黑料网

Abstract

The elderly encounter health care challenges, thus increasing their likelihood of using potentially inappropriate medications (PIM) and experiencing medication-related problems. This study aims to determine the prevalence of the use of PIM, level of medication knowledge and adherence among the nursing home residents and community-dwelling Filipino elderly. An observational cross-sectional study was performed to identify the present medications of the elderly, and the levels of medication knowledge and adherence were determined with the self-reported medication knowledge tool by Burge et al. and the Morisky medication adherence scale. A total of 163 nursing home residents (46.01%) and community-dwelling (53.99%) elderly were interviewed through a purposive technique. Polypharmacy was observed in 25.15% (n=163) respondents, majority of which are community-dwelling (63.41%, n=88). Thirty-six percent of the elderly (n=163) were moderately knowledgeable about their medications. The community-dwelling elderly (n=88) had a significantly greater mean medication knowledge than that of the nursing home residents (p<0.001). Seventy-two (44.17%, n=163) elderly had medium adherence, and no significant difference (p=0.277) on adherence between the 2 groups were found. Moreover, medication knowledge and adherence are associated with one another (p<0.001). The prevalence of PIM use (n=597) based on the 2012 Beers criteria and the PIMTaiwan criteria are 10.05% and 8.71%, respectively. According to the 2012 Beers criteria, 18 PIM were taken by 32.51% (n=163) of the elderly and the most common were aspirin, diclofenac and mefenamic acid. Based on the PIM-Taiwan criteria, 15 PIM were identified and taken by 25.77% (n=163) of the respondents. The medication utilization of Filipino elderly is average and the use of PIM is present among them.

Biography

Email: karenjulienelizo@gmail.com