Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community

Abstract

연구의 필요성서구화된 Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the CommunityLee, Jong KyungDepartment of Nursing, College of Medicine, Dankook University, Cheonan, KoreaPurpose: The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program. Results: There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure. Conclusion: The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.

Development and Evaluation of an Antiviral Agent Medication Adherence Education Program for Patients with Chronic Hepatitis C

“…This study also showed a significant reduction in medication misuse behavior in the experimental group after the AMAEP, with a pre- and post-average difference of −3.36. This is similar to the −2.81 point reduction in a study by Lee [ 11 ] and the −2.00 point difference in a study by Park et al [ 40 ] after conducting an educational program on drug misuse among older adults. The reduction in drug misuse may have been because patients with liver disease were discouraged from taking various dietary supplements or over-the-counter medications without consulting a healthcare practitioner in a number of sessions and through one-on-one education with the nurses.…”

“…Although OTC preparations may be relatively safe for healthy younger adults, they often create problems for chronic disease patients, particularly with pathologic conditions and combined with other substances (e.g., nonsteroidal anti-inflammatory drugs, herbs) [ 10 ]. Therefore, it is crucial for patients to communicate with a medical professional before taking OTC medications [ 11 ] and for patients to be educated about their disease because patients with more knowledge of their disease and better awareness of the state of their health tend to be more actively engaged in their treatment [ 12 ].…”

Effectiveness of a self-management education program on hypertension control and contributing factors in older adults: an interventional trial

“…Of more, most of the randomized controlled trials reported significant reduction of SBP and DBP in patients who had received self-management educational programs [30][31][32][33], summarized in one meta-analysis [11]. In study by Lee, self-care educational intervention was not successful in terms of BP control improvement among community-dwelling elderly subjects [34]. This is consistent with a previous study that was conducted in health care centers [35].…”

A Knowledge, Attitude, and Practice Survey on Medication Safety in Korean Older Adults: An Analysis of an Ageing Society

“…The physical and mental health levels of older adults living alone were poorer than those of older adults living with their families [35][36][37]. One study also reported that many ageing individuals were using medication that had expired because they had difficulty reading the expiry date on the package label [38].…”