Study on Evaluation of Medication Adherence and Drug Related Problems In High Risk Elderly Population

K. Binu, Binu Prasad
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Abstract

Medication adherence is a crucial component in the treatment of chronic diseases. In the elderly, clinicians are faced with a unique set of problems associated with adherence that they may not have been adequately trained for. The present study was designed to assess the socio-demographic profile, adherence and drug-related problems among elderly. Methods: An observational study involving 30 patients aged over 60 years using at least five prescription drugs and discharged from hospital. The occurrence of adherence and DRP were assessed by means of an identification tool specifically developed for use by community pharmacists, including a semi structured patient interview and a checklist of common DRP. Results: Out of 30 study subjects, it was observed that majority of the study subjects had drug related problems. High, moderate and low adherence to medication was found. Conclusion: It is evident that there is a great need on the part of health care providers to not only prescribe medications to the patients but also make a conscious effort to address the issue of non-adherence to the prescribed medications and other non-pharmacological measures. Keywords: Morisky, Drug compliance, elderly, habits, medications
老年高危人群药物依从性及药物相关问题评价研究
药物依从性是治疗慢性疾病的一个重要组成部分。在老年人中,临床医生面临着一系列与依从性相关的独特问题,他们可能没有接受过充分的培训。本研究旨在评估老年人的社会人口特征、依从性和药物相关问题。方法:一项观察性研究,涉及30例60岁以上使用至少5种处方药并出院的患者。依从性和DRP的发生通过专门为社区药剂师开发的识别工具进行评估,包括半结构化的患者访谈和常见DRP清单。结果:在30名研究对象中,观察到大多数研究对象存在与药物有关的问题。发现了高、中、低的药物依从性。结论:很明显,医疗服务提供者不仅需要给患者开药,而且需要有意识地努力解决不遵守处方药物和其他非药物措施的问题。关键词:莫里斯基;药物依从性;老年人
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