Nursing Intervention Program to Improve Adherence of Elderly Patients with Chronic Diseases Toward their Medication

Document Type : Original Article

Authors

1 Community Health Nursing/faculty of Nursing /Beni-Suef University

2 CHN-BENI-SUEF

3 community health nursing, faculty of nursing, Beni-Suef university

Abstract

Background: Medication adherence is becoming increasingly crucial for older people, due to its potential to impact healthcare utilization and treatment efficacy. Aim: was to improve medication adherence of elderly patients with chronic diseases. Design: A Quasi experimental design pre and post-test was utilized to achieve the study aim. Setting conducted at out-patient clinics at Beni-Suef university hospital. Subjects: A convenience sample composed of 106 elderly patients with chronic diseases. Tools: three tools were used; (I) Structured interviewing questionnaire, which includes, socio-demographic characteristics of the elderly patients, medical history, knowledge of elderly patients about chronic disease and medications, and factors affecting adherence of elderly patients toward their medications (II) Morisky medication adherence scale .(III) Drug attitude inventory scale. Results: There was a highly statistically significant improvement in the mean of total score of knowledge and attitude toward medication adherence pre and post program. There was a highly statistically significant difference of mean total score of morisky medication adherence scale pre and post program. Conclusion: The study concluded that, there was a highly statistically significant difference between items of medication adherence, knowledge and attitude of elderly patients with chronic diseases toward their medication with pre and post program. Finally there was a highly statistically significant positive correlation between total knowledge, total attitude and total medication adherence of studied elderly pre and post program Recommendations: Implementing health education programs that emphasize medication compliance and modern technologies for older patients, including Pill-Box, Automatic Pill Dispenser, and Draft a Calendar for better recall and follow-up.

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