title: [Optimizing medication intake in patients with chronic liver disease].
abstract: Non-adherence in patients with chronic liver disease is a problem resulting in various consequences ranging from disease deterioration to death. Insufficient medication adherence leads to enormous health care costs. Family caregivers can essentially contribute to improving adherence. The aim of this project was to develop a work instruction specifically dedicated to optimize adherence in this patient group and their family caregivers. The project team utilized the principles of participatory action research. A systematic literature research aimed at identifying interventions for improving medication adherence in patients with chronic liver disease. Findings of patient experiences from literature as well as clinical experience of nurses were evaluated for their practicability in the local context. Research revealed that information for patients and family caregivers, supportive relationships with health care professionals, helpful communication, the use of memory aids and integration of medication intake into everyday life were the most helpful adherence-enhancing interventions. The work instruction serves to integrate these interventions into clinical practice in order to ensure optimal medication adherence.
authors.affiliation: 1 UniversitätsSpital Zürich.|2 Institut für Pflegewissenschaft, Universität Basel.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Lacher
authors.affiliation: 1 UniversitätsSpital Zürich.
authors.forename: Silvia
authors.initials: S
authors.lastname: Rusch
authors.affiliation: 1 UniversitätsSpital Zürich.
authors.forename: Diana
authors.initials: D
authors.lastname: Staudacher
authors.affiliation: 1 UniversitätsSpital Zürich.|2 Institut für Pflegewissenschaft, Universität Basel.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Spirig
mesh_terms: D000328:Adult; D000368:Aged; D001288:Attention; D017028:Caregivers / Q000193:education*; D003142:Communication; D058625:End Stage Liver Disease / Q000188:drug therapy* / Q000451:nursing*; D006801:Humans; D055118:Medication Adherence; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010353:Patient Education as Topic; D017010:Reminder Systems; D013557:Switzerland
keywords: Adhärenz; Aufmerksamkeit; Lebererkrankungen; Medikamente; adherence; attention; liver disease; medication