居家老年慢性病共病患者药物自我管理干预方案的实施

目的 评价居家老年慢性病共病患者药物自我管理方案的实施效果。方法 基于自我决定理论和信息-动机-行为理论模型构建居家老年慢性病共病患者药物自我管理干预方案。随机选取郑州市2个社区卫生服务中心的80例老年慢性病共病患者，使用抽签法将A社区卫生服务中心分为对照组，B社区卫生服务中心为干预组，两组各40例。对照组实施有关药物知识的健康教育，每周1次，连续8周，干预组在对照组基础上实施药物自我管理干预，每周1次，连续8周。干预后采用药物自我管理量表、基本心理需要满足量表、合理服药自我效量表、服药依从性量表进行评价。结果 干预后，干预组药物自我管理、基本心理需要满足、合理服药自我效能和服药依从性得分显著高于对照组（均P<0.05）。结论 对居家老年慢性病共病患者实施药物自我管理干预方案，可提高患者药物自我管理水平，激发患者合理服药自我效能，提升患者服药依从性。

Implementation of medication self-management intervention program for home-residing elderly patients with multiple chronic conditions

Objective To evaluate the effects of medication self-management intervention program for home-residing elderly patients with multiple chronic conditions. Methods Based on the self-determination theory and information-motivation-behavior theory model, the medication self-management intervention program was constructed for elderly home-residing patients with multiple chronic conditions. A total of 80 home-residing elderly patients with multiple chronic conditions were randomly selected from 2 community health service centers in Zhengzhou City. Community A was assigned into the control group and community B was assigned into the intervention group, with 40 cases in each group. The control group received health education about drug knowledge once a week for 8 weeks, and the intervention group received medication self-management intervention once a week for 8 weeks based on the control group. After the intervention, data were collected by using the Self-Administration of Medication (SAM) instrument, the Basic Psychological Needs Satisfaction Scale, the Rational Medication Self-efficacy Scale and the Medication Compliance Scale. Results The scores of drug self-management, basic psychological needs, rational medication self-efficacy and medication compliance in the intervention group were higher than those in the control group, with statistical differences (all P<0.05). Conclusion The medication self-management intervention program can improve the level of medication self-management, stimulate the level of rational medication self-efficacy and improve the medication compliance of home-residing elderly patients with multiple chronic conditions.