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Kim, Lee, Lee, Cho, and Hwang: Medication Status and Adherence of the Elderly under Home Care Nursing
Original Article

Journal of Korean Academy of Community Health Nursing 2011; 22(3): 290-301.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2011.22.3.290

Medication Status and Adherence of the Elderly under Home Care Nursing

Young Hee Kim1, Mi Kyoung Lee2, Sung Ja Lee3, Myung Sook Cho4, Moon Sook Hwang5

1Home Care Nursing Specialist, Home Care Nursing Part, Samsung Medical Center, Korea.

2Assistant Clinical Professor, Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

3Nursing Director, Nursing Department, Samsung Medical Center, Korea.

4Associate Professor, Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

5Assistant Professor, Department of Nursing Science, Woosuk University, Korea.

Address reprint requests to: Hwang, Moon Sook, Department of Nursing Science, Woosuk University, 443 Samnye-ro, Samnye-eup, Wanju 565-701, Korea. Tel: 82-63-291-1989, Fax: 82-63-291-1547, msyellow45@hanmail.net

Received 29 July 2011       Revised 17 September 2011       Accepted 19 September 2011

© 2011 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence.

Methods

Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul.

Results

According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035).

Conclusion

The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

Keywords: Home nursing, Aged, Medication adherence

Figures and Tables

Table 1
Medication Adherence (N=521)
jkachn-22-290-i001

†Anticoagulants except warfarin: because of regularly check by blood test and tele-counselling of hospital for the control of dosage. Medication adherence of warfarin is really 100% by pill counting and self report.

Table 2
Medication Adherence according to Demographics (N=101)
jkachn-22-290-i002

*p<.05.

Table 3
Medication Adherence according to Health related Characteristics (N=101)
jkachn-22-290-i003

ADL=activity of daily living.

*p<.05.

Table 4
Medication Adherence according to Medication related Characteristics (N=101)
jkachn-22-290-i004

†Multiple response.

Table 5
Factors Affecting Medication Adherence (N=101)
jkachn-22-290-i005

Notes

This study was financially supported by the research fund of nursing department of Samsung Medical Center.

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