Medication adherence in elderly people integrated in the long-term care domiciliary teams

Detalhes bibliográficos
Autor(a) principal: Monterroso, Lígia Eduarda Pereira
Data de Publicação: 2015
Outros Autores: Joaquim, Natércia, Sá, Luís Octávio de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.14/19769
Resumo: Theoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion: The low level of MA is influenced by cognitive factors that should be considered while planning interventions to promote the MA among the elderly.
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spelling Medication adherence in elderly people integrated in the long-term care domiciliary teamsAdesão do regime terapêutico medicamentoso dos idosos integrados nas equipas domiciliárias de cuidados continuadosAdhesión al régimen terapéutico de medicamentos de los ancianos integrados en los equipos de atención continuada domiciliariaAdesão à medicaçãoIdosoMedication adherenceElderlyAdhesión a la medicaciónAncianoTheoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion: The low level of MA is influenced by cognitive factors that should be considered while planning interventions to promote the MA among the elderly.Enquadramento: O aumento das patologias e co-morbilidades implica a polimedicação, podendo interferir na Adesão ao Regime Terapêutico Medicamentoso (ARTM) dos idosos. Objetivos: Descrever características sociodemográficas, económicas dos idosos apoiados pelas Equipas de Cuidados Continuados Integrados; caracterizar o nível de ARTM da população estudada; identificar variáveis que influenciam a não-adesão. Metodologia: Estudo descritivo/exploratório e correlacional, método quantitativo, amostra: 55 idosos. Resultados: Amostra com 78±7,9 anos, maioritariamente feminina (69,1%). Através da escala de medida de adesão ao tratamento verifica-se que 72,2% dos idosos não aderem à terapia medicamentosa e, 83,6% tomam três ou mais fármacos. No índice de Katz 25,5% dos idosos são muito dependentes; no Mini-exame do Estado Mental 47,3% têm alteração demencial moderada; na escala de depressão geriátrica 45,5% têm depressão moderada. O nível de ARTM apenas apresenta associação estatisticamente significativa com o estado mental, os indivíduos que apresentam alteração demencial têm pior nível de adesão. Conclusão: O baixo nível de ARTM é influenciado por fatores cognitivos que devem ser considerados no planeamento de ações promotoras para aumentar a ARTM nos idosos.Marco contextual: El aumento de las enfermedades y las comorbilidades implica la polimedicación, que puede interferir en la adhesión al ARTM (régimen terapéutico de medicamentos) de los ancianos. Objetivos: Describir las características sociodemográficas y económicas de las personas mayores con el apoyo de los Equipos de Atención Continuada Integrada; caracterizar el nivel de ARTM de la población del estudio, e identificar las variables que influyen en la falta de adhesión. Metodología: Estudio descriptivo/exploratorio y correlacional, método de estudio cuantitativo y muestra de 55 ancianos. Resultados: Muestra con 78±7,9 años, mayoritariamente, mujeres (69,1%). A través de la escala de medición de adhesión al tratamiento, se encontró que el 72,7% de las personas mayores no se adhieren a ARTM y el 83,6% toma tres o más fármacos. En el índice de Katz, el 25,5% de los ancianos es muy dependiente; en el Mini Examen del Estado Mental, el 47,3% presenta trastorno demencial moderado, y, en la escala de depresión geriátrica, el 45,5% tiene una depresión moderada. El nivel del ARTM solo presenta una asociación estadísticamente significativa con el estado mental. Se puede decir que los individuos que tienen un trastorno demencial tienen un nivel de adhesión peor. Conclusión: El bajo nivel de la ARTM se ve influenciado por factores cognitivos que deben tenerse en cuenta en la planificación de acciones que promuevan el aumento de el ARTM en los ancianos.Escola Superior de Enfermagem de CoimbraVeritati - Repositório Institucional da Universidade Católica PortuguesaMonterroso, Lígia Eduarda PereiraJoaquim, NatérciaSá, Luís Octávio de2016-04-19T18:07:25Z20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.14/19769porMonterroso, L., Joaquim, N., & Sá, L. (2015). Medication adherence in elderly people integrated in the Long-Term Care domiciliary teams. Revista de Enfermagem Referência, Nº5(IV Série), 9–16. https://doi.org/10.12707/riv140470874-028310.12707/RIV140472182-288385056580173info: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:RCAAP2023-09-19T01:40:20Zoai:repositorio.ucp.pt:10400.14/19769Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:15:02.738938Repositório 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 Medication adherence in elderly people integrated in the long-term care domiciliary teams
Adesão do regime terapêutico medicamentoso dos idosos integrados nas equipas domiciliárias de cuidados continuados
Adhesión al régimen terapéutico de medicamentos de los ancianos integrados en los equipos de atención continuada domiciliaria
title Medication adherence in elderly people integrated in the long-term care domiciliary teams
spellingShingle Medication adherence in elderly people integrated in the long-term care domiciliary teams
Monterroso, Lígia Eduarda Pereira
Adesão à medicação
Idoso
Medication adherence
Elderly
Adhesión a la medicación
Anciano
title_short Medication adherence in elderly people integrated in the long-term care domiciliary teams
title_full Medication adherence in elderly people integrated in the long-term care domiciliary teams
title_fullStr Medication adherence in elderly people integrated in the long-term care domiciliary teams
title_full_unstemmed Medication adherence in elderly people integrated in the long-term care domiciliary teams
title_sort Medication adherence in elderly people integrated in the long-term care domiciliary teams
author Monterroso, Lígia Eduarda Pereira
author_facet Monterroso, Lígia Eduarda Pereira
Joaquim, Natércia
Sá, Luís Octávio de
author_role author
author2 Joaquim, Natércia
Sá, Luís Octávio de
author2_role author
author
dc.contributor.none.fl_str_mv Veritati - Repositório Institucional da Universidade Católica Portuguesa
dc.contributor.author.fl_str_mv Monterroso, Lígia Eduarda Pereira
Joaquim, Natércia
Sá, Luís Octávio de
dc.subject.por.fl_str_mv Adesão à medicação
Idoso
Medication adherence
Elderly
Adhesión a la medicación
Anciano
topic Adesão à medicação
Idoso
Medication adherence
Elderly
Adhesión a la medicación
Anciano
description Theoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion: The low level of MA is influenced by cognitive factors that should be considered while planning interventions to promote the MA among the elderly.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01T00:00:00Z
2016-04-19T18:07:25Z
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dc.relation.none.fl_str_mv Monterroso, L., Joaquim, N., & Sá, L. (2015). Medication adherence in elderly people integrated in the Long-Term Care domiciliary teams. Revista de Enfermagem Referência, Nº5(IV Série), 9–16. https://doi.org/10.12707/riv14047
0874-0283
10.12707/RIV14047
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dc.publisher.none.fl_str_mv Escola Superior de Enfermagem de Coimbra
publisher.none.fl_str_mv Escola Superior de Enfermagem de Coimbra
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