
Abstract The purpose of this study was to understand the effect of health education on medicine and exercise to patients with Parkinson’s disease (PD). Quasi-experimental Design was utilized and purposive sample was conducted. At neuro medical center clinic.by Honen＆Yahr score of stageⅠ toⅢ for PD.Total patients for this study are 74 person. Experimental group (n=35),and control group (n=39).Patients in control group received routine care, experimental group was given with health education (including individual health education of medicine ＆exercise).There two group return to OPD after 4wk＆8wk for tested. The result has shown as follows: (1)Eexperimental group had different signification for attitute＆behavior scores to control ,but knowledge scores had not.（2）Depession＆Honen＆Yahr score（for test clinical symptom）change had not different signification to control.But Quality of life partial score are signification improved.（3）Experimental group average frequency of exercise for 1hr/day and get 90％ success rate than before. More than 97％ success rate for taking drugs everyday and no different signification in both group after exercise program.（4）On health education evaluation, Experimental group had near 90％ satisfied on this education study. There finding provide quidance to help the health care team to promote quality of care by educating and guiding the medication and exercise promote activites for these Parkinson’s disease patients . Key words﹕Parkinson’s disease、health education program、medication and exercise、knowledge、attitute、behavior、Quality of life、depression、Honen＆Yahr score
44
Ngoatle, Charity. "Development and implementation of an educational programme to enhance health literacy on prescribed medication instruction among diabetes mellitus patients on treatment at Ga-Dikgale Village Clinics in Capricorn District, Limpopo Province." Thesis, 2021. http://hdl.handle.net/10386/3364.
Анотація:
Thesis (Ph.D.(Nursing Science)) -- University of Limpopo, 2021Health literacy related to medication use or instructions is crucial to diabetes mellitus patients. The verbal or written instructions are given to diabetes mellitus patients regarding medication use is important to improve patient care, safety, and compliance to treatment. However, the information provided to diabetes mellitus patients regarding medication use is not known as they continue to experience complications. The study aimed to develop and implement an educational programme, to enhance health literacy on prescribed medication instructions among diabetes mellitus patients on treatment at Ga-Dikgale village clinics in Capricorn District, Limpopo Province. The objectives of the study were to explore the knowledge, and practices of diabetes mellitus patients on treatment. Thus, to describe the provided information regarding prescribed medication usage contained in the diabetes mellitus medication packaging, medicine leaflets, and prescriptions. Therefore, to also describe the effects of poor health literacy on prescribed medication instructions among diabetes mellitus patients on treatment at Ga- Dikgale village clinics in Capricorn District, Limpopo Province. Data were collected using a mixed-method approach and a mixed-method sampling technique was used to select 18 participants for the qualitative strand. Whereas, there were 137 respondents for the quantitative strand. Tesch’s proposed eight steps to analyse the data were adopted to analyse the qualitative data and SSPS version 25 was used for analysing quantitative data. The results showed the following findings: patients lack knowledge about diabetes as a disease, misinterpret medication instructions, and are noncompliant to the treatment. This non-compliance is intensified by negligence and poor comprehension of medication instructions. As a result, to help diabetes mellitus patients with compliance with diabetes treatment, ongoing implementation of the educational programme should be instituted. The Limpopo’s Department of Health has to offer in-service vii education to the health professionals, who dispense medications on the interpretation of medication instructions. The high school curriculum is ought to incorporate health literacy to prescribe medication instructions.
National Institute for the Humanities and Social Sciences (NIHSS) and South African Humanities Deans Association (SAHUDA)
45
Martin, Philippe. "Evaluation of direct-to-patient educational approaches for reducing inappropriate sedative-hypnotic use in community-dwelling older adults." Thèse, 2017. http://hdl.handle.net/1866/21206.