PDF
ePub
Citation
Print
Abstract
Purpose
This study investigated medication status by examining the effects of a medication management education program on the knowledge of medications and medication misuse behaviors in the elderly in a local community.
Methods
This study used a non-equivalent control group quasi-experimental design. For the study, 116 subjects were assigned to the control group and another 116 subjects were assigned to the experimental group. The medication management education program consisted of 1:1 education, practice in medication management, consultation, and discussion. Data were analyzed using the SPSS 21.0 program.
Results
Statistically significant differences were found between the experimental and control groups in terms of their knowledge of medications and medication misuse behaviors.
Conclusion
The results indicate that the medical management education program is effective in improving the knowledge of medications and decreasing medication misuse behaviors. Therefore, this education program can be used as an intervention to improve the medication behaviors of the elderly in local communities.
Figures and Tables
Table 3
Changes in Drug Misuse Scores before and after Application of the Medication Management Education Program (N=232)
References
1. Ministry of Health and Welfare. 2011 Survey on the elderly status - A nationwide survey on the elderly living status and welfare needs [Internet]. Seoul: Ministry of Health & Welfare, Korea Institute for Health and Social Affairs;2012. cited 2012 July 16. Available from: http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=030501&page=2.
2. Hajjar ER, Cafiero AC, Hanlon JT. Polypharmacy in elderly patients. Am J Geriatr Pharmacother. 2007; 5(4):345–351. http://dx.doi.org/10.1016/j.amjopharm.2007.12.002.
3. Beckman A, Parker MG, Thorsund M. Can eldery people take their medicine? Patient Educ Couns. 2005; 59:186–191.
4. Jang IS. A study on the status of drug use in elders in Kyongbuk province. J Korean Gerontol Nurs. 2007; 9(1):40–50.
5. Lee JK. Factors associated with drug misuse behaviors among polypharmacy elderly. Korean J Adult Nurs. 2011; 23(6):554–563.
6. Kim SO, Park JY, Choi YS, Lee HY, Ki JH. Control scheme of drug cost according to a sort of medical service using. Seoul: National Health Insuranc. J Korean Acad Soc Nurs Educ. 2008; 14(2):376–389.
7. Hong KL. How do you approach the consultation of medication? J Korean Soc Health Syst Pharm. 2004; 21(2):30–67.
8. Kerzman H, Baron-Epel O, Toren O. What do discharged patients know about their medication? Patient Educ Couns. 2005; 56(3):276–282.
9. 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.
10. Hope CJ, Wu J, Tu W, Young J, Murray MD. Association of medication adherence, knowledge, and skills with emergency department visits by adults 50 years or older with congestive heart failure. Am J Health Syst Pharm. 2004; 61(19):2043–2049.
11. Kim YH, Lee MK, Lee SJ, Cho MS, Hwang MS. Medication status and adherence of the elderly under home care nursing. J Korean Acad Community Health Nurs. 2011; 22(3):290–301.
12. Park M. Drug use in the elderly. J Korean Acad Fundam Nurs. 2008; 15(2):195–205.
13. 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.
14. Lee JH, Park MH. The effects of an education program for safe drug use in the rural elderly. J Korean Acad Nurs. 2007; 37(3):295–304.
15. Lee DY. Development and evaluation of preventive education program for medication misuse of the community dwelling elderly [master's thesis]. Seoul: Yonsei University;2002. 123.
16. Kim YJ. The effects of an education program on the knowledge of medication and prevention of depression in the elderly with chronic disease at a local community. J Korean Acad Community Health Nurs. 2011; 22(4):399–408.
17. Ellor JR, Kurz DJ. Misuse and abuse of prescription and nonprescription drugs by the elderly. Nurs Clin North Am. 1982; 17(2):319–330.
18. Park BY. General pattern of drug use in the elder [master's thesis]. Seoul: Chungang University;2003. 35.
19. Han KS, Moon SY, Park HO, Park EH. The survey on the drug use status, knowledge and attitude of college students (Seoul and northern part of the Kyunggi-do). J Korean Acad Soc Nurs Educ. 2000; 6(2):376–389.
20. Hong YS. A study on medications information, usage and misusage on ambulatory elderly patients of a public hospital [master's thesis]. Seoul: Hanyang University;2009. 69.
21. Bergman-Evans B. AIDES to improving medication adherence in older adults. Geriatr Nurs. 2006; 27(3):174–182.
22. Kim MS, Lee JE. Comparing the elderly patients' drug misuse and abuse behavior between ordinary patients and low-income elderly patients. Korean Rev Crisis Emerg Manage. 2011; 3(2):18–39.
23. Lee JK. Evaluation of a medication self-management education program for elders with hypertension living in the community. J Korean Acad Nurs. 2013; 43(2):267–275. http://dx.doi.org/10.4040/jkan.2013.43.2.267.
24. Bernsten C, Bjorkman I, Caramona M, Crealey G, Frokjaer B, Grundberger E, et al. Improving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care: A multicentre study in seven european countries. Drugs Aging. 2011; 18(1):63–77.
25. Grymonpre RE, Williamson DA, Montgomery PR. Impact of a pharmaceutical care model for non-institutionalised elderly: Results of a randomised controlled trial. Int J Pharm Pract. 2001; 9(4):235–241.
26. Modig S, Kristensson J, Ekwall AK, Hallberg IR, Midlov P. Frail elderly patients in primary care-their medication knowledge and beliefs about prescribed medicines. Eur J Clin Pharmacol. 2008; 65(2):151–155. http://dx.doi.org/10.1007/s00228-008-0581-8.
XML Download