Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/106166 https://doi.org/10.3390/ijerph17010200 |
Resumo: | 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. |
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Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugalelderlypolypharmacydaily management of medicationmedication adherenceself-carenonadherence related factorsThe 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.MDPI2019-12-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/106166http://hdl.handle.net/10316/106166https://doi.org/10.3390/ijerph17010200eng1660-4601318921771660-4601Gomes, DanielPlacido, Ana IsabelMó, RitaSimões, João LindoAmaral, OdeteFernandes, IsabelLima, FátimaMorgado, ManuelFigueiras, AdolfoHerdeiro, Maria TeresaRoque, Fátimainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-23T21:34:43Zoai:estudogeral.uc.pt:10316/106166Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:37.563111Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
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 |
spellingShingle |
Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal Gomes, Daniel elderly polypharmacy daily management of medication medication adherence self-care nonadherence related factors |
title_short |
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_sort |
Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal |
author |
Gomes, Daniel |
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_role |
author |
author2 |
Placido, Ana Isabel Mó, Rita Simões, João Lindo Amaral, Odete Fernandes, Isabel Lima, Fátima Morgado, Manuel Figueiras, Adolfo Herdeiro, Maria Teresa Roque, Fátima |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
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 |
dc.subject.por.fl_str_mv |
elderly polypharmacy daily management of medication medication adherence self-care nonadherence related factors |
topic |
elderly polypharmacy daily management of medication medication adherence self-care nonadherence related factors |
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. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/106166 http://hdl.handle.net/10316/106166 https://doi.org/10.3390/ijerph17010200 |
url |
http://hdl.handle.net/10316/106166 https://doi.org/10.3390/ijerph17010200 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1660-4601 31892177 1660-4601 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134115040067584 |