Medication adherence in elderly people integrated in the Long-Term Care domiciliary teams

Abstract

Resumenpp.9-16 Palavras-chave: adesão à medicação; idoso. Resumo Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O ( O R I G I N A L ) Adesão do regime terapêutico medicamentoso dos idosos integrados nas equipas domiciliárias de Cuidados ContinuadosMarco contextual: El aumento de las enfermedades y las comorbilidades implica la polimedicación, que puede interferir en la adhesión al ARTM (régimen terapéutico de medicamentos) de los ancianos. Objetivos: Describir las características sociodemográficas y económicas de las personas mayores con el apoyo de los Equipos de Atención Continuada Integrada; caracterizar el nivel de ARTM de la población del estudio, e identificar las variables que influyen en la falta de adhesión. Metodología: Estudio descriptivo/exploratorio y correlacional, método de estudio cuantitativo y muestra de 55 ancianos. Resultados: Muestra con 78±7,9 años, mayoritariamente, mujeres (69,1%). A través de la escala de medición de adhesión al tratamiento, se encontró que el 72,7% de las personas mayores no se adhieren a ARTM y el 83,6% toma tres o más fármacos. En el índice de Katz, el 25,5% de los ancianos es muy dependiente; en el Mini Examen del Estado Mental, el 47,3% presenta trastorno demencial moderado, y, en la escala de depresión geriátrica, el 45,5% tiene una depresión moderada. El nivel del ARTM solo presenta una asociación estadísticamente significativa con el estado mental. Se puede decir que los individuos que tienen un trastorno demencial tienen un nivel de adhesión peor. Conclusión: El bajo nivel de la ARTM se ve influenciado por factores cognitivos que deben tenerse en cuenta en la planificación de acciones que promuevan el aumento de el ARTM en los ancianos.Palabras clave: adhesión a la medicación; anciano.Theoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion:The low level of MA is influenced by cognitive factors that sh...

Adherence to Medication, Physical Activity and Diet in Older Adults With Diabetes: Its Association With Cognition, Anxiety and Depression

“…Nevertheless, among older adults, the prevalence of therapeutic non-adherence is as high as 50% [15-19]. Furthermore, about 20% of these cases have prescribed medications, which they do not take [20].…”

Examining the relationship between depression and medication adherence among elderlies suffering from cardiovascular disease referring to the clinics affiliated with Kermanshah University of Medical Sciences: A cross‐sectional study

“…2 Further, comorbidity, polypharmacy, and lack of awareness about drugs cause poor medication adherence among the elderly. 12,38,76,77 In this study, it was also shown that medication adherence was significantly lower among the elderly suffering from CVD and depression compared with the elderly who showed no depression symptoms. A negative and mild-to-moderate relationship was also found between the mean score of depression and medication adherence in the researched elderlies.…”

“…Meanwhile, around 30% of the elderlies suffering from depression show no apparent symptoms 2 . Further, comorbidity, polypharmacy, and lack of awareness about drugs cause poor medication adherence among the elderly 12,38,76,77 . In this study, it was also shown that medication adherence was significantly lower among the elderly suffering from CVD and depression compared with the elderly who showed no depression symptoms.…”

Gestão De Alta Para a Continuidade Do Cuidado: Experiência Das Enfermeiras De Ligação De Portugal

“…(13) Intervenções para melhorar a adesão terapêutica é um importante subsídio para a melhoria da saúde da população idosa, com reflexos no aumento da qualidade de vida, redução das recorrências aos serviços de urgência e de hospitalização. (19) Estudo com 55 idosos integrantes de equipes domiciliares de cuidados continuados do Sul de Portugal apontou que 40 (72,7%) deles não aderiram à terapêutica medicamentosa. Apesar de não se verificar associação estatística, fatores como baixo nível de rendimento, viver sozinho e ter depressão podem ter influenciado no resultado (19) e, assim, servir de alerta para os profissionais que planejam a alta hospitalar.…”