Medication adherence and related determinants in older people with multimorbidity: A cross-sectional study.
Nurs Forum
; 56(4): 834-843, 2021 Oct.
Article
en En
| MEDLINE
| ID: mdl-34076260
ABSTRACT
AIM:
Identify the medication adherence determinants in older adults with multimorbidity and polypharmacy. MATERIALS ANDMETHODS:
A cross-sectional study was conducted in a non-probabilistic sample of 245 adults ≥65 years recruited in a general medical ward of one teaching hospital. Data were collected during hospital stay using a face-to-face interview based on a set of validated questionnaires, such as the measure treatment adherence, the beliefs about medicines questionnaire-specific and the geriatric depression scale. Descriptive and multiple linear regression analysis were performed.RESULTS:
Participants' mean age was 78.32 (SD 6.95) years and 50.6% were women. Older adults lived with an average of 7.51 (SD 1.95) chronic conditions and had a mean of 7.95 (min. 4; max. 18) medications prescribed. The proportion of older adults adherent to medication was 43.7%. Depression ( ß = -0.142; p = 0.031), beliefs about treatment necessity ( ß = 0.306; p = 0.001) and concerns about the medication ( ß = -0.204; p = 0.001) were found as independent determinants of adherence.CONCLUSION:
Self-reported medication non-adherence appears to be common in older adults with multimorbidity and polypharmacy. Depression, necessity and concerns should be considered when assessing medication non-adherence in practice. This study will also contribute to develop an intervention to manage adherence in older people, as part of a doctoral research project.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cumplimiento de la Medicación
/
Multimorbilidad
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Nurs Forum
Año:
2021
Tipo del documento:
Article
País de afiliación:
Portugal