Effect of Educational Program about Medication Considerations on Promoting Quality of Pharmacotherapy among Elderly with Multi-Morbidity.

Autor: Al Dosokey Azzam, Nadia Ismail El Saeid, El-Zeftawy, Amaal Mohamed, Abdelatey Hassan, Lulah Abdelwahab, Mekled, Samar Ahmed
Předmět:
Zdroj: Tanta Scientific Nursing Journal; 2024 Supplement, Vol. 32, p99-122, 24p
Abstrakt: Background: The drug related problems are common among elderly especially those with multimorbidity who are involved in complex drug regimen. So, there is greater focus on medication considerations that help them in proper medication use. Study design: A quasi-experimental study design was selected in this study. Study settings: This study was carried out at the Health Insurance Hospital outpatient clinics at Tanta city, Dar El Saada Geriatric Home in Tanta city and outpatient clinics of Tanta University (Medical, Orthopedic, Urology and Ophthalmology). Study subjects: A convenience sample of 75 elderly patients who attended the previously mentioned settings was included in the study. Study tools: Three tools were utilized in this study: Tool I: A structured interview schedule: Part 1: Socio-demographic characteristics of the studied elderly. Part 2: Medical history of the studied elderly. Tool II: BASNEF Model Based Questionnaire: Part 1: Beliefs about Medicines Questionnaire (BMQ). Part 2: Drug Attitude Inventory (DAI). Part 3: Assessment of Subjective Norms. Part 4: Assessment of Enabling Factors. Tool III: Medication Management Instrument for Deficiencies in Elderly (MEDMAIDE). Results: There was statistically significant improvement on elderly beliefs about medication, their attitude toward medication, overall influential motivator for appropriate medication use, the enabling factors and medication management deficiency in all phases of evaluation pre, immediately and three months follow up after program implementation. Conclusion and recommendations: The BASNEF model based educational program was effective in improving the elderly patients' beliefs and attitude toward medication, overall influential motivator and the enabling factors which support them. Therefore, the community health nurse should assess the multi-morbid elderly and organize health education programs based on BASNEF model about safe medication use among them. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index