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首页> 外文期刊>Patient education and counseling >Does social support help limited-literacy patients with medication adherence? A mixed methods study of patients in the Pharmacy Intervention for Limited Literacy (PILL) study.
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Does social support help limited-literacy patients with medication adherence? A mixed methods study of patients in the Pharmacy Intervention for Limited Literacy (PILL) study.

机译：社会支持会帮助识字能力有限的患者坚持用药吗？药物有限度干预药物（PILL）研究中的患者混合方法研究。

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OBJECTIVE: To explore whether social support helps patients with limited health literacy adhere to their medication regimens. METHODS: We interviewed 275 pharmacy patients and assessed social support's influence on medication adherence for those with limited vs. adequate health literacy. We talked with patients (n=26) and pharmacists (n=7) to explore possible explanations for the quantitative findings. RESULTS: Social support was associated with better medication adherence for patients with adequate health literacy but not those with limited health literacy (p<0.05). When individual subscales for social support were analyzed, having a trusted confidant was the only type of social support associated with better medication adherence for limited-literacy patients (p<0.05). Comments from patients and pharmacists suggest that limited-literacy patients were less likely to ask the pharmacists questions and infrequently brought relatives with them to the pharmacy. CONCLUSION: Unless they have a trusted confidant, limited-literacy patients might be reluctant to ask others for the kind of help needed to take their medicines correctly. PRACTICE IMPLICATIONS: Pharmacists need training to increase their awareness of limited health literacy and to communicate effectively with all patients, regardless of their literacy skills. To succeed, pharmacists also need the support of the health care systems where they work.
机译：目的：探讨社会支持是否有助于健康素养有限的患者坚持其用药方案。方法：我们采访了275名药房患者，并评估了健康支持水平有限或足够的人群的社会支持对药物依从性的影响。我们与患者（n = 26）和药剂师（n = 7）进行了交谈，以探讨定量结果的可能解释。结果：对于具有足够健康素养的患者而言，社会支持与更好的药物依从性相关，而健康素养有限的患者则没有（P <0.05）。当对个人的社会支持量表进行分析时，拥有有限的知己是唯一与有限识字患者更好地依从性相关的社会支持类型（p <0.05）。患者和药剂师的评论表明，识字能力有限的患者不太可能向药剂师提出问题，并且很少将亲戚带到他们的药房。结论：除非他们有一个值得信赖的知己，否则识字能力有限的患者可能不愿要求他人提供正确服药所需的帮助。实践的意义：药剂师需要接受培训，以提高他们对有限的健康素养的认识，并与所有患者有效沟通，无论他们的素养技能如何。为了取得成功，药剂师还需要他们工作所在的医疗保健系统的支持。

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