20.500.12556/DiRROS-26673 Intervencije medicinskih sester za izboljšanje adherence pri starejših odraslih v domačem okolju integrativni pregled literature Nurse interventions to improve medication adherence in older adults living at home a integrative literature review Uvod: Starajoče se prebivalstvo in porast kroničnih obolenj povečujeta uporabo zdravil, vendar je adherenca pri zdravljenju z zdravili pri starejših odraslih, ki živijo doma, slabo raziskana. Namen raziskave je predstaviti dejavnike adherence in preučiti vlogo medicinskih sester pri preprečevanju ter zmanjševanju neadherence v domačem okolju.Metode: Pregledali smo literaturo v zbirkah Medline, CINAHL, Cochrane Library, PubMed, ScienceDirect, Web of Science, Wiley in ProQuest z uporabo iskalnih pojmov: aged, home health care, medication adherence, nurse. Pregledali smo recenzirane objave od leta 2000 do 2025. V analizo smo vključili enaindvajset raziskav, ocenili njihovo kakovost (s standardi STROBE in COREQ) in izvedli tematsko analizo vsebine.Rezultati: Po analizi smo poudarili več področij, ki jih medicinske sestre obravnavajo pri obravnavi neadherence: izobraževanje pacientov, motivacija, spodbujanje k uporabi pripomočkov, vključevanje in sodelovanje z drugimi strokovnjaki.Diskusija in zaključek: Medicinske sestre imajo osrednjo vlogo pri identifikaciji in obravnavi neadherence v zdravljenju z zdravili pri starejših odraslih, ki živijo v domačem okolju. Njihove intervencije morajo biti prilagojene posameznikovim potrebam, zahtevam terapije in graditi na strokovnih kompetencah. Zaradi razpršenih rezultatov in omejenih dokazov o učinkovitosti intervencij so potrebne nadaljnje raziskave za razvoj optimalnih, na dokazih temelječih načinov v zdravstveni negi. Introduction: The aging population and rising prevalence of chronic diseases have led to increased medication use; however, limited research has been conducted on medication adherence among older adults living at home. This study aims to identify the factors influencing medication adherence and examine the role of nurses in preventing and reducing medication non-adherence in home care settings.Methods: A literature review was conducted using the Medline, CINAHL, Cochrane Library, PubMed, ScienceDirect, Web of Science, Wiley, and ProQuest databases. Search terms included 'aged', 'home health care', 'medication adherence', and 'nurse'. Peer-reviewed articles published between 2000 and 2025 were included in the analysis. A total of 21 studies were assessed for quality (using STROBE in COREQ standards), and subjected to thematic content analysis.Results: The analysis identified several key areas addressed by nurses in managing medication non-adherence: patient education, motivation, use of assistive devices, and collaboration with other healthcare professionals.Discussion and conclusion: Nurses play a pivotal role in recognising and addressing medication non-adherence among older adults in home care settings. Nursing interventions should be individualised to patient needs and therapeutic requirements, while being grounded in professional competencies. Given the inconsistent indings and limited evidence regarding intervention effectiveness, further research is needed to develop optimal, evidence-based nursing care approaches. adherenca za zdravila zdravstvena nega aktivnosti patronažna obravnava domače okolje starejši odrasli medication adherence community older adult nursing intervention true false true Zbornica zdravstvene in babiške nege Slovenije, Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Slovenski jezik Angleški jezik Neznano 2026-01-28 00:40:47 2026-01-28 00:40:47 2026-03-04 03:44:47 0000-00-00 00:00:00 2025 0 0 str. 187-198 št. 3 Letn. 59 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-09-26 616-083 1318-2951 250734339 https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/3305 1 9afab6e2-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39286 https://doi.org/10.14528/snr.2025.59.3.3305 1 9b5381ad-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39287 obzornik_2025_C_59-3_Benko_(1).pdf obzornik_2025_C_59-3_Benko_(1).pdf 1 AF6F8BFECDF145357DC7F17B0217B435 6f6559256db0d79fa93db1a8dde979d0fe842bbd12f40a158d2ab2610d197927 a9564cb3-1758-11f1-8c73-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=41223 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Obzornik zdravstvene nege 0 0 0