Loading [MathJax]/jax/output/HTML-CSS/fonts/TeX/fontdata.js

Journal List > J Korean Acad Nurs > v.43(2) > 1002907

TOOLS
Lee: Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2013; 43(2): 267-275.

Published online: 30 April 2013

DOI: https://doi.org/10.4040/jkan.2013.43.2.267

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

Jong Kyung Lee

Department of Nursing, College of Medicine, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, College of Medicine, Dankook University, San 29 Anseo-dong, Cheonan, Chungnam, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, kyunglee@dankook.ac.kr

Received 4 August 2012       Accepted 11 January 2013

© 2013 Korean Society of Nursing Science

Abstract

Purpose

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.

Keywords: Aged, Hypertension, Self-management, Medication, Education

Figures and Tables

jkan-43-267-g001
Figure 1
Research design.

Download Figure

Table 1
Homogeneity Test for General Characteristics between the Two Groups
jkan-43-267-i001

*Fisher's exact test.

Cont.=Control group; Exp.=Experimental group; OTC=over-the-counter drug; CCB=calcium channel blocker; ARB=angiotensin receptor blocker; ACEI=angiotensin converting enzyme inhibitor; BB=beta blocker.

Download Table

Table 2
Homogeneity Test for Dependent Variables between the Two Groups (N=49)
jkan-43-267-i002

Download Table

Table 3
Mean Differences in Dependent Variables between the Two Groups (N=49)
jkan-43-267-i003

Cont.=Control group (n=23); Exp=Experimental group (n=26).

Download Table

Notes

This study was supported by the research fund of Dankook University in 2011 (No.: 104131).

References

1. Aguiar PM, Balisa-Rocha BJ, Brito GC, Lyra DP Jr. Pharmaceutical care program for elderly patients with uncontrolled hypertension. J Am Pharm Assoc (2003). 2012. 52(4):515–518. http://dx.doi.org/10.1331/JAPhA.2012.11015.
2. Aguwa CN, Ukwe CV, Ekwunife OI. Effect of pharmaceutical care programme on blood pressure and quality of life in a Nigerian pharmacy. Pharm World Sci. 2008. 30(1):107–110. http://dx.doi.org/10.1007/s11096-007-9151-x.
3. Bergman-Evans B. AIDES to improving medication adherence in older adults. Geriatr Nurs. 2006a. 27(3):174–182. http://dx.doi.org/10.1016/j.gerinurse.2006.03.003.
4. Bergman-Evans B. Evidence-based guideline. Improving medication management for older adult clients. J Gerontol Nurs. 2006b. 32(7):6–14.
5. Carroll CR. Drugs in modern society. 2000. 5th ed. Boston, MA: McGraw-Hill Companies.
6. Case Management Society of America. Korea Research Group of Case Management. CMAG : Case management adherence guidelines 2.0. 2007. Seoul: Hyunmoon;(Original work published 2006).
7. Cohen J. Statistical power analysis for the behavioral sciences. 1988. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates.
8. DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW. Patient adherence and medical treatment outcomes: A meta-analysis. Med Care. 2002. 40(9):794–811. http://dx.doi.org/10.1097/01.mlr.0000024612.61915.2d.
9. Hacihasanoğlu R, Gözüm S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011. 20(5-6):692–705. http://dx.doi.org/10.1111/j.1365-2702.2010.03534.x.
10. Han JH. The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people. 2007. Seoul: Ewha Womans University;Unpublished master's thesis.
11. Han JH. Effects of medication education for elderly with low health literacy on medication knowledge and medication misuse & abuse behavior. 2011. Daegu: Keimyung University;Unpublished master's thesis.
12. Hogan DB, Kwan M. Patient sheet: Tips for avoiding problems with polypharmacy. CMAJ. 2006. 175(8):876. http://dx.doi.org/10.1503/cmaj.060888.
13. Hsu YH, Mao CL, Wey M. Antihypertensive medication adherence among elderly Chinese Americans. J Transcult Nurs. 2010. 21(4):297–305. http://dx.doi.org/10.1177/1043659609360707.
14. Kim KH, Park SH, Lee HK. A study on the factors influencing to the medication compliance of the hypertensive patient in one public health center in Seoul. Korean J Health Promot Dis Prev. 2005. 5(4):267–274.
15. Lee DY. Development and evaluation of preventive education program for medication misuse of the community dwelling elderly. 2002. Seoul: Yonsei University;Unpublished doctoral dissertation.
16. Lee JH, Park M. The effects of an education program for safe drug use in the rural elderly. J Korean Acad Nurs. 2007. 37(3):295–304.
17. Lee JK. Factors associated with drug misuse behaviors among polypharmacy elderly. Korean J Adult Nurs. 2011. 23(6):554–563.
18. Ministry of Health & Welfare. Korea national health and nutrition examination survey (KNHANES V-1). 2010. Retrieved April 5, 2012. from http://knhanes.cdc.go.kr/knhanes/index.do.
19. Murray MD, Morrow DG, Weiner M, Clark DO, Tu W, Deer MM, et al. A conceptual framework to study medication adherence in older adults. Am J Geriatr Pharmacother. 2004. 2(1):36–43.
20. Opdycke RA, Ascione FJ, Shimp LA, Rosen RI. A systematic approach to educating elderly patients about their medications. Patient Educ Couns. 1992. 19(1):43–60.
21. Park CH. Resistant hypertension: Causes and management. Korean J Med. 2009. 76(4):398–401.
22. Shen Q, Karr M, Ko A, Chan DK, Khan R, Duvall D. Evaluation of a medication education program for elderly hospital in-patients. Geriatr Nurs. 2006. 27(3):184–192. http://dx.doi.org/10.1016/j.gerinurse.2006.03.015.
23. Shin KR, Kim JS, Kim JY, Yi HR. Effects of a drug misuse and abuse prevention program on knowledge, attitude, and preventive behaviors related to drug misuse and abuse, and depression in low-income elderly women. J Korean Acad Nurs. 2005. 35(5):763–773.
24. Suh SR, Lee EH. A path model predicting medication adherence and self-care of low-income older adults with hypertension. Korean J Adult Nurs. 2011. 23(4):374–385.
TOOLS
Similar articles