International journal of advanced smart convergence

The Institute of Internet, Broadcasting and Communication (한국인터넷방송통신학회)
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A Study on the Health Management of Polypharmacy Use in the Elderly

  • Received : 2021.11.23
  • Accepted : 2021.11.29
  • Published : 2021.12.31
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Abstract

The purpose of this study is to identify the level of polypharmacy use, drug knowledge, and drug misuse behavior in the elderly, and to understand the correlation between them and their effect on drug misuse behavior. The study design was a descriptive survey study, and the participants of the study were 215 elderly people from the local community center. The research tool used drug knowledge, drug misuse behavior, and the data collection period was from February 8 to 19, 2021. The data analysis were descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and regression analysis. As a result of the study, a significant correlation variable for the drug knowledge of the elderly showed a significant correlation with prescription and non-prescription, r=.145 (p<0.05), and r=.-. 136, which showed a negative significant correlation (p<0.05). As for the significant correlation variable in the drug misuse behavior of the elderly, when prescription and non-prescription were combined, there was a significant correlation with r=.256 (p<0.01), and when not using drugs, r=.-.225 was negative. showed a significant correlation (p<0.01). In terms of the effect on drug misuse behavior, chronic disease =.145, prescription and non-prescription use = .233, which had a positive effect, and non-prescription = -.328, indicating a negative and significant effect. The provision of education on the safe use of drugs by the elderly should first be provided in the community. In addition, we need systematic education and social support for the transmission of correct knowledge on multi-drug use by the elderly and for health management.

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References

  1. A. Rankin, C. A. Cadogan, S. M. Patterson, N. Kerse, C. R Cardwell, M. C. Bradley, C. Ryan, and C. Hughes. C., "Interventions to improve the appropriate use of polypharmacy for older people (review)," Cochrane Library: Cochrane Database Systemic Review, Vol. 9, pp. 1-213, 2018. DOI: http://doi.org/10.1002/14651858.CD008165.pub4
  2. Statistics Korea, KOSIS: Population projections and summary indicators (Korea). Submission of manuscript. https://kostat.go.kr/wnsearch/search.jsp, https://kostat.go.kr/wnsearch/search.jsp.
  3. B. M. Koo and I. H. Joo, "The effect of health related characteristics on the use of information and communication technology of older adults," Journal of the Korean Gerontological Society, Vol. 40, No. 4, pp. 729-746, 2020. DOI: http://doi.org/10.31888/JKGS.2020.40.4.729
  4. S. H. Lee, S. J. Hong, and K. M. Kim, "Analysis of health care service trends for the older adults based on IC," Journal of the Korea Convergence Society, Vol. 12, No. 5, pp. 373-383, 2021. DOI: http://doi.org/10.15207/JKCS.2021.12.5.373
  5. C. H. Yoo and S. J. Shin, "Proposed ICT-based New Normal Smart Care System Model to Close HealthGap for Older the Elderly," International Journal of Advanced Smart Convergence, Vol. 10, No. 2, pp. 37-44, 2021. DOI: http://doi.org/10.7236/IJASC.2021.10.2.37
  6. Masnoon, M., Shakib, S., Kalishch-Ellett, L., and Caughey, .G. E, "What is polypharmacy? A systematic review of definitions," BMC Geriatrics, Vol 17, No 230, pp. 1-10, 2017. DOI: http://doi.org/10.1186/s12877-017-0621-2
  7. Monteiro, L., Maricoto, T., Solha, I. S., Monteiro-Soares, M., and Martins, C., "Computerized decision to reduce inappropriate medication in the elderly: a systematic review with meta-analysis protocol," BMJ Open, Vol. 8:e018988, pp. 1-4, 2018. DOI: http://doi.org/10.1136/bmjopen-2017-018988
  8. C. H. Sung, M. R. Park, and Y. J. Kim, "An analysis of the structural model of social support for drug knowledge, and drug abuse in the dwelling elderly," Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 4, pp. 2160-2169, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.4.2160
  9. J. S. Kim, "Experiences of medication misuse and abuse behaviors in elderly people with chronic disease in community," Journal of the Korea Contents Association, Vol. 16, No. 9, pp. 791-805, 2016. DOI: http://doi.org/10.5392/JKCA.2016.16.09.791
  10. Jo, J. Y., The Relationship between health literacy, self-efficacy, and medication adherence among elderly with polypharmacy, Master's Thesis. Seoul University, Seoul, Korea, 2020.
  11. S. H. Hong and K. S. Yoo, "A prediction model of drug misuse behaviors in community-dwelling older adults," Journal of Korean Academy of Nursing,, Vol. 46, No. 5, pp. 630-641, 2016. DOI: http://doi.org/10.4040/jkan.2016.46.5.630
  12. Wastesson, J. W., Morin, L., Tan, E. C.K., and Johnell, K, "An update on the clinical consequences of polypharmacy in older adults: a narrative review," Journal of the Korea Academia-Industrial cooperation Society Expert opinion on drug safety, Vol. 17, No 2, pp. 1185-1196, 2018. DOI: http://doi.org/10.1080/1470338.2018.1546841
  13. Korea Health Promotion Institute, HP2030: Vision, Total Goal. Submission of manuscript. https://www.khealth.or.kr/board?menuId=MENU00833&siteId=null
  14. Y. J. Kim, "Effects of an education program for the knowledge of medication and the prevention of depression in the aged of a local community," Journal of Korean Academy of Community Health Nursing, Vol. 22, No.4, pp. 399-408, 2011. DOI: http://doi.org/10.12799/jkachn2011.22.3.399
  15. D. Y. Lee, Development and evaluation of preventive education program for medication misuse of the community dwelling elderly. Ph.D. Thesis. Yeonsei University, Seoul, Korea, 2010.
  16. S. A. Lee and M. H. Park, "A study on health literacy, medication knowledge, and medication misuse of rural elderly," Journal of the Korean Gerontological Society, Vol. 30, No.2, pp. 485-497, 2014. DOI: http://doi.org/10.31888/JKGS.2014.30.2.295
  17. J. H. Lee, The application and evaluation of the education for the prevention of drug abuse and misuse on the elderly in the rural areas. Master's Thesis, Keimyung University, Daegu, Korea, 2006.
  18. Baek, Y. H., and Shin, J. Y, "Trends in polypharmacy over 12 years and changes in its social gradients in South Korea," PLoS ONE, Vol. 13, No.9: e0204018. PP. 1-17, 2018. DOI: http://doi.org/13(9)10.1371/journal.pone.0204018
  19. Mortazavi, S. S., Shati, M., Keshtkar, A., Malakouti, S. K., Bazargan, M., and Assari, S., "Defining polypharmacy in the elderly: A systematic review protocol," BMJ Open, Vol.6; e010989. pp. 1-4, 2016. DOI: http://doi.org/10.1136/bmjopen-2015-010989.