The Effect of Self-Administration of Medication During Hospitalization on Patient's Self-Efficacy and Medication Adherence After Discharge
Autor: | Loes JM van Herpen-Meeuwissen, Hein AW van Onzenoort, Patricia MLA van den Bemt, Barbara Maat, Bart JF van den Bemt |
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Přispěvatelé: | Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET) |
Rok vydání: | 2022 |
Předmět: |
All institutes and research themes of the Radboud University Medical Center
medication self-efficacy Patient Preference and Adherence patient satisfaction Health Policy medication adherence Medicine (miscellaneous) patient participation Pharmacology Toxicology and Pharmaceutics (miscellaneous) Social Sciences (miscellaneous) Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] hospitalization self-administration of medication |
Zdroj: | NARCIS Dove Medical Press ORCID Patient Preference and Adherence, 16, 2683-2693. DOVE MEDICAL PRESS LTD Patient Preference and Adherence, 16, 2683-2693 Patient Preference and Adherence, 16, pp. 2683-2693 |
ISSN: | 1177-889X |
Popis: | Loes JM van Herpen-Meeuwissen,1,2 Hein AW van Onzenoort,1,3 Patricia MLA van den Bemt,4 Barbara Maat,2 Bart JF van den Bemt1,5 1Department of Pharmacy, Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands; 2Department of Pharmacy, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands; 3Department of Clinical Pharmacy and Toxicology, Maastricht University Medical Center+, Maastricht, the Netherlands; 4Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 5Department of Pharmacy, Sint Maartenskliniek, Nijmegen, the NetherlandsCorrespondence: Loes JM van Herpen-Meeuwissen, Department of Pharmacy, Radboud University Medical Centre, PO Box 9101, Nijmegen, the Netherlands, Tel +31 624 3617744, Email loes.vanherpen-meeuwissen@radboudumc.nlPurpose: The effect of self-administration of medication (SAM), in which capable hospitalized patients administer medication themselves on medication self-efficacy is inconclusive. The aim of this study was to evaluate the effect of SAM on medication self-efficacy, adherence and patient satisfaction.Patients and Methods: A prospective pre-post intervention study on the orthopedic ward of the Sint Maartenskliniek (Nijmegen) was conducted from January 2020 to July 2021. All adults admitted to this ward were eligible for participation. The primary outcome was the level of medication self-efficacy measured by the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) one week after discharge. Secondary outcomes were SEAMS-score three months after hospitalization, medication adherence measured by the Medication Adherence Rating Scale (MARS) one week and three months after hospitalization and patient satisfaction expressed on a five-point Likert scale in patients who experienced SAM. The differences in median SEAMS-scores and non-adherence pre- versus post-implementation of SAM were statistically analyzed. Patientsâ agreement regarding satisfaction with SAM was calculated as proportion per Likert scale answer.Results: Of the 197 patients participating in the study, 96 were included pre- and 101 post-implementation of SAM. Median SEAMS-scores one week after discharge were 35 [IQR 31â 38] and 34 [IQR 30â 36] pre- and post-intervention respectively (p = 0.08). There was no difference in the proportion of non-adherent patients at one week and three months after discharge pre- and post-intervention, 52.4%, 53.2%, 57.9% and 64.4% respectively. Of the patients that experienced SAM 32% agreed and 49% strongly agreed that they would like to self-manage medication again during a future hospitalization.Conclusion: In this orthopedic population with high medication self-efficacy scores at discharge, SAM did not affect patientsâ medication self-efficacy nor medication adherence after hospitalization. Most patients preferred SAM. Additional studies should focus on the effect of SAM in other patient populations.Keywords: self-administration of medication, medication self-efficacy, medication adherence, patient participation, patient satisfaction, hospitalization |
Databáze: | OpenAIRE |
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