Experiences of drug self-management in elderly patients with multimorbidities:a qualitative Meta-synthesis
10.3761/j.issn.0254-1769.2024.12.015
- VernacularTitle:老年多病共存患者药物自我管理体验的Meta整合
- Author:
Chunlei WANG
1
;
Shanshan HAN
;
Wenzhong ZHANG
;
Zhenzhen XU
;
Jing LI
;
Fengyi ZHAO
;
Qingxiang SUN
;
Hong JI
Author Information
1. 250013 济南市山东中医药大学护理学院
- Keywords:
Aged;
Multimorbidity;
Medicine;
Self-Management;
Meta-Synthesis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2024;59(12):1505-1511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the experiences of drug self-management in elderly patients with multiple chronic illnesses,so as to provide references for the development of personalized drug self-management intervention programs.Methods Qualitative research on drug self-management experiences of elderly patients with multiple chronic diseases was retrieved from PubMed,Cochrane Library,Embase,CINAHL,Web of Science,Scopus,CNKI,Wanfang,VIP and SinoMed.The retrieval time limit is from the establishment of the databases to November 2023.The qualitative research quality evaluation criteria of the Joanna Briggs Institute Evidence-based Health Care Center in Australia was used to evaluate quality of studies.The results were integrated by meta-integration method.Results A total of 9 studies were included,and 33 research results were extracted,and 4 integrated results and 12 categories were synthesized.The integration results included the objective dilemmas and challenges of drug self-management,the low level of drug literacy,willingness to engage in positive behavior attempts,need of multi-party assistance.Conclusion The objective dilemmas of drug self-management and low level of drug literacy in elderly patients with multimorbidity will seriously affect their health outcomes.Medical staffs should pay attention to the different experiences of patients in the process of drug self-management,identify the needs of patients,formulate targeted intervention support strategies,and improve the level of drug self-management in elderly patients.
