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已发表论文
多病共存的老年人居家药物自我管理障碍：一项基于赋权理论的定性研究
Authors Zhang Z , Bai X, Hao L, Wang Y
Received 23 September 2025
Accepted for publication 27 November 2025
Published 11 December 2025 Volume 2025:19 Pages 3985—3998
DOI https://doi.org/10.2147/PPA.S569526
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Emma Veale
Zhitong Zhang,1 Xiuli Bai,2 Le Hao,3 Yanli Wang2
1School of Nursing, Inner Mongolia Medical University, Hohhot, Inner Mongolia, People’s Republic of China; 2Department of Nursing, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China; 3Geriatric Health Care Center, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China
Correspondence: Yanli Wang, Department of Nursing, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China, 010017, Email wyl3001@yeah.net
Purpose: To examine barriers to medication self-management among community-dwelling older adults with multiple chronic conditions (MCCs) and to provide evidence to guide medication safety and targeted nursing interventions.
Patients and Methods: A descriptive qualitative approach was used. Between July and September 2024, we recruited 14 community-dwelling older adults with MCCs from the geriatric medicine center of a tertiary hospital in the Inner Mongolia Autonomous Region. Face-to-face, semi-structured interviews were conducted. Empowerment theory served as the conceptual framework; data were analyzed using content analysis.
Results: Barriers to home-based medication self-management among older adults with MCCs were grouped into three domains: resources, agency, and outcomes. Resource-related barriers included (1) lack of long-term medication plans and follow-up support; (2) Inadequate aging-friendly design of medication management tools; and (3) barriers to self-medication due to excessive family intervention. Agency-related barriers included (1) health decisions primarily based on religious beliefs; (2) symptom-driven medication behavior; and (3) low-burden oriented medication management tendencies. Outcome-related barriers included disconnect between home self-monitoring and clinical feedback.
Conclusion: Community-dwelling older adults with MCCs encounter multiple challenges that hinder effective home-based medication self-management, including limited structural support, reduced self-management capacity, and a lack of effective feedback systems. The findings indicate that medication management can be optimized through improved digital and assistive tools, enhanced interprofessional collaboration, and more effective, tailored health education. Future research should prioritize high-risk populations and develop individualized intervention strategies.
Keywords: older adults, multiple chronic conditions, drug management, empowerment theory, qualitative research
1School of Nursing, Inner Mongolia Medical University, Hohhot, Inner Mongolia, People’s Republic of China; 2Department of Nursing, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China; 3Geriatric Health Care Center, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China
Correspondence: Yanli Wang, Department of Nursing, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia, People’s Republic of China, 010017, Email wyl3001@yeah.net
Purpose: To examine barriers to medication self-management among community-dwelling older adults with multiple chronic conditions (MCCs) and to provide evidence to guide medication safety and targeted nursing interventions.
Patients and Methods: A descriptive qualitative approach was used. Between July and September 2024, we recruited 14 community-dwelling older adults with MCCs from the geriatric medicine center of a tertiary hospital in the Inner Mongolia Autonomous Region. Face-to-face, semi-structured interviews were conducted. Empowerment theory served as the conceptual framework; data were analyzed using content analysis.
Results: Barriers to home-based medication self-management among older adults with MCCs were grouped into three domains: resources, agency, and outcomes. Resource-related barriers included (1) lack of long-term medication plans and follow-up support; (2) Inadequate aging-friendly design of medication management tools; and (3) barriers to self-medication due to excessive family intervention. Agency-related barriers included (1) health decisions primarily based on religious beliefs; (2) symptom-driven medication behavior; and (3) low-burden oriented medication management tendencies. Outcome-related barriers included disconnect between home self-monitoring and clinical feedback.
Conclusion: Community-dwelling older adults with MCCs encounter multiple challenges that hinder effective home-based medication self-management, including limited structural support, reduced self-management capacity, and a lack of effective feedback systems. The findings indicate that medication management can be optimized through improved digital and assistive tools, enhanced interprofessional collaboration, and more effective, tailored health education. Future research should prioritize high-risk populations and develop individualized intervention strategies.
Keywords: older adults, multiple chronic conditions, drug management, empowerment theory, qualitative research