在宅患者のアドヒアランスに及ぼす背景因子の解析―真の服薬率とヘルパーの推定する服薬率の比較―

• 畑中 典子

  かくの木薬局

• 伊藤 貴文

  かくの木薬局

• 石幡 真澄

  かくの木居宅介護支援事業所

• 小島 美里

  NPO 法人暮らしネット・えん

• 根本 英一

  城西大学薬学部医薬品情報学講座

• 大嶋 繁

  城西大学薬学部医薬品情報学講座

• 小林 大介

  城西大学薬学部医薬品情報学講座

書誌事項

タイトル別名

• Analysis of Background Factors Influencing In-home Patient Adherence: Comparison between True Adherence and Predicted Adherence by Home-helpers
• ザイタク カンジャ ノ アドヒアランス ニ オヨボス ハイケイ インシ ノ カイセキ シン ノ フクヤクリツ ト ヘルパー ノ スイテイ スル フクヤクリツ ノ ヒカク
• Analysis of background factors influencing ln-home patient adherence: comparison between true adherence and predicted adherence by home-helpers

抄録

  This questionnaire study involved the cooperation of home helpers and community pharmacists to improve medication adherence of in-home patients. The survey form contained 18 items that are factors for adherence and a visual analog scale to record the predicted medication adherence (predicted adherence). Assisted by the 14 offices of the home-visit helper care system located in Niiza, Saitama prefecture, 140 in-home patients were surveyed. For 21 of the 140 patients, a pharmacist was able to measure medication adherence by counting the number of pills remaining in the patient's home (true adherence). Factors influencing the predicted and true adherence were analyzed by multivariate analysis and found to be different. Home helpers predicted the medication adherence based on a patient's everyday life such as “irregular meal”, “storing up drugs” and “one dose package”. On the other hand true adherence was influenced by “urging to take the medicine by the home helper” and “pharmacist-visit”. Furthermore, the medication adherence of patients who were not visited by a pharamacist and urged to take medicine by the home helper was low when the (1) age was high, (2) care or support level required was low, and (3) self-control of dosing was suspected. Therefore the home helper should encourage the patient to take the medicine and when the pharmacist is informed by the home helper about patients who fit the above (1)-(3), the pharamacist should visit the patient's home.<br>

収録刊行物

• 薬学雑誌

  薬学雑誌 129 (6), 727-734, 2009

  公益社団法人 日本薬学会

キーワード

• structural equation modeling
• in-home patient
• adherence
• pharamacist-visit

詳細情報

• CRID: 1390001206128389632
• NII論文ID: 130000136178
• NII書誌ID: AN00284903
• DOI: 10.1248/yakushi.129.727
• ISSN: 13475231
• ISSN: 00316903
• NDL書誌ID: 10329058
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10329058
• Web Site: http://www.jstage.jst.go.jp/article/yakushi/129/6/129_6_727/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009308965
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可