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Medication adherence: Is it a hidden drug-related problem in hidden elderly? (2013)_香港中文大学

香港中文大学 辅仁网/2017-06-25

Medication adherence: Is it a hidden drug-related problem in hidden elderly?
Publication in refereed journal


香港中文大学研究人员 ( 现职)
李子芬教授 (那打素护理学院)
余秀凤教授 (那打素护理学院)
李咏恩教授 (药剂学院)


全文


引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/11WOS source URL
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/14Scopus source URL

其它资讯

摘要Aim: The present study aimed to identify the health needs of the hidden elderly in Hong Kong, and to investigate the impacts of pharmacist and nursing interventions on medication management and well-being in hidden elderly. Methods: Participants were recruited by social workers if they were aged 65 years or older; did not have normal social life and network; did not have family support; and were not linked to the existing network of community support. Pharmacists identified drug-related problems. The health needs of participants were assessed by observations and interviews. Outcome measurements were scores of Morisky 8-item Medication Adherence Scale and EuroQoL (Quality of Life) 5-D Questionnaire. Results: A total of 93 participants were recruited and 86 participants completed the study. The mean age was 81.46±5.70 years, the mean number of chronic disease was 3.29±1.45 and the mean number of chronic medications was 6.36±2.96. The most commonly observed chronic diseases were hypertension, cardiac problems, diabetes, hyperlipidemia and arthritis. Drug non-adherence and storage problems were found in 61.63% and 69.77% of participants. The mean total EuroQoL score increased by 1.05 (P≤0.001). The mean Morisky score decreased by 0.61, signifying improvement of medication adherence (P<0.001). Female sex (P=0.045), polypharmacy with more than nine concurrent medications (P=0.013), arthritis (P=0.006) and drug storage problems (P=0.002) were identified as factors associated with poor medication adherence. Conclusions: The majority of hidden elderly suffered from multiple chronic diseases, and the prevalence of drug-related problems was high. Pharmacist and nursing interventions improved drug-related problems, drug compliance and quality of life in hidden elderly. Geriatr Gerontol Int 2013; 13: 978-985.? 2013 Japan Geriatrics Society.

着者Lee V.W., Pang K.K., Hui K.C., Kwok J.C., Leung S.L., Yu D.S.F., Lee D.T.F.
期刊名称Geriatrics and Gerontology International
详细描述Article first published online: DOI: 10.http://aims.cuhk.edu.hk/converis/portal/Publication/11http://aims.cuhk.edu.hk/converis/portal/Publication/11/ggi.12042.
出版年份2013
月份10
日期1
卷号13
期次4
出版社Nihon Ronen Igakkai/Japan Geriatrics Society
出版地Japan
页次978 - 985
国际标準期刊号http://aims.cuhk.edu.hk/converis/portal/Publication/1444-1586
电子国际标準期刊号http://aims.cuhk.edu.hk/converis/portal/Publication/1447-0594
语言英式英语

关键词Drug-related problems, Hidden elderly, Pharmacy and nursing interventions, Quality of life

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