EVALUATION OF INAPPROPRIATE MEDICATION USE AND ACTIVITIES OF DAILY LIVING IN 65 YEARS AND OLDER HOME CARE PATIENTS

Authors : Merve TÜRKAN, Özge TUNCER

Pages : 42-49

Doi:10.21763/tjfmpc.1100751

View : 12 | Download : 7

Publication Date : 2023-03-31

Article Type : Research Paper

Abstract :Introduction: This study aims to evaluate potentially inappropriate medication insert ignore into journalissuearticles values(PIM); use, the association of PIM use, and activities of daily living in 65 years and older home care patients. Method: The study included 322 patients aged 65 and over who applied to Home Care Unit. Consent was obtained from those who agreed to participate in the study. A questionnaire containing demographic data, drug use information, and Katz Daily Living Activities Index was used which was prepared by the researcher in this study. The drugs used by the patients were evaluated according to the 2015 Beers criteria and inappropriate active substances were detected. The data were defined by statistical analyzes such as mean, percentage, standard deviation, and frequency. Chi-squared test and Student\`s t-test were used in the analysis. The significance level was accepted as p<0.05. Results: The mean age of the patients was 80.2±8.2 years, and 63.4% insert ignore into journalissuearticles values(n=204); were female. 70.5% insert ignore into journalissuearticles values(n=227); of the elderly have three or more chronic diseases. The most common diseases were hypertension insert ignore into journalissuearticles values(56.2%);, diabetes insert ignore into journalissuearticles values(30.0%);, and heart failure insert ignore into journalissuearticles values(29.8%);. 79.2% insert ignore into journalissuearticles values(n=255); of the group uses four or more drugs. 83.3% insert ignore into journalissuearticles values(n=260); of the patients get help to use the drugs. 51.6% insert ignore into journalissuearticles values(n=166); of the patients were fully dependent on activities of daily living and 3.4% insert ignore into journalissuearticles values(n=11); were fully independent, the level of dependency increases with age insert ignore into journalissuearticles values(p<0.05);. The PIM rate was 61.5% in patients. PIM use was found to be significantly higher in those with more disease, in those who used more drugs, and in females insert ignore into journalissuearticles values(p<0.05);. No relationship was found between inappropriate medication use and addiction level. Conclusion: In this study, it was found that more than half of home care patients aged 65 and over had inappropriate drug use. It was determined that inappropriate medication use increased with polypharmacy, and polymorbidity, and there was no correlation between addiction levels.
Keywords : Evde sağlık, uygunsuz ilaç kullanımı, Beers kriterleri