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Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal
The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on me...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981635/ https://www.ncbi.nlm.nih.gov/pubmed/31892177 http://dx.doi.org/10.3390/ijerph17010200 |
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author | Gomes, Daniel Placido, Ana Isabel Mó, Rita Simões, João Lindo Amaral, Odete Fernandes, Isabel Lima, Fátima Morgado, Manuel Figueiras, Adolfo Herdeiro, Maria Teresa Roque, Fátima |
author_facet | Gomes, Daniel Placido, Ana Isabel Mó, Rita Simões, João Lindo Amaral, Odete Fernandes, Isabel Lima, Fátima Morgado, Manuel Figueiras, Adolfo Herdeiro, Maria Teresa Roque, Fátima |
author_sort | Gomes, Daniel |
collection | PubMed |
description | The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on medication adherence by home-dwelling polymedicated elderly people. A questionnaire on adherence, managing, and beliefs of medicines was applied to polymedicated patients with ≥65 years old, in primary care centers of the central region of Portugal. Of the 1089 participants, 47.7% were considered nonadherent. Forgetfulness (38.8%), difficulties in managing medication (14.3%), concerns with side effects (10.7%), and the price of medication (9.2%) were pointed as relevant medication nonadherence-related factors. It was observed that patients who had difficulties managing medicines, common forgetfulness, concerns with side effects, doubting the need for the medication, considered prices expensive, and had a lack of trust for some medicines had a higher risk of being nonadherent. This study provides relevant information concerning the daily routine and management of medicines that can be useful to the development of educational strategies to promote health literacy and improve medication adherence in polymedicated home-dwelling elderly. |
format | Online Article Text |
id | pubmed-6981635 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69816352020-02-03 Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal Gomes, Daniel Placido, Ana Isabel Mó, Rita Simões, João Lindo Amaral, Odete Fernandes, Isabel Lima, Fátima Morgado, Manuel Figueiras, Adolfo Herdeiro, Maria Teresa Roque, Fátima Int J Environ Res Public Health Article The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on medication adherence by home-dwelling polymedicated elderly people. A questionnaire on adherence, managing, and beliefs of medicines was applied to polymedicated patients with ≥65 years old, in primary care centers of the central region of Portugal. Of the 1089 participants, 47.7% were considered nonadherent. Forgetfulness (38.8%), difficulties in managing medication (14.3%), concerns with side effects (10.7%), and the price of medication (9.2%) were pointed as relevant medication nonadherence-related factors. It was observed that patients who had difficulties managing medicines, common forgetfulness, concerns with side effects, doubting the need for the medication, considered prices expensive, and had a lack of trust for some medicines had a higher risk of being nonadherent. This study provides relevant information concerning the daily routine and management of medicines that can be useful to the development of educational strategies to promote health literacy and improve medication adherence in polymedicated home-dwelling elderly. MDPI 2019-12-27 2020-01 /pmc/articles/PMC6981635/ /pubmed/31892177 http://dx.doi.org/10.3390/ijerph17010200 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gomes, Daniel Placido, Ana Isabel Mó, Rita Simões, João Lindo Amaral, Odete Fernandes, Isabel Lima, Fátima Morgado, Manuel Figueiras, Adolfo Herdeiro, Maria Teresa Roque, Fátima Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title | Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title_full | Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title_fullStr | Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title_full_unstemmed | Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title_short | Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
title_sort | daily medication management and adherence in the polymedicated elderly: a cross-sectional study in portugal |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981635/ https://www.ncbi.nlm.nih.gov/pubmed/31892177 http://dx.doi.org/10.3390/ijerph17010200 |
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