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Original Article
- Medication Status and Adherence of the Elderly under Home Care Nursing
- Young Hee Kim, Mi Kyoung Lee, Sung Ja Lee, Myung Sook Cho, Moon Sook Hwang
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Journal of Korean Academy of Community Health Nursing 2014;22(3):290-301.
DOI: https://doi.org/10.12799/jkachn.2011.22.3.290
Published online: April 4, 2014
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.
• Received: July 29, 2011 • Revised: September 17, 2011 • Accepted: September 19, 2011
© 2011 Korean Academy of Community Health Nursing
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.
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Abstract
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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.
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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.
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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).
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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.
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This study was financially supported by the research fund of nursing department of Samsung Medical Center.
NOTES
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