Journal of Nursing

Study of Safe Medication Use and Nursing Guidance for Elderly Patients with Coexisting Chronic Diseases

Ping Shu, Hengying Che, Wenqian Hong, Wenjing Liu, Wenjing Chen

Abstract


Objective: This study aims to explore the efficacy of implementing pharmacotherapy guidance in the context of safe medication
practices for elderly patients with comorbid chronic illnesses. Eighty cases of elderly patients with coexisting chronic diseases admitted to
our hospital between May 2023 and December 2023 were selected and grouped according to the randomized numerical table method, with
conventional nursing care implemented in the control group (n=40) and safe medication nursing guidance implemented in the observation
group (n=40), to compare the quality of life scores of the patients in both groups before and after nursing care; the safety of the medication;
the medication adherence scores before and after nursing care; the nursing somatic function before and after nursing. Results: Before nursing care, the quality of life scores of patients in the two groups were compared (P > 0.05), and after nursing care, the quality of life scores of
patients in the observation group were higher than those of patients in the control group (P < 0.05); The rate of unauthorized drug increase,
unauthorized drug decrease, drug omission rate and unauthorized drug discontinuation rate of patients in the observation group were lower
than those of patients in the control group, and the difference was statistically significant (P < 0.05); before nursing, the medication adherence
scores of the two groups were compared (P > 0.05), and after nursing, the medication adherence scores of the observation group were higher
than those of the control group (P < 0.05); before nursing, the comparison of the somatic function of the two groups was compared (P > 0.05).
After nursing care, the 6min walking distance, grip strength, and MMSE scores of patients in the observation group were higher than those of
patients in the control group, and the 10m walking time of patients in the observation group was less than that of patients in the control group (P
< 0.05). Conclusion: Elderly patients with coexisting chronic diseases can further improve their medication adherence, safety, quality of life,
and somatic function through safe medication nursing guidance intervention, which is worth promoting

Keywords


Chronic Illness in the Elderly; Safe Medication Use; Nursing Interventions; Nursing Outcomes

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References


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DOI: http://dx.doi.org/10.18686/nursing.v13i1.329

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