揭示老年人用药的复杂性:严格评估坚持用药的影响

Pavan Kumar Yanamadala, Nandini Palivela, Aleena Roy, Hemalatha Yarra, Jessi Peruri, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli
{"title":"揭示老年人用药的复杂性:严格评估坚持用药的影响","authors":"Pavan Kumar Yanamadala, Nandini Palivela, Aleena Roy, Hemalatha Yarra, Jessi Peruri, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli","doi":"10.9734/ajrimps/2023/v12i4240","DOIUrl":null,"url":null,"abstract":"Background: Chronic illnesses often affect grown-ups over 60 years of age, leading to inadequate and impecunious medication adherence, which increases the risk of bleakness, hospitalization, and mortality, despite the irrefutably factual benefits of certain medications.\nAim and Objectives: To appraise the degree of drug intricacy in older patients with chronic diseases and to break down the factors impacting drug adherence among them.\nMethodology: A 10-month study involving 676 patients was carried out at the general medicine department of a tertiary hospital. Information was gathered for the study using the Morisky Medication Adherence Scale (MMAS) and the Medicine Regimen Complexity Index (MRCI).\nResults: A sample size of 676 on the whole, with 393 male patients surmounting 283 female patients. The level of intricacy was higher for the larger part of prescriptions. On the off chance that around 645 patients were prescribed more than 5 drugs. The greater part of the populace has shown good adherence (59%), trailed by moderate adherence (23%), and ultimately low adherence (18%). The intricacy of the prescription was recognized as the essential driver of non-adherence in 314 patients, and upon analyzing the responses from MRCI and MMAS scores, it was found that 156 patients on less complicated regimens exhibited moderate and 399 patients had great adherence among the total populace.\nConclusion: To further develop drug adherence in more seasoned adults, doctors ought to consider medicine class numbers, high-risk prescriptions, and multi-layered systems, including age-related, natural, and social variables.","PeriodicalId":8536,"journal":{"name":"Asian Journal of Research in Medical and Pharmaceutical Sciences","volume":"88 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Unraveling Medication Complexity in the Elderly: A Critical Assessment of Adherence Implications\",\"authors\":\"Pavan Kumar Yanamadala, Nandini Palivela, Aleena Roy, Hemalatha Yarra, Jessi Peruri, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli\",\"doi\":\"10.9734/ajrimps/2023/v12i4240\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Chronic illnesses often affect grown-ups over 60 years of age, leading to inadequate and impecunious medication adherence, which increases the risk of bleakness, hospitalization, and mortality, despite the irrefutably factual benefits of certain medications.\\nAim and Objectives: To appraise the degree of drug intricacy in older patients with chronic diseases and to break down the factors impacting drug adherence among them.\\nMethodology: A 10-month study involving 676 patients was carried out at the general medicine department of a tertiary hospital. Information was gathered for the study using the Morisky Medication Adherence Scale (MMAS) and the Medicine Regimen Complexity Index (MRCI).\\nResults: A sample size of 676 on the whole, with 393 male patients surmounting 283 female patients. The level of intricacy was higher for the larger part of prescriptions. On the off chance that around 645 patients were prescribed more than 5 drugs. The greater part of the populace has shown good adherence (59%), trailed by moderate adherence (23%), and ultimately low adherence (18%). The intricacy of the prescription was recognized as the essential driver of non-adherence in 314 patients, and upon analyzing the responses from MRCI and MMAS scores, it was found that 156 patients on less complicated regimens exhibited moderate and 399 patients had great adherence among the total populace.\\nConclusion: To further develop drug adherence in more seasoned adults, doctors ought to consider medicine class numbers, high-risk prescriptions, and multi-layered systems, including age-related, natural, and social variables.\",\"PeriodicalId\":8536,\"journal\":{\"name\":\"Asian Journal of Research in Medical and Pharmaceutical Sciences\",\"volume\":\"88 2\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian Journal of Research in Medical and Pharmaceutical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.9734/ajrimps/2023/v12i4240\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Research in Medical and Pharmaceutical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.9734/ajrimps/2023/v12i4240","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:慢性疾病经常影响 60 岁以上的老年人,导致他们服药不充分和不严格,从而增加了凄凉、住院和死亡的风险,尽管某些药物的益处是无可辩驳的事实:评估老年慢性病患者的用药复杂程度,并分析影响他们坚持用药的因素:一家三级医院的全科医学科开展了一项为期 10 个月的研究,共有 676 名患者参与。研究采用莫里斯基用药依从性量表(MMAS)和用药方案复杂性指数(MRCI)收集信息:总体样本量为 676 人,其中男性患者 393 人,女性患者 283 人。大部分处方的复杂程度较高。约有 645 名患者处方的药物超过 5 种。大部分人的用药依从性良好(59%),其次是中等依从性(23%),最后是低依从性(18%)。处方的复杂性被认为是导致 314 名患者不坚持用药的主要原因,在对 MRCI 和 MMAS 评分的反应进行分析后发现,在所有患者中,156 名接受较不复杂治疗方案的患者表现出中度依从性,399 名患者表现出高度依从性:结论:为了进一步提高老年人的用药依从性,医生应该考虑药品等级数量、高风险处方以及多层次系统,包括与年龄相关的、自然的和社会的变量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unraveling Medication Complexity in the Elderly: A Critical Assessment of Adherence Implications
Background: Chronic illnesses often affect grown-ups over 60 years of age, leading to inadequate and impecunious medication adherence, which increases the risk of bleakness, hospitalization, and mortality, despite the irrefutably factual benefits of certain medications. Aim and Objectives: To appraise the degree of drug intricacy in older patients with chronic diseases and to break down the factors impacting drug adherence among them. Methodology: A 10-month study involving 676 patients was carried out at the general medicine department of a tertiary hospital. Information was gathered for the study using the Morisky Medication Adherence Scale (MMAS) and the Medicine Regimen Complexity Index (MRCI). Results: A sample size of 676 on the whole, with 393 male patients surmounting 283 female patients. The level of intricacy was higher for the larger part of prescriptions. On the off chance that around 645 patients were prescribed more than 5 drugs. The greater part of the populace has shown good adherence (59%), trailed by moderate adherence (23%), and ultimately low adherence (18%). The intricacy of the prescription was recognized as the essential driver of non-adherence in 314 patients, and upon analyzing the responses from MRCI and MMAS scores, it was found that 156 patients on less complicated regimens exhibited moderate and 399 patients had great adherence among the total populace. Conclusion: To further develop drug adherence in more seasoned adults, doctors ought to consider medicine class numbers, high-risk prescriptions, and multi-layered systems, including age-related, natural, and social variables.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信