Facilitators and barriers of family participation in medication safety in elderly patients with multi-morbidity:a qualitative study
10.3761/j.issn.0254-1769.2025.10.014
- VernacularTitle:家庭参与老年慢性病共病患者用药安全促进与障碍因素的质性研究
- Author:
Yongpan GUO
1
;
Linlin SU
1
;
Xiaochen LÜ
1
;
Lixia QU
1
;
Chunhui ZHANG
1
Author Information
1. 450001 郑州市 郑州大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Aged;
Multi-Morbidity;
Family Participation;
Medication Safety;
Capability,Opportunity,and Motivation-Behavior Model;
Qualitative Study;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(10):1244-1250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of family participation in medication safety of aged patients with multi-morbidity,and to provide references for clinical practice.Methods Based on capability,opportunity and motivation-behavior model,17 family caregivers of aged patients with multi-morbidity at 8 communities of Zhengzhou,Henan Province from September to November 2024 were selected for semi-structured interviews using purposive sampling method.The data were analyzed using directed content analysis.Results Facilitators of family participation behavior included ability factors(strong self-reflection and emotional regulation ability),opportunity factors(family and peer support,professional support from medical staff),motivational factors(par-ticipation in medication safety importance perception,high level of participation self-efficacy,strong sense of responsibility).Barriers of family participation behavior included ability factors(the family caregivers'own aging and disease limitations,and the family caregivers'medication safety management ability is insufficient),opportunity factors(the excessive physical and mental independence of the patients,the multiple role conflict of the family caregivers).Conclusion There are some facilitators and barriers in the process of family participation in medication safety of elderly patients with multi-morbidity.Medical staff should attach importance to family participation experience,adopt targeted strategies to promote family participation in medication safety of elderly patients with multi-morbidity,so as to promote disease recovery.