Effect of Educational Program about Medication Considerations on Promoting Quality of Pharmacotherapy among Elderly with Multi-Morbidity | ||
| Tanta Scientific Nursing Journal | ||
| Volume 32, Issue 1, February 2024, Pages 104-127 PDF (717.99 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2024.349134 | ||
| Authors | ||
| Nadia Ismail El Saeid Al Dosokey Azzam1; Amaal Mohamed El-Zeftawy2; Lulah Abdelwahab Abdelatey Hassan2; Samar Ahmed Mekled3 | ||
| 1Assistant Lecturer of Community Health Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 2Professor of Community Health Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 3Lecturer of Community Health Nursing Department, Faculty of Nursing, Tanta University, Egypt | ||
| Abstract | ||
| Background: The drug related problems are common among elderly especially those with multi morbidity who are involved in complex drug regimen. So, there is greater focus on medication considerations that help them in proper medication use. Study design: A quasi-experimental study design was selected in this study. Study settings: This study was carried out at the Health Insurance Hospital outpatient clinics at Tanta city, Dar El Saada Geriatric Home in Tanta city and outpatient clinics of Tanta University (Medical, Orthopedic, Urology and Ophthalmology). Study subjects: A convenience sample of 75 elderly patients who attended the previously mentioned settings was included in the study. Study tools: Three tools were utilized in this study: Tool I: A structured interview schedule: Part 1: Socio-demographic characteristics of the studied elderly. Part 2: Medical history of the studied elderly. Tool II: BASNEF Model Based Questionnaire: Part 1: Beliefs about Medicines Questionnaire (BMQ). Part 2: Drug Attitude Inventory (DAI). Part 3: Assessment of Subjective Norms. Part 4: Assessment of Enabling Factors. Tool III: Medication Management Instrument for Deficiencies in Elderly (MEDMAIDE). Results: There was statistically significant improvement on elderly beliefs about medication, their attitude toward medication, overall influential motivator for appropriate medication use, the enabling factors and medication management deficiency in all phases of evaluation pre, immediately and three months follow up after program implementation. Conclusion and recommendations: The BASNEF model based educational program was effective in improving the elderly patients' beliefs and attitude toward medication, overall influential motivator and the enabling factors which support them. Therefore, the community health nurse should assess the multi-morbid elderly and organize health education programs based on BASNEF model about safe medication use among them. | ||
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