Meta-synthesis of home medication management experiences among palliative care patients and caregivers
10.3760/cma.j.cn211501-20240514-01217
- VernacularTitle:安宁疗护患者及照顾者居家用药管理体验的Meta整合
- Author:
Yahui LIU
1
;
Ling YUAN
;
Ligui WU
;
Yanan XU
;
Yujie ZHOU
;
Danruo WANG
Author Information
1. 南京鼓楼医院肿瘤科，南京 210008
- Keywords:
Qualitative research;
Palliative care;
Home;
Medication;
Meta-synthesis
- From:
Chinese Journal of Practical Nursing
2024;40(28):2197-2204
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review qualitative research on the experiences of palliative care patients and caregivers in home medication management, so as to improve their drug management capabilities and optimize grassroots palliative care services as a reference.Methods:This review was conducted using databases including the Cochrane Library, PubMed, Embase, Web of Science, CINAHL, China National Knowledge Infrastructure, Wanfang Data, VIP Database, and China Biology Medicine disc, searching for qualitative research on the medication management experiences of palliative care patients and caregivers up to April 30, 2024. The quality of the literature was assessed using the Australian Joanna Briggs Institute Evidence-Based Health Care Center standards for qualitative research quality assessment. A convergent integrated approach was employed to synthesize and integrate the findings.Results:Eleven articles were included, all of which were from abroad, synthesizing 51 findings into 7 new categories, which were then integrated into 3 composite outcomes: complex feelings of patients and caregivers in home medication management, including responsibility and self-efficacy, anxiety and fatigue; challenges in home medication management, including polypharmacy and experiences using pain medication, disagreements over medication management at home, and perceived inadequacies in primary healthcare resources;the need for multifaceted support, including desires for more medication guidance and communication with palliative care professionals in the community.Conclusions:Due to the complexity of medication needs and insufficient regulatory support, home medication management in palliative care presents challenges. It is recommended to enhance the self-efficacy and medication management skills of patients and caregivers, improve risk response capabilities, optimize medication administration processes, and strengthen training for healthcare professionals. Government agencies should also support policies to ensure a safe and comfortable home medication environment for palliative care patients in China.
