Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

Factors Associated with Drug Misuse Behaviors among Polypharmacy Elderly

다약제 복용 노인의 약물 오용 행위에 영향을 미치는 요인

  • Received : 2011.08.22
  • Accepted : 2011.12.08
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate factors associated with drug misuse behaviors among polypharmacy elderly. Methods: This was a cross-sectional survey. Participants consisted of 116 polypharmacy elderly who were taking 5 or more medications each day. Data were collected via face to face interviews. Data were analyzed using the PASW 18.0 program. Data concerning predisposing factor (knowledge, benefit), enabling factor (communication with health care provider), and need factor (perceived health status, number of disease) were collected. Results: The total mean score of drug misuse behaviors among polypharmacy elderly was 3.04 out of 10 points. Communication with health care provider, perceived health status, and knowledge were found to be significantly correlated with drug misuse behaviors. In stepwise multiple regression analysis, a total of 42% of the variance in drug misuse behaviors was accounted for communication with health care provider, perceived health status, and knowledge. Conclusion: Therefore, education program for improving communication with health care provider, and knowledge should be designed and provided for polypharmacy elderly.

Keywords

References

  1. Barat, I., Andreasen, F., & Damsgaard, E. M. (2001). Drug therapy in the elderly: What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51, 615-622.
  2. Blalock, S. J., Byrd, J. E., Hansen, R. A., Yamanis, T. .J., McMullin, K., Devellis, B. M., et al. (2005). Factors associated with potentially inappropriated drug utilization in a sample of rural community-dwelling older adults. American Journal of Geriatric Pharmacotherapy, 3 (3), 168-179.
  3. Clifford, S., Barber, N., & Home, R. (2008). Understanding different beliefs held by adherers, unintentional nonadherers and intentional nonadherers: Application of the necessity-concerns framework. Journal of Psychosomatic Research, 64 , 41-46.
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, Inc, New Jersey.
  5. Hajjar, E. R., Cafiero, A. C., & Hanlon, J. T. (2007). Polypharmacy in elderly patients. American Journal of Geriatric Pharmacotherapy, 5 (4), 345-351.
  6. Hogan, D. B., & Kwan, M. (2006). Patient sheet: Tips for avoiding problems with polypharmacy. Canadian Medical Association Journal, 175, 876.
  7. Hong, Y. S. (2009). A study on medication information, usage, and misusage on ambulatory elderly patients of a public hospital. Unpublished master's thesis, Hanyang University, Seoul.
  8. Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14 , 1-24.
  9. Junius-Walker, U., Theile, G., & Hummers-Pradier, E. (2007). Prevalence and predictors of polypharmacy among older primary care patients in Germany. Family Practice, 24 , 14-19.
  10. Kerzman, H., Baron-Epel, O., & Toren, O. (2005). What do discharged patients know about their medication? Patient Education Counseling, 56 (3), 276-282.
  11. Kim, J. E. (2005) A study on the status of drug use and the related factors of the elderly. Unpublished master's thesis, Hanyang University, Seoul.
  12. Lee, D. Y. (2001). Development and evaluation of preventive education program for medication misuse of the community dwelling elderly. Unpublished doctoral dissertation, Yonsei University, Seoul.
  13. Lee, J. S., Lee, J. E., Jung, Y., Ma, S. H., Kim, M. Y., Yoo, S. H., et al. (2008). Polypharmacy and inappropriate drug prescription in community-dwelling elderly. Journal of Korean Academy Family Medicine, 29 (12), 925-931.
  14. Lee, S., & Park, M. (2010). A study on health literacy, medication knowledge, and medication misuse of rural elderly. Journal of the Korean Gerontological Society, 30, 485-497.
  15. Lee, Y. H., & Ko, S. H. (2000). A study on drug use and related factors of the elderly. Journal of the Korean Gerontological Society, 20 , 195-208.
  16. Modig, S., Kristensson, J., Ekwall, A. K., Hallberg, I. R., & Midlov, P. (2008). Frail elderly patients in primary care-their medication knowledge and beliefs about prescribed medicines. European Journal of Clinical Pharmacology, 65 (2), 151-155.
  17. Neame, R., & Hammond, A. (2005). Beliefs about medications: A questionnaire survey of people with rheumatoid arthritis. Rheumatology, 44 , 762-767.
  18. Park, M. (2008). Drug use in the elderly. Journal of Korean Academy Fundamental Nursing, 15 (2), 195-205.
  19. Park. S. A., Lee, H. S., Lee, S. H., & Wie, J. H. (1998). Drug use and its related factors of the elderly in a rural and urban area. Journal of the Korean Geriatric Society, 1 (2) 104-119.
  20. Park, S. H. (2009). A study on Drug Abuse among the Elderly. Unpublished master's thesis, Hannam University, Daejeon.
  21. Rossi, M. I., Young, A., Maher, R., Rodriguez, K. L., Appelt, A. J., Perera, S., et al. (2007). Polypharmacy and health beliefs in older outpatients. American Journal of Geriatric Pharmacotherapy, 5 (4), 317-323.
  22. Rottlaender, D., Scherner, M., Schneider, T., & Erdmann, E. (2007). Polypharmacy, compliance, and non-prescription medication in patients with cardiovascular disease in Germany. Deutsche Medizinsche Wochenschrift, 132 (4), 139-144. https://doi.org/10.1055/s-2007-959300
  23. Shen, Q., Karr, M., Ko, A. Chan, D., Khan, R., & Duvall, D. (2006). Evaluation of a medication education program for elderly hospital in-patients. Geriatric Nursing, 27 (3), 184-192.
  24. Steinman, M. A., Landefeld, C. S., Rosenthal, G. E., Berthenthal, D., Sen, S., & Kaboli, P. J. (2006). Polypharmacy and prescribing quality in older people. Journal of American Geriatrics Society, 54, 1516-1523.
  25. WHO Regional Office for Europe. (1996). Health Interview Surveys: Towards International Harmonization of Methods and Instruments, WHO Regional Publications European Series, 5, 1-170. http://www.euro.who.int/_data/assets/pdf_file/0017/111149/E72841.pdf