Self Administration
Conditions
Keywords
Rehabilitation, Self-management of medication, Administration, Autonomy
Brief summary
Medication administration practices during patient hospital stay tend to improve patient autonomy. Several studies have concluded that self-administration of medication programs in hospital centers have a beneficial effect on patients' knowledge of their medications, their compliance and the safety of administration. Nevertheless, few studies have been carried out in France on this subject. The aim of this study is to evaluate the impact of the change of nurses administration practices from the administration of each drugs to supervision of self-administration by the patient under a self-administration program.
Interventions
BEHAVIORALSelf-administration medicines
Management of drugs' administration by the patient
Sponsors
Centre Hospitalier de Valenciennes
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Care in the rehabilitation unit of Hospital in Valenciennes, France * Patient with a planned stay of 7 days or more * Patient on chronic treatment before admission to hospital ; * Patients taking their treatment alone at home;
Exclusion criteria
* Age \< 18 years old * Patients with poor compliance * No chronic treatment * Unstable disease * Major cognitive, memory or depressive disorders * Swallowing disorders * Prehension problems * Patient under legal protection * Patient under guardianship or curatorship * Patient included in another trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total number of oral medication administration errors in self-administered patients | After 7 days of self-administration | Total number of oral medication administration errors in self-administered patients |
| Total number of oral medication administration errors in patients receiving administration by nurses | After 7 days of administration by nurses | Total number of oral medication administration errors in patients receiving administration by nurses |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Medication compliance in self-managed patients | At the beginning of the study | Medication compliance is assessed using the questionnaire Evaluation of medication compliance provided by the French health insurance system. This questionnaire consists of 6 questions with yes or no answers. Each no answer is worth 1 point, each yes answer is worth 0 points. A patient with poor medication compliance will have a score of 3 or less. |
| Patient satisfaction with self-administration of oral medication | Within 24 hours of discharge from hospital | Patient satisfaction was assessed using a questionnaire designed by the investigator, consisting of 9 questions giving a total of 45 points. The higher the total, the higher the level of satisfaction. |
| Care staff satisfaction with self-administration | 6 months after the beginning of the study | Care staff satisfaction was assessed using a questionnaire designed by the investigator, consisting of 4 questions totalling 20 points. The higher the total, the higher the level of satisfaction. |
Countries
France
Contacts
Primary ContactQuentin HIVER
Outcome results
None listed