Table 2.
Differences between patients who did fully self-manage medication after discharge and patients receiving help with medication management after discharge.
|
Total n = 393 |
SMM a n = 276 |
No SMM b n = 117 |
p * | |
| In-hospital medication management, % | ||||
| I did fully self-manage my medicines during hospitalization. | 12.8 | 14.9 | 7.8 | 0.053 |
| I am … in hospital to self-manage my medicines at home. | <0.001 | |||
| Not prepared | 43.6 | 41.2 | 49.2 | |
| Insufficiently prepared | 10.3 | 6.2 | 19.8 | |
| Sufficiently prepared | 46.1 | 52.6 | 31.0 | |
| I stored my medication in my room during hospitalization.c | n = 322 | n = 227 | n = 95 | |
| 19.6 | 22.9 | 11.6 | 0.019 | |
| I made my own decisions about medication intake during hospitalization. c | n = 329 | n = 231 | n = 98 | |
| 53.8 | 57.6 | 44.9 | 0.035 | |
| Medication-related information at discharge, % | ||||
| I had a conversation on how to manage medicines at home. | 0.051 | |||
| Yes | 18.7 | 18.6 | 18.8 | |
| No | 74.2 | 76.3 | 69.2 | |
| I don’t know | 7.1 | 5.1 | 12.0 | |
| I received … information about medication at discharge. | 0.006 | |||
| No | 5.6 | 5.9 | 5.1 | |
| Too little | 31.6 | 26.5 | 43.6 | |
| Enough | 26.3 | 26.9 | 24.8 | |
| Too much | 36.5 | 40.7 | 26.5 | |
| I received information about … at discharge. c,d | n = 267 | n = 193 | n = 74 | |
| Working area | 33.2 | 34.0 | 31.0 | 0.642 |
| Indication | 54.0 | 55.0 | 51.4 | 0.603 |
| Dose | 69.3 | 74.1 | 56.8 | 0.006 |
| Time | 77.9 | 81.9 | 67.6 | 0.012 |
| Side effects | 9.6 | 10.5 | 7.1 | 0.412 |
| Information about medication was provided … c,d | n = 267 | n = 193 | n = 74 | |
| Oral | 85.8 | 87.6 | 81.3 | 0.189 |
| On paper | 55.8 | 60.1 | 44.6 | 0.022 |
| The … gave me information about my medicines at discharge c,d | n = 267 | n = 193 | n = 74 | |
| Physician | 40.7 | 40.8 | 40.3 | 0.934 |
| Physician assistant | 9.2 | 8.5 | 11.3 | 0.487 |
| Nurse | 69.7 | 74.1 | 58.1 | 0.011 |
| Other | 2.3 | 2.7 | 1.4 | 0.553 |
| Medication schedule, % | ||||
| I received a medication schedule at discharge. | <0.001 | |||
| No | 14.5 | 15.9 | 11.2 | |
| Yes and I understand | 69.4 | 78.6 | 47.4 | |
| Yes and I don’t understand | 16.1 | 5.5 | 41.4 | |
| The … was mentioned on the medication schedule. c,d | n = 331 | n = 232 | n = 99 | |
| Medication name | 97.9 | 97.8 | 98.0 | 0.938 |
| Working area | 8.3 | 7.5 | 10.2 | 0.422 |
| Indication | 20.4 | 19.8 | 21.9 | 0.676 |
| Dose | 93.7 | 96.6 | 86.9 | 0.001 |
| Time | 97.9 | 98.7 | 95.9 | 0.108 |
| Side effects | 0.6 | 0.0 | 2.1 | 0.030 |
| Medication management after discharge, % | ||||
| Taking responsibility for my medication management after discharge was………… | <0.001 | |||
| Difficult | 13.0 | 5.8 | 29.9 | |
| Easy | 87.0 | 94.2 | 70.1 | |
| Medication management assistance … | <0.001 | |||
| Should be extended | 13.0 | 7.6 | 25.9 | |
| Should remain the same | 83.6 | 88.4 | 72.4 | |
| Should be restricted | 3.4 | 4.0 | 1.7 | |
| I stopped the prescribed therapy earlier than agreed with the physician. | 22.7 | 21.1 | 26.5 | 0.242 |
| I changed the way medicines should be taken based on own knowledge/experience. | 25.4 | 24.3 | 28.2 | 0.413 |
| Patient satisfaction (mean [SD]) | ||||
| Satisfaction with help during hospitalization to self-manage medication after discharge. (scale 0–10) | 7.3 [2.32] | 7.4 [2.36] | 7.1 [2.23] | 0.211 |
| Satisfaction with own medication management after discharge. (scale 0–10) | 8.2 [1.88] | 8.7 [1.16] | 6.9 [2.55] | <0.001 |
a SMM: Full self-management of medication after discharge (preparation and administration). b No SMM: Help with medication management (preparation and/or administration) after discharge. c This question could only be completed under certain conditions which resulted in a smaller sample size. Some patients had to skip this question based on their answer to a previous closed-ended question. d Multiple answers were possible which resulted in a total of more than 100%. * p-values were calculated using chi-squared tests for nominal and independent t-tests for continuous variables, p-values in bold: it indicates the significant values.