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已发表论文
中国老年冠心病患者从医院到居家过渡期的用药差异：一项定性研究
Authors Hu H, Xu W, Su PP, Wu X, Feng X
Received 16 November 2025
Accepted for publication 28 January 2026
Published 11 February 2026 Volume 2026:20 581794
DOI https://doi.org/10.2147/PPA.S581794
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Hui Hu,1,* Wenjuan Xu,2,* Ping-Ping Su,1 Xiaobing Wu,3 Xiaoyu Feng3
1School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China; 2Nursing Department, Qingyuan Hospital Affiliated to Guangzhou Medical University (Qingyuan People’s Hospital), Qingyuan, Guangdong, People’s Republic of China; 3Department of Cardiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiaoyu Feng, Email yoyofeng6@163.com
Purpose: This study aimed to explore the factors influencing medication discrepancies in elderly patients with coronary heart disease during the hospital-to-home transition through qualitative interviews.
Methods: This study used a descriptive qualitative research design. Purposive sampling was employed. Between March and September 2025, we conducted face-to-face, semi-structured interviews with sixteen elderly patients with coronary heart disease who had experienced medication discrepancies within one week after hospital discharge. All interviews were audio-recorded, transcribed, and subjected to content analysis guided by the Health Ecology Model.
Results: Five themes and twelve subthemes were identified: 1) Personal Characteristics, 2) Behavioral Characteristics, 3) Interpersonal Networks, 4) Living and Working Conditions, and 5) Policy Conditions.
Conclusion: Elderly patients with coronary heart disease face challenges with medication discrepancies during the hospital-to-home transition period, influenced by factors at the individual, interpersonal, community, and policy levels. Future research should focus on this critical and vulnerable phase to develop personalized interventions for this population. Strategies such as the teach-back method and encouraging patient involvement in medication decision-making may help improve medication safety.
Keywords: elderly, coronary heart disease, medication discrepancy, qualitative research
1School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China; 2Nursing Department, Qingyuan Hospital Affiliated to Guangzhou Medical University (Qingyuan People’s Hospital), Qingyuan, Guangdong, People’s Republic of China; 3Department of Cardiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiaoyu Feng, Email yoyofeng6@163.com
Purpose: This study aimed to explore the factors influencing medication discrepancies in elderly patients with coronary heart disease during the hospital-to-home transition through qualitative interviews.
Methods: This study used a descriptive qualitative research design. Purposive sampling was employed. Between March and September 2025, we conducted face-to-face, semi-structured interviews with sixteen elderly patients with coronary heart disease who had experienced medication discrepancies within one week after hospital discharge. All interviews were audio-recorded, transcribed, and subjected to content analysis guided by the Health Ecology Model.
Results: Five themes and twelve subthemes were identified: 1) Personal Characteristics, 2) Behavioral Characteristics, 3) Interpersonal Networks, 4) Living and Working Conditions, and 5) Policy Conditions.
Conclusion: Elderly patients with coronary heart disease face challenges with medication discrepancies during the hospital-to-home transition period, influenced by factors at the individual, interpersonal, community, and policy levels. Future research should focus on this critical and vulnerable phase to develop personalized interventions for this population. Strategies such as the teach-back method and encouraging patient involvement in medication decision-making may help improve medication safety.
Keywords: elderly, coronary heart disease, medication discrepancy, qualitative research