Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
Notice bibliographique
Résumé
Background: Medication adherence is an important factor that influences the therapeutic outcomes. An elderly will generally receive more prescriptions than the other age groups in the population. Due to cognitive impairment in elderly, as well as multiple and complex medication regimens, this leads to the risk of medication nonadherence. Accordingly, this study aimed to determine medication adherence among multi-ethnic community-dwelling elderly in Selangor. Barriers and belief towards medication as well as awareness towards the use of medicine were also assessed. Besides that, this study evaluated the correlation between medication adherence and cognitive functions of the community-dwelling elderly people in Malaysia. The predictors of non-adherence were also determined in this study. Materials and Methods: A cross-sectional study, involving the elderly prescribed with medicines, was conducted in Selangor from September to December 2016. A 71-item validated questionnaire, including eight items Morisky Medication Adherence Scale (MMAS-8), belief about medicine (BaMQ), Ministry Mental Examination State (MMSE) and Montreal Cognitive Assessment (MoCA), was employed. Results: One hundred and fifty elderly with a median age of 70 were recruited in this study. Thirty-two percent (n=48) of the respondents received at least five prescribed medications. About 58.7% (n=88) of the elderly reported with low adherence level with a mean score of 4.37 ± 1.46. More than three quarter (80%, n=121) of the elderly had a problem to differentiate between active ingredient and brand name of a medication. Mean necessity score was significantly higher than mean concern score (p < 0.001). The medication adherence score was negatively correlated (r=-0.220) with the concerns score (p=0.007). Age (r=0.289, p<0.001) also found to had positive but poor correlation between medication adherence. There was no significant correlation between medication adherence and cognitive functions either using Mini Mental State Examination (MMSE) score or Montreal Cognitive Assessment (MoCA) score. Concern score in belief towards medication and age were identified as the predictors of medication adherence among the community-dwelling elderly in Selangor. Conclusion: Medication adherence among elderly is a complex process. It is essential to understand the determinants and barriers to medication adherence in order to optimise medication adherence and provide education if necessary.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».