Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

Medication Status and Adherence of the Elderly under Home Care Nursing

가정간호 노인대상자의 처방약물복용 실태 및 복용 이행도 영향요인

  • Kim, Young-Hee (Home Care Nursing Part, Samsung Medical Center) ;
  • Lee, Mi-Kyoung (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Sung-Ja (Nursing Department, Samsung Medical Center) ;
  • Cho, Myung-Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hwang, Moon-Sook (Department of Nursing Science, Woosuk University)
  • 김영희 (삼성서울병원) ;
  • 이미경 (성균관대학교 임상간호대학원 삼성서울병원 임상간호학연구소) ;
  • 이승자 (삼성서울병원 간호팀) ;
  • 조명숙 (성균관대학교 임상간호대학원, 삼성서울병원 간호본부) ;
  • 황문숙 (우석대학교 간호학과)
  • Received : 2011.07.29
  • Accepted : 2011.09.19
  • Published : 2011.09.30
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Abstract

Purpose: This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence. Methods: Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul. Results: According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035). Conclusion: The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

Keywords

References

  1. Ahn, S. Y., & Song, M. S. (1999). Medicaton compliance of recently discharged elderly patients. Korean Gerontological Nursing Society, 1(1), 16-28.
  2. Barat, I., Andreasen, F., & Damsgaard, E. M. (2001). Drug therapy in the elderly: What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51(6), 615-622. https://doi.org/10.1046/j.0306-5251.2001.01401.x
  3. Burge, S., White, D., Bajore, K, E., Bazaldua, O., Trevino, J., Albright, T., et al. (2005). Correlates of medication knowledge and adherence: findings from the residency research network of South Texas. Family Medicine, 37(10), 712-718.
  4. Chrischilles, E. A., Foley, D. J., Wallace, R. B., Lemke, J. H., Semla, T. P., Hanlon, J. T., et al. (1992). Use of medications by persons 65 and over: Data from established population for epidemiologic studies of elderly. Journal of Gerontology, 47(5), 137-144. https://doi.org/10.1093/geronj/47.5.M137
  5. Doggrell, S. A. (2010). Adherence to medicines in the olderaged with chronic conditions: Does intervention by and allied health professional help. Drugs Aging, 27(3), 239-254. https://doi.org/10.2165/11532870-000000000-00000
  6. Fielo, S. B., & Warren, S. A. (1993). Medication usage by the elderly. Geriatric Nursing, 14(1), 47-51. https://doi.org/10.1016/S0197-4572(06)80081-9
  7. Han, J. H. (2007). The influence of cognitive function, their family support and medication knowledge upon medication adherence on old people. Unpublished master's thesis, Ewha Womans University, Seoul.
  8. Hong, K. L. (2004). How do you approach the consultation of medication? Journal of Korean Society of Hospital Phamacists, 21(2), 30-67.
  9. Hope, C. J., Wu, J., Tu, W., Young, J., & Murray, M. D. (2004). Association of medication adherence, Knowledge and skills with congestive heart failure. American Journal of Health System Pharmasists, 61(19), 2043-2049.
  10. Jung, K, H., Oh, Y. H., Suk, J. E., Do, S. R., Kim, C. U., Lee, Y. K., et al. (2005). 2004 Living profiles and welfare service needs of older persons in Korea' survey. Seoul: Korean Institute for Health and Social Affairs.
  11. Kim, J. E. (2005). A study on the status of drug use and the related factors of the elderly. Unpublished master's thesis, Hanyang University, Seoul.
  12. Kim, K. S. (2006). A study of need for administration education and measure to elderly patient according to aging. Unpublished master's thesis, Chung Ang University, Seoul.
  13. Kim, S. O., Park, J. Y., Choi, Y. S., Lee, H. Y., & Kim, J. H. (2008). Control scheme of drug cost according to a sort of medical service using. Seoul: National Health Insurance.
  14. Korean Society of Biological Nursing Science. (2002). English-Korean mosby's medical, nursing & allied health dictionary. Seoul: Hyunmoonsa.
  15. Korean Statistical Information Service. (2010.9.30). 2010 Statistics on elderly people. Retrieved April 27, 2011, from http://www.kosis.kr
  16. Lamb, D. A., Eurich, D. T., McAlister, F. A., Tsuyuki, R. T., Semchuk, W. M., Wilson, T. W., et al. (2009). Changes in adherence to evidence-based medications in the first year after initial hospitalization for heart failure: Observational chohot study from 1994 to 2003. Circulation.Cardiovascular Quality and Outcomes, 2(3), 228-235. https://doi.org/10.1161/CIRCOUTCOMES.108.813600
  17. Lee, Y. H., & Ko, S. H. (2000). A study on drug use and related factors of the elderly. Korean Gerontological Society, 20(1), 195-208.
  18. Lopez -Torres, H. J., Cerda, D. R., Fernandez, O. C., Requena, G. M., Fernandez, C. C., & Otero, P. A. (1997). Factors associated with chronic drug consumption in the elderly. Medicina Clinica, 108(15), 572-576.
  19. Oh, H. J. (2010) Factors affecting medication adherence in the elderly people with chronic disease. Unpublished master's thesis, Kyungpook National University, Deagu.
  20. Oh, J., M. (2004). Drug use pattern and evaluation for appropriateness in geriatric patients. Seoul: Seoul National University Press.
  21. Park, J. H. (2006). Antihypertensive drug medication adherence of national health beneficiaries and its affecting factors in Korea. Unpublished doctoral dissertation, Seoul National University, Seoul.
  22. Song, M. O. (2002). Effectiveness of the medication and symptom management program on the psychiatric patient. Unpublished master's thesis, Deajeon University, Deajeon.
  23. Song, M. S. (1991). Construction of a functional status prediction model for the elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  24. Song, J. R., Kang, I. O., Kim, Y. O., Jo, H. S., & Hwang, M. S. (2008). An analysis of the elderly care and management in hospital-based home care agencies. Journal of Korean Academy of Community Health Nursing, 19(4), 659-670.
  25. Song, K. Y., Nam, J. J., Choi, J. S., & Kim, T. J. (1993). 1992 Survey of national health status and awareness of public health behavior. Seoul: Korean Institute for Health and Social Affairs.
  26. Uhm, S. M. (2005). A study on the status of prescription and nonprescription drug use in elderly. Unpublished master's thesis, Ewha Womans University, Seoul.
  27. Williams, C. M. (2002). Using medications appropriately in older adults. American Family Physician, 66(10), 1917-1924.
  28. Yesavage, J. A., & Sheikh, J. I. (1986). Geriatric depression scale (GDS), recent evidence and development of a shorter violence. Clinical Gerontologist, 5(1-2), 165-173. https://doi.org/10.1300/J018v05n01_09