Using Multiple Strategies to Improve Medication Cognition in Patients After Liver Transplantation.
Background & Problems: Patients with liver transplantation must take lifelong immunosuppressant medication to maintain the function of their hepatic graft. Based on clinical experience, we found that these patients were affected by both insufficient and remaining medication when they returned for ou...
| Publicado en: | Journal of Nursing Vol. 71; no. 4; pp. 89 - 98 |
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| Autores principales: | , , , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Taiwan Nurses Association
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178661533&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178661533 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 31051049 H8H jtl: Journal of Nursing issn: 31051049 maglogo: N pubinfo: dt: Aug2024 vid: 71 iid: 4 pid: 12979 pub: Taiwan Nurses Association place: , <Blank> artinfo: ui: 178661533 178661533 178661533 10.6224/JN.202408_71(4).11 178661533 ppf: 89 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Using Multiple Strategies to Improve Medication Cognition in Patients After Liver Transplantation. aug: au: Yi-Jing TSAI Jie-Yu HUANG Hsin-Huei LIN Shu-Chien LIU Chiu-Yi CHIANG Mei-Wen WANG affil: BSN, RN, Assistant Head Nursing, Department of Nursing, Kaohsiung Chang Gung Memorial Hospital sug: subj: Liver Transplantation Immunosuppressive Agents Therapeutic Use Health Promotion Patient Satisfaction Health Education Drug Information Health Knowledge Program Implementation ab: Background & Problems: Patients with liver transplantation must take lifelong immunosuppressant medication to maintain the function of their hepatic graft. Based on clinical experience, we found that these patients were affected by both insufficient and remaining medication when they returned for outpatient service visits. After investigating the current situation, It was found that post-transplantation perceptions regarding medication were low in this patient group. After analysis, the identified causes of this included: (1) poor learning effect due to the interference from the multiple therapeutic catheter placement postoperatively; (2) delayed timing of assessing the awareness of information or perception of medication and lack of a post-operative follow-up mechanism; and (3) insufficient educational tools and materials for patients. Purposes: This study was designed to increase medication awareness from the current average of 68.3% to > 91% and to increase patient satisfaction with medication guidance from the current 63.0% to > 85% in patients who had received liver transplantation. Resolutions: The improvement strategy included: designing a health education sheet including related medication information and a daily medication record; designing a mnemonic, interactive video, or test to improve medication perception; creating measures associated with a monitor mechanism to assess medication knowledge. Results: After strategy implementation, medication awareness increased from 68.3% to 92.5% and satisfaction with medication guidance increased from 63.0% to 87.2%. Conclusions: The implementation of several strategies concurrently can enhance medication awareness in patients after liver transplantation and increase patient satisfaction with medication guid pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: Chinese refInfo: holdings: @attributes: islocal: N |
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