Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study
Abstract Background Various factors are related to self-management of medication. However, few reports comprehensively examine the factors related to patients, medication levels, and other factors related to the recuperative environment, such as family support. The aim of this study was to investiga...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Journal of Pharmaceutical Health Care and Sciences |
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| Online Access: | https://doi.org/10.1186/s40780-021-00194-y |
| _version_ | 1818676470946463744 |
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| author | Eiji Kose Hidetatsu Endo Hiroko Hori Shingo Hosono Chiaki Kawamura Yuta Kodama Takashi Yamazaki Nobuhiro Yasuno |
| author_facet | Eiji Kose Hidetatsu Endo Hiroko Hori Shingo Hosono Chiaki Kawamura Yuta Kodama Takashi Yamazaki Nobuhiro Yasuno |
| author_sort | Eiji Kose |
| collection | DOAJ |
| description | Abstract Background Various factors are related to self-management of medication. However, few reports comprehensively examine the factors related to patients, medication levels, and other factors related to the recuperative environment, such as family support. The aim of this study was to investigate factors affecting the continuation of medication self-management among hospitalized older adults receiving convalescent rehabilitation. Methods We conducted a retrospective observational study with 274 consecutive patients newly admitted to the convalescent rehabilitation wards at a single hospital in Japan between January 2017 and May 2018. Participants who were assessed for their ability to take their medication using the Japanese Regimen Adherence Capacity Tests, were deemed to be self-manageable, and were able to successfully continue to self-manage their medication from admission to discharge were categorized as the “continuation group,” and those who were not able to continue were categorized as the “non-continuation group.” We analyzed the groups’ demographic data, laboratory data, and Functional Independence Measure. The primary outcome was the continuation of medication self-management from admission to discharge. Results After enrollment, 134 patients (median age 82 years; 62.7% women) were included in the final analysis. Some 60.4% of eligible patients were able to maintain medication self-management during their hospitalization. The multiple logistic regression analysis for the continuation of medication self-management during hospitalization after adjusting for confounding factors revealed that pharmacist medication instructions were independently and positively correlated with successful continuation of medication self-management (odds ratio: 1.378; 95% confidence interval 1.085–1.831; p = 0.0076). Conclusion Successful continuation of medication self-management is associated with pharmacist medication instructions among hospitalized older adults undergoing rehabilitation. Trail registration The Ethics Committee’s registration number is “TGE01216–066”. |
| first_indexed | 2024-12-17T08:44:00Z |
| format | Article |
| id | doaj.art-5bd739c040754decb105e40708bec1a4 |
| institution | Directory Open Access Journal |
| issn | 2055-0294 |
| language | English |
| last_indexed | 2024-12-17T08:44:00Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Pharmaceutical Health Care and Sciences |
| spelling | doaj.art-5bd739c040754decb105e40708bec1a42022-12-21T21:56:15ZengBMCJournal of Pharmaceutical Health Care and Sciences2055-02942021-03-01711810.1186/s40780-021-00194-yPharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational studyEiji Kose0Hidetatsu Endo1Hiroko Hori2Shingo Hosono3Chiaki Kawamura4Yuta Kodama5Takashi Yamazaki6Nobuhiro Yasuno7Department of Pharmacy, Teikyo University School of Medicine University HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Ogaki Tokushukai HospitalDepartment of Pharmacy, Teikyo University School of Medicine University HospitalAbstract Background Various factors are related to self-management of medication. However, few reports comprehensively examine the factors related to patients, medication levels, and other factors related to the recuperative environment, such as family support. The aim of this study was to investigate factors affecting the continuation of medication self-management among hospitalized older adults receiving convalescent rehabilitation. Methods We conducted a retrospective observational study with 274 consecutive patients newly admitted to the convalescent rehabilitation wards at a single hospital in Japan between January 2017 and May 2018. Participants who were assessed for their ability to take their medication using the Japanese Regimen Adherence Capacity Tests, were deemed to be self-manageable, and were able to successfully continue to self-manage their medication from admission to discharge were categorized as the “continuation group,” and those who were not able to continue were categorized as the “non-continuation group.” We analyzed the groups’ demographic data, laboratory data, and Functional Independence Measure. The primary outcome was the continuation of medication self-management from admission to discharge. Results After enrollment, 134 patients (median age 82 years; 62.7% women) were included in the final analysis. Some 60.4% of eligible patients were able to maintain medication self-management during their hospitalization. The multiple logistic regression analysis for the continuation of medication self-management during hospitalization after adjusting for confounding factors revealed that pharmacist medication instructions were independently and positively correlated with successful continuation of medication self-management (odds ratio: 1.378; 95% confidence interval 1.085–1.831; p = 0.0076). Conclusion Successful continuation of medication self-management is associated with pharmacist medication instructions among hospitalized older adults undergoing rehabilitation. Trail registration The Ethics Committee’s registration number is “TGE01216–066”.https://doi.org/10.1186/s40780-021-00194-yConvalescent rehabilitation wardMedication self-managementOlder adultsPharmacist medication instructions |
| spellingShingle | Eiji Kose Hidetatsu Endo Hiroko Hori Shingo Hosono Chiaki Kawamura Yuta Kodama Takashi Yamazaki Nobuhiro Yasuno Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study Journal of Pharmaceutical Health Care and Sciences Convalescent rehabilitation ward Medication self-management Older adults Pharmacist medication instructions |
| title | Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study |
| title_full | Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study |
| title_fullStr | Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study |
| title_full_unstemmed | Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study |
| title_short | Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study |
| title_sort | pharmacist medication instructions are associated with continued medication self management in older adults a retrospective observational study |
| topic | Convalescent rehabilitation ward Medication self-management Older adults Pharmacist medication instructions |
| url | https://doi.org/10.1186/s40780-021-00194-y |
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