Effects on hypertensive patients’ satisfaction with information about their medication after nurses’ consultation training

Figures & data

Figure 1 Flow diagram of patients.

Note: ^*Data missing due to patients not showing up or the nurses being off duty when data should be collected.

Table 1 Description of every part of patient-centeredness

Patient-centeredness	Description
Using open questions	Questions that cannot be answered with just a “yes” or “no”
Using expansive ways of putting questions	Using questions that start with “describe”, “list”, “tell me more”, for example, to get the patient to go into detail and unfold a line of thought
Reflecting on what is said	Repeating the last words, rewording, or checking on something to make sure it has been correctly understood
Perhaps provoking the patient	Provoking to lead the patient to talk about why to change behavior
Allowing pauses	Allowing for the patient’s pauses and for one’s own in order to leave the room for thought and reflection
Identifying the patient’s perceived threats to health	Identifying or actively asking for the patient’s apprehensions of threats to health
Identifying the patient’s perceived vulnerability to complications	Identifying or actively asking for the patient’s apprehensions about complications of hypertension
Making it easier for the patient to obtain and assimilate relevant knowledge	Making it easier to obtain and assimilate relevant information with a booklet or checking what the patient has heard or read before
Helping the patient to see opportunities for changing behavior	Giving suggestions about action to be taken or giving support for thoughts expressed
Helping the patient to weigh up the pros and cons of changing behavior	Asking the patient what he/she appreciates and dislikes about a particular behavior
Identifying the patient’s beliefs in the power to change behavior	Identifying or actively asking for the patient’s beliefs about the efficacy of behavioral change
Negotiating the reason for behavioral change	Discussing the basis for and the importance of making changes and the risks of not changing behavior
Negotiating where the patient should start his/her behavioral change	Discussing which behavior to start with and how the patient could start changing behavior
Negotiating the goal for changing behavior	Discussing what the change should produce
Negotiating the behavior the patient should change	Discussing the behaviors that are important to change
Summarizing the counseling	Summarizing possible needs for change

Notes: Copyright © 2007. Adapted from Internet Scientific Publications (www.ispub.com). Drevenhorn E, Bengtson A, Allen JK, säljö R, Kjellgren KI. A content analysis of patient centredness in hypertension care after consultation training for nurses. The Internet Journal of Advanced Nursing Practice. 2007;8(2):1.¹⁴

Table 2 The items of the Satisfaction with Information about Medicine Scale instrument

1. What your medicine is called

2. What your medicine is for

3. What it does

4. How it works

5. How long it will take to act

6. How you can tell if it is working

7. How long you will need to be on your medicine

8. How to use your medicine

9. How to get a further supply

10. Whether the medicine has any unwanted side effects

11. What are the risks of getting side effects

12. What you should do if you experience unwanted side effects

13. Whether you can drink alcohol whilst taking this medicine

14. Whether the medicine interferes with other medicines

15. Whether the medication will make you feel drowsy

16. Whether the medication will affect your sex life

17. What you should do if you forget to take a dose

Notes: Items 1–9 concern patients’ satisfaction with information about the action and usage of their medication, and items 10–17 concern the potential problems of medication.

Table 3 Added questions about where the patient had received information from

1. Telephone nursing service

2. Physician at the hospital

3. Public health nurse at the health center

4. Physician at the health center

5. Nurse at the hospital

6. Pharmacy

7. Pharmacy at the hospital

8. Other people with the same disease

9. Family or friends

10. Helping organization

11. Patient association

12. Newspaper or magazine

13. TV or radio

14. Medical book

15. Other

Table 4 Overview of the results of the patients’ answers to the Satisfaction with Information about Medicine Scale instrument part 1 (information about the action and usage of medication), part 2 (information about potential problems of medication), and the total of the scores

	Intervention group n=137		Control group n=51		Difference between the groups at 2 years
	Baseline	2 years	Baseline	2 years
Part 1, median (range)	6 (0–9)	8 (0–9)***	7 (0–9)	6.75 (0–9)*
Part 2, median (range)	4.57 (0–8)	6 (0–8)***	4 (0–8)	5 (0–8)	P=0.037
Part 1 and 2, median (range)	11 (0–17)	14 (0–17)***	10 (0–17)	11 (0–17)*	P=0.028

Notes:

* P<0.05 and

*** P<0.001.

Table 5 The patients’ answers to where they had received their information about their medicines and how useful the information was at the two year follow-up

	Very useful/useful		Fairly useful		Not useful
	IG n=137 n (%)	CG n=51 n (%)	IG n=137 n (%)	CG n=51 n (%)	IG n=137 n (%)	CG n=51 n (%)
Telephone nursing service	27 (19.7)	12 (23.5)	6 (4.4)	2 (3.9)	25 (18.2)	6 (11.8)
Physician at the hospital	69 (50.4)	25 (49.1)	7 (5.1)	1 (2.0)	12 (8.8)	3 (5.9)
Public health nurse at the health center	85 (62.1)	26 (51.0)	8 (5.8)	1 (2.0)	6 (4.4)	1 (2.0)
Physician at the health center	53 (38.7)	21 (41.1)	6 (4.4)	0	14 (10.2)	4 (7.8)
Nurse at the hospital	111 (81.0)	37 (72.6)	2 (1.5)	2 (3.9)	0	1 (2.0)
Pharmacy	93 (67.9)	28 (54.9)	14 (10.2)	7 (13.7)	3 (2.2)	0
Pharmacy at the hospital	28 (20.4)	12 (23.5)	7 (5.1)	4 (7.8)	16 (11.7)	4 (7.8)
Other people with the same disease	18 (13.2)	11 (21.5)	27 (19.7)	9 (17.6)	27 (19.7)	5 (9.8)
Family or friends	23 (16.7)	14 (27.5)	26 (19.0)	6 (11.8)	33 (24.1)	6 (11.8)
Helping organization	4 (2.9)	1 (2.0)	0	3 (5.9)	38 (27.7)	8 (15.7)
Patient association	4 (2.9)	1 (2.0)	3 (2.2)	3 (5.9)	30 (21.9)	8 (15.7)
Newspaper or magazine	16 (11.7)	6 (11.8)	13 (9.5)	8 (15.7)	32 (23.4)	9 (17.6)
TV or radio	18 (13.1)	9 (17.6)	14 (10.2)	9 (17.6)	27 (19.7)	8 (15.7)
Medical book	13 (6.4)	11 (21.6)	13 (9.5)	9 (17.6)	25 (18.2)	5 (9.8)
Othera	23	4	0	0	0	0

Note:

a Internet, medicine package/information note, patients’ guide to pharmaceutical specialties in Sweden, the nurse at the health center.

Abbreviations: IG, intervention group; CG, control group.

DrevenhornEBengtsonAAllenJKSäljöRKjellgrenKIA content analysis of patient centredness in hypertension care after consultation training for nursesThe Internet Journal of Advanced Nursing Practice2007821

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