How much do elders with chronic conditions know about their medications?

被引:45
|
作者
Chan, Frank Wan-kin [1 ]
Wong, Fiona Yan-yan [1 ]
So, Wing Yee [2 ]
Kung, Kenny [1 ,3 ]
Wong, Carmen Ka-man [1 ]
机构
[1] Chinese Univ Hong Kong, Prince Wales Hosp, Jockey Club Sch Publ Hlth & Primary Care, Shatin, Hong Kong, Peoples R China
[2] Prince Wales Hosp, Dept Med & Therapeut, Shatin, Hong Kong, Peoples R China
[3] Hosp Author, Dept Family Med, Lek Yuen GOPC, Shatin, Hong Kong, Peoples R China
来源
BMC GERIATRICS | 2013年 / 13卷
关键词
Medication knowledge; Side-effects; Chronic illness; Elderly; KNOWLEDGE; ADHERENCE;
D O I
10.1186/1471-2318-13-59
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Patients with chronic diseases often undertake multiple medication regimes to manage their condition, prevent complications and to maintain their quality of life. A patient's medication knowledge has been defined as the awareness of drug name, purpose, administration schedule, adverse effects or side-effects and special administration instructions. Poor medication knowledge can have a negative impact on medication adherence and patient safety and, in increasing the use of medical resources. The objective of the study is to assess the medication knowledge of elderly patients with chronic disease conditions and the factors affecting this knowledge. Methods: A cross-sectional survey was conducted in patients aged >= 60 with chronic disease conditions or their caregivers were recruited from two general outpatient clinics and two medical outpatient clinics in the public sector. Participants were approached by trained interviewers to complete a semi-structured questionnaire to assess their understanding of the instructions and information relating to their regular medications, which included medication name, regimen, purpose and common side-effects and precautions. Results: A total of 412 patients were recruited with the mean age of 72.86 +/- 7.70. Of those, 221 (54.2%) were male and 226 (55.4%) were of primary school educational level or below. The mean number of medications taken per patient was 3.75 +/- 1.93. Overall, 52.7% of patients felt that healthcare staff or clinic pharmacists had very clearly explained the administration instruction of the prescribed medications whilst 47.9% had very clear explanations of drug purpose but only 11.4% felt they had very clear explanations of side-effects. 396 patients (96.1%) failed to recall any side effects or precautions of each of their prescribed medications, although 232 patients (58.4%) would consult a doctor if they encountered problems with their medications. Logistic regression analysis showed that for every additional medication prescribed, the likeliness of patients to recall side-effects of all the medications prescribed was significantly lowered by 35% (OR = 0.65; 95% CI = 0.44-0.94; P = 0.023). In addition, those who finished secondary school or higher education were likely to possess more knowledge of side-effects (OR = 9.88; 95% CI = 2.11-46.25; P = 0.004). Conclusions: Patients who take medications for their chronic diseases generally lack knowledge on side-effects of their medications which could potentially affect medication compliance and medication safety.
引用
收藏
页数:7
相关论文
共 50 条
  • [1] How much do elders with chronic conditions know about their medications?
    Frank Wan-kin Chan
    Fiona Yan-yan Wong
    Wing Yee So
    Kenny Kung
    Carmen Ka-man Wong
    [J]. BMC Geriatrics, 13
  • [2] A health of knowledge: How much do geriatric patients know about their medical conditions and medications?
    Davies, B.
    Ahadzada, Z.
    Hoppett, P.
    Cox, E.
    Hohenberg, M.
    [J]. AUSTRALASIAN JOURNAL ON AGEING, 2019, 38 : 27 - 27
  • [3] HOW MUCH DO WE SLEEP AND HOW MUCH DO WE KNOW ABOUT SLEEP?
    Portela Ferreno, M. I.
    Pineiro Lopez, A.
    Pastor Campo, A.
    Yesayan, A.
    Rivera Baltanas, T.
    Alarcon Cedeno, R.
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2022, 60
  • [4] HOW MUCH DO YOU KNOW ABOUT DRILLING
    GOINS, WC
    [J]. WORLD OIL, 1986, 202 (05) : 92 - &
  • [5] How Much Do You Know about Halloween?
    曹萍
    [J]. 语言教育, 2005, (10) : 40 - 40
  • [6] How Much Do Nurses Know About Residents?
    Asija, Richa
    Fairbairn, Kelly
    Sachdeva, Shireen
    Kreider, Michael
    Diaz, Graal
    Rayhrer, Constanze
    [J]. AMERICAN SURGEON, 2020, 86 (10) : 1307 - 1311
  • [7] HANDWRITING - HOW MUCH DO WE KNOW ABOUT IT
    SASSOON, R
    [J]. VISIBLE LANGUAGE, 1990, 24 (02) : 137 - 143
  • [8] How Much Do You Know about Easter?
    曹萍
    [J]. 语言教育, 2005, (03) : 17 - 17
  • [9] How much do we know about astigmatism?
    Grosvenor, Theodore
    [J]. CLINICAL AND EXPERIMENTAL OPTOMETRY, 2007, 90 (01) : 3 - 4
  • [10] How Much Do You Know About China?
    $$$$
    [J]. China Today, 1996, (01) : 42 - 43