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Biomedical subjects

D K Raynor

Publications and source records attributed to D K Raynor.

21 records · Page 2Linked to original sources
PubMed1995

Effects of self medication programme on knowledge of drugs and compliance with treatment in elderly patients.

OBJECTIVE: To determine whether a programme of self medication for inpatients improves compliance with treatment and knowledge of their drugs after discharge from hospital. DESIGN: Patients were prospectively recruited from four wards: two with a self medication programme and two acting as controls. Ten days after discharge the patients were visited at home. They were questioned about their drugs, and a tablet count was undertaken. SETTING: The pharmacy department and four medical wards with an interest in elderly patients at a district general hospital, and the patients' homes. PATIENTS: 88 patients discharged to their own homes who were regularly taking one or more drugs. INTERVENTION: A hospital self medication programme in which patients are educated about their medicines and given increasing responsibility for taking them in hospital. MAIN OUTCOME MEASURES: Compliance with and knowledge of the purpose of their medicines 10 days after discharge from hospital. RESULTS: The mean compliance score in patients taking part in the self medication programme was 95% compared with 83% in the control group (difference 12%, 95% confidence interval 4% to 21%; P < 0.02). Of the patients in the self medication group, 90% (38/42) knew the purpose of their drugs compared with 46% (17/37) in the control group (difference 44%, 26% to 63%; P < 0.001). CONCLUSION: A self medication programme is an effective aid for improving compliance with and knowledge of patients' drugs after discharge.

Aftercare↗
PubMed1993

Effects of computer generated reminder charts on patients' compliance with drug regimens.

OBJECTIVE: To investigate whether a reminder chart improved patients' compliance with their drug regimen after discharge from hospital. DESIGN: Patients were randomly allocated to one of four groups. Two groups received the reminder chart: one also received routine counselling from a nurse and the other received structured counselling from a pharmacist, which included an explanation of the reminder chart. The other two groups received only counseling, either from a nurse or from a pharmacist. Patients were visited about 10 days later: they were questioned about their drug regimen, and their compliance was measured by tablet counting. SETTING: The pharmacy in a district general hospital and patients' homes. PATIENTS: 197 patients being discharged from hospital who were regularly taking two or more drugs. INTERVENTION: An individualised reminder chart, which listed each person's medicines and when they were to be taken and was automatically generated by a medicine labelling computer. MAIN OUTCOME MEASURES: Patient's compliance with and knowledge of their drug regimen. MAIN RESULTS: Of the patients who received the reminder chart, 83% (95% confidence interval 74% to 90%) correctly described their dose regimen compared with 47% (37% to 58%) of those without the chart (p < 0.001). The mean compliance score was 86% (81% to 91%) in both groups not given the reminder chart; 91% (87% to 94%) in the group given the chart without an explanation; and 95% (93% to 98%) in the group given the chart and an explanation. A mean compliance score of > 85% was achieved by 63% (53% to 73%) of patients without a reminder chart and by 86% (78% to 93%) of those receiving the chart (p < 0.001). CONCLUSIONS: An automatically generated reminder chart is a practical and cost effective aid to compliance.

Adult↗