Nurse interventions to improve medication adherence among discharged older adults: a systematic review

Verloo, Henk; Kiszio, Blanche; Kampel, Thomas; Santschi, Valérie

doi:10.1093/ageing/afx076

Cited by 54 publications

(44 citation statements)

References 35 publications

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“…The keywords used in the search strategy were obtained from several previous systematic reviews in the field of medication adherence . The search strategy was based on two queries that were combined together to perform the search.…”

Section: Methodsmentioning

confidence: 99%

“…The keywords used in the search strategy were obtained from several previous systematic reviews in the field of medication adherence. [21][22][23][24] The search strategy was based on two queries that were combined together to perform the search. The first search query was based on the title search using phrases such as 'medication adherence' or 'adherence to medication'.…”

Section: Search Strategymentioning

confidence: 99%

See 1 more Smart Citation

Bibliometric analysis of global publications in medication adherence (1900–2017)

Sweileh

Al-Jabi

Zyoud

et al. 2018

International Journal of Pharmacy Practice

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Section: Methodsmentioning

confidence: 99%

Section: Search Strategymentioning

confidence: 99%

Bibliometric analysis of global publications in medication adherence (1900–2017)

Sweileh

Al-Jabi

Zyoud

et al. 2018

International Journal of Pharmacy Practice

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“…The reduction of clinical outcomes in the context of HF depends on an individualized management of pharmacological and non-pharmacological interventions that observes the complexity of the proposed therapy. In addition, the research practices in future studies should include inno-vative healthcare technologies and new assessment tools that prioritize adherence to treatment (20) .…”

Section: Discussionmentioning

confidence: 99%

Fatores precipitantes de descompensação da insuficiência cardíaca relacionados a adesão ao tratamento: estudo multicêntrico-EMBRACE

Rabelo‐Silva

Saffi

Aliti

et al. 2018

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Descrever os fatores precipitantes de descompensação da insuficiência cardíaca entre pacientes aderentes e não aderentes ao tratamento. MÉTODOS Estudo transversal de uma coorte multicêntrica. Pacientes acima de 18 anos com insuficiência cardíaca descompensada (classe funcional III/IV) foram elegíveis. Para a coleta dos dados foi utilizado um questionário estruturado avaliando os motivos da descompensação. O uso irregular de medicação prévio à internação, controle inadequado de sal e líquidos foram considerados como grupo de má adesão ao tratamento. RESULTADOS Foram incluídos 556 pacientes, com idade média de 61±14 anos, 362(65%) homens. O principal fator de descompensação foi a má adesão, representando 55% da amostra. Os pacientes que referiram o uso irregular das medicações na última semana apresentaram 22% mais risco de internação por má adesão quando comparados aos pacientes aderentes. CONCLUSÃO O estudo EMBRACE demonstrou que em pacientes com insuficiência cardíaca, a má adesão mostrou-se como o principal fator de exacerbação.

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“…Likewise, non-compliance with diet is reported between 88% and 44.8% in diabetics (6, 7) and 30.9% in the hypertensive (8). Consequently, unfavorable clinical results can be generated, such as rehospitalizations, exacerbations of other chronic diseases, and higher costs in medical care (9).…”

Section: Introductionmentioning

confidence: 99%

“…Likewise, the teach-back method has demonstrate effectiveness in a broad spectrum of results of medical care, evidencing better outcomes in disease-speci c knowledge, adherence, self-e cacy among others (13). Similarly, interventions guided nurses and collaborative interventions between nursing and other members of the health staff have shown to improve moderately adherence in the elderly (9).…”

Section: Introductionmentioning

confidence: 99%

"Teaching:Individual" to Increase Adherence to Therapeutic Regimen in People with Hypertension and Type-2 Diabetes: Randomized Controlled Trial ENURSIN

Parra

Guevara

Rojas

2019

Preprint

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Background. Educational interventions with multifaceted approach have proven effective to improve adherence to the therapeutic regimen in people with chronic diseases. This study sought to evaluate the efficacy of the nursing intervention “Teaching: Individual” compared with usual care to increase adherence to therapeutic regimen and to analyze the impact of nursing interventions to decrease systolic blood pressure (SBP) and glycosylated hemoglobin (HbA1c) levels in people with hypertension and/or type-2 diabetes mellitus. Methods. This was a two-arm parallel randomized clinical trial in 200 patients from primary care programs with arterial hypertension and type-2 diabetes. The intervention was designed with a multifaceted approach and conducted individually in six sessions. For statistical analysis of SBP, a linear marginal model was used with an exchangeable correlation matrix for repeated measures, and for treatment adherence as well as generalized HbA1c estimating equations repeated measures were used with an unstructured correlation matrix, using all available data. All analyses were conducted in STATA software version 15.0. Values of p <0.05 were considered statistically significant. Results. After six months the follow up score adherence to the therapeutic regimen was higher in the “Teaching: Individual” group compared with the usual care group with a difference in the median of 0.87 points (95% CI: 0.30 to 1.44). The difference in the median of SBP between the groups was -3.79 mmHg (95% CI: -6.85 to -0.73), in favor of the group intervened. The difference in the median of HbA1c was -0.16% (95% CI: -0.41 to 0.09). The effect was not maintained at 12 months of follow up in none of the variables of interest. Conclusions. As well as in other contexts, this study determined that educational interventions with multifaceted approach leaded by nursing are effective in improving therapeutic adherence and control of tension figures in users of primary care programs with high blood pressure and type-2 diabetes. Trial Registration: ENURSIN was registered in ClinicalTrials.gov (NCT02758275) on 27 April 2016, protocol number 01. Keywords: Nursing Process; Diabetes Mellitus, Type 2; Hypertension, Patient Education as a Topic, Blood Pressure Monitoring, Ambulatory; Treatment Adherence and Compliance; Glycated Hemoglobin A.

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Nurse interventions to improve medication adherence among discharged older adults: a systematic review

Abstract: nurse-led and nurse-collaborative interventions moderately improved adherence among discharged older adults. There is a need for large, well-designed studies using highly reliable tools for measuring medication adherence.

Cited by 54 publications

References 35 publications

Bibliometric analysis of global publications in medication adherence (1900–2017)

Bibliometric analysis of global publications in medication adherence (1900–2017)

Fatores precipitantes de descompensação da insuficiência cardíaca relacionados a adesão ao tratamento: estudo multicêntrico-EMBRACE

"Teaching:Individual" to Increase Adherence to Therapeutic Regimen in People with Hypertension and Type-2 Diabetes: Randomized Controlled Trial ENURSIN

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