The Association Between Medication Adherence and Rational Drug Use Knowledge and Health Literacy in Older Adults Residing in Nursing Homes

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-01-15 DOI:10.1111/jep.14303

Nesrin İlhan, Cemile Savci, Sevinc Yildirim

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引用次数: 0

Abstract

Background

Medication adherence is a crucial factor in managing and treating chronic diseases in older adults. Health literacy (HL) skills and rational drug use (RDU) knowledge are important for individuals to make informed decisions about medication adherence behaviours.

Aim

This study was conducted to determine the association between medication adherence and rational drug use knowledge and health literacy in older adults residing in nursing homes.

Methods

The cross-sectional study was conducted with 121 older adults residing in a nursing home in Turkey. The data were collected using the Participant Information Form, the Medication Adherence Report Scale (MARS-5), the Rational Drug Use Scale (RDUS), and The Turkish version of the European Health Literacy Survey Questionnaire (HLS EUEU-Q-TR).

Results

The mean age of the older adults was 69.92 ± 6.45 years and 76.9% were male. The mean score of MARS-5 was 21.80 ± 3.55. Among older adults, 43.8% were found to have inadequate RDU knowledge, 28.9% had inadequate HL, and 46.3% had problematic-limited HL. The RDU knowledge was a statistically significant strong predictor of medication adherence (R² = 0.495, p < 0.001). The HL was a statistically significant predictor of medication adherence (R² = 0.037, p < 0.05).

Conclusion

The study found that medication adherence among older adults residing in nursing homes was moderate, RDU knowledge and HL levels were low, and medication adherence increased as RDU knowledge and HL levels increased.

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养老院老年人用药依从性与合理用药知识及健康素养的关系

背景：药物依从性是管理和治疗老年人慢性疾病的关键因素。健康素养（HL）技能和合理用药（RDU）知识对于个人就药物依从性行为做出知情决定非常重要。目的：探讨老年人合理用药知识和健康素养与药物依从性的关系。方法：对居住在土耳其一家养老院的121名老年人进行横断面研究。采用参与者信息表、药物依从性报告量表（MARS-5）、合理用药量表（RDUS）和土耳其版欧洲健康素养调查问卷（HLS EUEU-Q-TR）收集数据。结果：老年人平均年龄69.92±6.45岁，男性占76.9%。MARS-5评分平均为21.80±3.55分。在老年人中，43.8%的人发现RDU知识不足，28.9%的人有HL不足，46.3%的人有问题限制性HL。RDU知识是具有统计学意义的药物依从性强预测因子（R2 = 0.495, p 2 = 0.037, p）。结论：研究发现养老院老年人的药物依从性中等，RDU知识和HL水平较低，并且随着RDU知识和HL水平的增加，药物依从性增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.