Assessment of Older Adults' Knowledge and Attitudes towards Polypharmacy | ||||
Mansoura Nursing Journal | ||||
Volume 9, Issue 2, July 2022, Page 37-51 PDF (1.4 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mnj.2022.292871 | ||||
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Authors | ||||
Heba Shawkey1; Sageda Ali2; Soad Abd Elhameed2 | ||||
1B. Sc in Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
2Gerontological Nursing Department , Faculty of Nursing, Mansoura University, Egypt | ||||
Abstract | ||||
Background: Oder adults are more prone to polypharmacy that much more complex than just the number of medications. Poor medication knowledge can have a negative impact on medication adherence and patient safety. Older adult's attitudes about medications are a major determinant of patients’ behaviors. Aim: Assess older adults' knowledge and attitudes towards polypharmacy. Design: Descriptive cross sectional design was used .Setting: This study was conducted at health insurance and health maintenance expense pharmacies in Bany Ebied Specialty hospital and Dikrnes General hospital in Dakahlia Governorate. Subjects: A purposive sample of 352 geriatric patients with polypharmacy was enrolled in the study. Tools: Data was collected using 3 tools; Demographic data and Medications information, Medication Knowledge evaluation questionnaire and Patients' Attitudes towards Deprescribing questionnaire. Results: Age of the studied older adults' patients ranged from 60 to 89 years, with a mean age of 68.35±6.017 year, males were more prevalent. Among the studied older adults 63.1%have insufficient knowledge about their medication. Majority of older adult patients(65.9%) agree with feeling having a large amount of medication, 69.6% not agree with feeling comfort with the number of their medications and 67.0% of older adults would to stop one or more of their medication to pay fewer. In addition, a strong negative correlation was found between older adult age and mean of knowledge (P=.000**)and positive correlation was found between educational level and mean of knowledge(P= .000**), there is no statistical significant relation was found between willing to deprescribe and older adult age (P= .348). Conclusion: Older adults knowledge about their medications was low and majority of them would to stop one or more of their medication. Recommendation: Designing an educational program for improving understanding of the pharmacotherapy should be implemented with the use of designs, colors and symbols to improve older adults' knowledge and attitudes about pharmacotherapy. | ||||
Keywords | ||||
Polypharmacy; older adults; knowledge; Attitude | ||||
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