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首页> 外文期刊>Drugs and aging >How do the attitudes and beliefs of older people and healthcare professionals impact on the use of multi-compartment compliance aids?: a qualitative study using grounded theory.
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How do the attitudes and beliefs of older people and healthcare professionals impact on the use of multi-compartment compliance aids?: a qualitative study using grounded theory.

机译：老年人和医疗保健专业人员的态度和信念如何影响使用多隔室合规性辅助工具？：一项基于扎根理论的定性研究。

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BACKGROUND: Low adherence of older people to multiple medicine regimens is of widespread concern, and multi-compartment compliance aids are frequently supplied to older people in an attempt to improve their ability to take all their medicines at home. However, the evidence base for the use of such aids is very limited, and there is some evidence that they are used inappropriately. OBJECTIVE: We aimed to determine how the attitudes and beliefs of older people and healthcare professionals impacted on the use of multi-compartment compliance aids by older people living at home. METHOD: This was a qualitative study using grounded theory. Semi-structured interviews were conducted with 15 older people (mean age 82 [range 72-92] years) living independently in the community and receiving primary healthcare from two health service organizations in a large northern UK city. We then interviewed 17 healthcare professionals working in primary, secondary or intermediate care and involved in the provision of multi-compartment compliance aids. RESULTS: Maintaining independence and remaining in control was important for all the older people interviewed, and professionals supported the view that this influenced patients' attitudes towards using their aid. Some patients saw the aids as helping to maintain independence, others as casting doubt on their independence. The aids were often issued without discussion with the patient. The patients largely agreed that the aids did not help with memory problems and that the decision to issue an aid could be seen as paternalistic. A minority of patients had difficulties using the aids. CONCLUSIONS: Careful multi-disciplinary assessment of older people is required before a compliance aid is provided. The views of the older person must be considered and respected. Further research is required to produce an evidence base for the use of such aids in this group of people.
机译：背景技术：老年人对多种药物疗法的依从性低下是引起广泛关注的问题，并且经常向老年人提供多室合规性帮助，以提高他们在家服用所有药物的能力。但是，使用此类辅助工具的证据基础非常有限，并且有一些证据表明不当使用它们。目的：我们旨在确定老年人和医疗保健专业人员的态度和信仰如何影响在家中老年人使用多隔室合规性辅助工具。方法：这是使用扎根理论进行的定性研究。半结构化访谈是针对15个老年人（平均年龄82 [72-92]岁）在社区中独立生活的，他们从英国北部一个大城市的两个医疗服务机构获得了初级医疗保健。然后，我们采访了17位从事初级，二级或中级护理并参与提供多隔室合规性帮助的医疗保健专业人员。结果：保持独立性和保持控制对所有接受采访的老年人都很重要，专业人士支持这样的观点，即这影响了患者使用其援助物的态度。一些患者认为辅助工具有助于维持独立性，另一些患者则对自己的独立性产生怀疑。援助物通常是在没有与患者讨论的情况下发放的。患者在很大程度上同意，辅助工具无助于解决记忆问题，并且决定签发辅助工具可被视为家长式的。少数患者使用辅助工具有困难。结论：在提供合规援助之前，需要对老年人进行仔细的多学科评估。必须考虑并尊重老年人的观点。需要进一步的研究来为在这类人群中使用此类辅助手段提供证据。

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