Analysis of influencing factors and pathway of medication safety behaviors in elderly cancer patients
10.3761/j.issn.0254-1769.2025.17.002
- VernacularTitle:老年肿瘤患者用药安全行为影响因素及路径分析
- Author:
Maomao ZHANG
1
;
Liuliu ZHANG
;
Aizhen WU
;
Meiying ZOU
;
Yuchen JIAO
;
Bing WU
;
Chunli LIU
;
Rong YU
Author Information
1. 210009 南京市江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院护理部
- Publication Type:Journal Article
- Keywords:
Cancer;
Medication Safety Behaviors;
Health Empowerment;
Medication Literacy;
Family Care;
Pathway Analysis;
Geriatric Care
- From:
Chinese Journal of Nursing
2025;60(17):2056-2062
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the current situation of medication safety behavior of elderly cancer patients and the path relationship of various influencing factors for improving medication safety behavior.Methods A total of 340 elderly cancer patients were investigated by a demographic questionnaire,the Medication Safety Behavior Scale,the Medication Literacy Scale,the Family Care Index Questionnaire,and the Chinese version of the Empowerment Scale for Cancer Patients from August to December 2024.The multiple linear regression analysis was applied to analyze influencing factors,and data were analyzed using SmartPLS 4.0 to construct a partial least squares structural equation model with path analysis.Results A total of 307 valid questionnaires were collected.The mean medication safety behavior score was 31.89±5.38.Residential area,drug literacy,family care,and health empowerment are factors that affect medication safety in elderly cancer patients,accounting for 37.3％of the total variation.The path analysis results indicated that health empowerment(β=0.480),medication literacy(β=0.154),and family care(β=0.227)positively correlate with medication safety behavior.Health empowerment played a partial mediating role between family care and medication safety behavior,as well as between medication literacy and medication safety behavior.The mediating effects are 0.125 and 0.332(P＜0.001),accounting for 35.51％and 68.31％of the total effect,respectively.Conclusion Medication safety behaviors among elderly cancer patients are at a median level and influenced by multiple factors.By improving their levels of health empowerment,healthcare professionals can motivate patients to take an active role in medication safety management.Further,promoting education on medication knowledge and teaching relevant medical skills,and together with guiding patients to perceive family care and support,can collectively improve their overall medication safety behaviors.
