Study On The Education Of Medication For Non-hospitalized Aged Patients With CHD

ObjectivesTo study the medication knowledge, beliefs, behaviors, needs of education on medication knowledge, and correlation factors for non-hospitalized aged patients with coronary heart disease (CHD) , and to probe the role of education of medication in exterior and interior hospital for the patients' medication. MethodsThe aged patients with CHD were selected from 4 of 134 communities by cluster sampling. In the first and the second parts, medication knowledge, beliefs, behaviors and their influencing factors in 124 patients, needs of education on medication and their influencing factors in 126 patients, which were measured by two self-made questionnaires . The third part measured the indexs such as the medication knowledge, beliefs, behaviors and others after education of medication in exterior and interior hospital in 105 patients. Results1. The score of medication knowledge was low in non-hospitalized aged patients with CHD, the average score was 24.77 ± 8.52. Numerus of chronic disease, times of hospitalization owing to CHD and property of the patients' work affected the medication knowledge they have got.2. The average score of medication beliefs was 82.01 ± 4.66. The patients believed that benefits of medicine for human body were more than harm.3. The average score of medication behaviors was 6.32 ± 1.50. The patients' medication behaviors were affected by the frequencies of adverse drug reaction(ADR) in one year.4. Among the patients, 98.39% needed the medication knowledge. The degree of knowledge demands was correlated with patients' level of culture, course of CHD, and times of hospitalization owing to CHD.5. The patients needed lots of medication knowledge, the average items of pharmacal knowledge were 5.918 ± 3.029. the wdth of patients' needs for medication knowledge was affected by their level of culture and state of marriage.6. The patients' score of medication knowledge, believes and behaviors increased 14.69, 3 and 1.68, after listening to the courses of education.7. The frequency of cardiac angina were decreased when the patients received the education of medication (P<0.05) .8. The blood pressure started to decrease at the second stage of education, and stabilized at the third stage ( P <0.05 ) .9. Sorts of sustained medication were taper at the second and third stage of education. The sorts and expense of prescription at the second stage of education were lower than the first stage (P <0.05 ) .10. ADR were decreased significantly at the third stage (P <0.05 ) . Conclusions1. Non-hospitalized aged patients with CHD had little medication knowledge, set up incorrect medication believes, and had poor medication compliance.2. Usage of medicine and knowledge of ADR were the first demands for the patients.3. The education of medication in exterior and interior hospital can increase medication knowledge, set up correct medication believes, improve medication behaviors, decrease frequency of cardiac angina, appropriately control blood pressure, reduce times of ADR, shorten the sort of medicine, and cut down the expense of prescription for the patients with CHD.