Patterns of medication use and adherence to medications among residents in the elderly homes: Adherence to medications among elderly patients
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Objective: To evaluate health care related to medication regimens among institutionalized elders in Damanhour, Beheira Governate, Egypt. Methods: A prospective, multi-centered, observational study was conducted in the two elderly residential homes in Damanhour between March and May 2017. A questionnaire was developed and validated to test for elderly socio-economic, chronic diseases, current therapy adherence, vaccination history and patient education. Descriptive and quantitative analysis were performed. Results: sixty-three elderly residents were included in the study. The sample showed broad socioeconomic variability posing a true reflection of Egyptian population. 63.5% had no hearing problems, 31.7% had proper vision and 57% could move with no help. More than three quarters had chronic diseases of which 58.7% were previously hospitalized. The most prevalent diseases were hypertension, diabetes and arthritis 46%, 41.3%, 26.9% respectively. Only 7.9% and 4.7% showed chronic liver and kidney diseases, respectively and less than 10% suffered from respiratory related diseases. No alcohol drinker, 25.3% were smokers and 58.7% drank caffeine. Only 25.3% of residents showed full adherence to their medication pattern. Approximately 80% of residents never received proper patient education. Forty-three residents did not know the indication of their medications and 92% ignored its side effects. Conclusion: Absence of proper medical care exposure for the elderly residents was reflected in their low medication adherence, adverse side effects and hospitalization. We suggest extension of the national medical insurance system to include larger number of elderly population. To monitor the care given concerning medication, a daily resident gerontological nurse needs to be assigned, visits by clinical pharmacists weekly or bi-weekly from the nearby governmental hospital can improve improper medication. doi: https://doi.org/10.12669/pjms.36.4.1923 How to cite this:Algameel M. Patterns of Medication use and adherence to medications among residents in the elderly homes. Pak J Med Sci. 2020;36(4):729-734. doi: https://doi.org/10.12669/pjms.36.4.1923 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Adherence among elderly people remains suboptimal, ranging from 25% in institutionalized settings to over 90% in controlled care.
“However, adherence among elderly people remains suboptimal, ranging from 25% in institutionalized settings to over 90% in controlled care [4,5].”
From Multilevel Interventions to Improve Medication Adherence in Older Adults: A Systematic Review and Meta-Analysis of Cognitive, Digital, Behavioral, and Socioeconomic Strategies (2015–2025) (2026) · cites this paper as [4]
The Results (Table III) report that 25.3% of the 63 elderly-home residents were fully adherent, supporting the institutionalized-setting figure. The paper does not report adherence above 90% in controlled care, so it does not support the other end of the claimed range. (LLM, conf=0.88)
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- Authors
- AlGameel, M.
- Affiliations
- Prince Sattam Bin Abdulaziz University (SA)
- Corresponding author
- AlGameel, Magda
- Venue
- Pakistan Journal of Medical Sciences
- Publisher
- Pakistan Journal of Medical Sciences
- Published
- 2020-05-14
- Volume
- 36
- Issue
- 4
- Pages
- 729-734
- ISSN
- 1681-715X (ISSN-L)
- 1682-024X
- PMC
- PMC7260901
- OpenAlex
- W3020008951
- Cited by
- 18
- References
- 16
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 2 · 2022: 1 · 2020: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Pakistan Journal of Medical Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- medication adherence, medication use patterns, institutionalized elderly, nursing homes, older adults, chronic disease, hypertension, diabetes mellitus, arthritis, patient education, adverse drug reactions, history of vaccination, socioeconomic status, geriatric nursing, clinical pharmacists, Egypt, Damanhour, Beheira Governorate, hospitalization, functional status, smoking and alcohol
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