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.
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;
Age < 18 years old
Patients with poor compliance
No chronic treatment
Unstable disease
Parallel
Self-administration medicines
BehavioralManagement of drugs' administration by the patient
Total number of oral medication administration errors in self-administered patients
Total number of oral medication administration errors in self-administered patients
Total number of oral medication administration errors in patients receiving administration by nurses
Total number of oral medication administration errors in patients receiving administration by nurses
Medication compliance in self-managed patients
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.
Medication compliance in self-managed patients
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
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
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.
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