Factors Influencing Behavior of Taking Medicine in Elderly Patients Undergoing Hemodialysis
- 1 School of Nursing, Hachinohe Junior College, Hachinohe, Japan
- 2 School of Nursing, Hachinohe Junior College, Hachinohe, Japan
- 3 School of Nursing, Hachinohe Junior College, Hachinohe, Japan
- 4 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 5 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 6 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 7 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 8 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 9 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 10 Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan
- 11 Faculty of Human Health Science, Hachinohe University, Hachinohe, Japan
Abstract
Purpose: The elderly are often faced with multiple diseases, in particular hemodialysis (HD) which requires many kinds of medication. This study examined the factors influencing the behavior of taking medicine in elderly patients undergoing HD. Subjects and Methods: The subjects comprised 70 outpatients > 65 years undergoing HD (48 male and 22 female). The mean age of the patients was 72.5 ± 4.4 years. The mean duration of dialysis history was 6.1 ± 5.2 years. We performed a questionnaire survey using Medication Assessment Tool, The Kidney Disease Quality of Life (QOL)-Short Form and Acceptance for Dialysis Instrument. Result: Two factors related to poor behavior of taking medicine: dialysis history < 2 years and poor acceptance of dialysis. The multiple regression analysis showed patient satisfaction (β = –0.329, p < 0.01) and symptoms/problems (β = –0.273, p<0.05) as significant independent variables relating to behavior of taking medicine. Conclusion: Poor behavior of taking medicine is related to a short dialysis period, poor acceptance and poor satisfaction of dialysis therapy in elderly patients.
- Japanese Society for Dialysis Therapy, “An Overview of Regular Dialysis Treatment in Japan as of December 31, 2010,” Tokyo, 2011.
- E. A.Graveley and C. S. Oseasohn, “Multiple Drug Regimens Medication Compliance among Veterans 65 Years and Older,” Resarch in Nursing & Health, Vol. 14, No. 1, 1991, pp. 51-58. doi:10.1002/nur.4770140108
- J. M. Cargill, “Medication Compliance in Elderly People, Influencing Variables and Interventions,” Journal of Advanced Nursing, Vol. 17, No. 4, 1992, pp. 422-426. doi:10.1111/j.1365-2648.1992.tb01925.x
- A. W. Deborah, “Evaluation of Medication Interventions for the Elderly,” Home Healthcare Nurse, Vol. 16, No. 9, 1998, pp. 612-617. doi:10.1097/00004045-199809000-00008
- T. T. Fulmer, P. H. Feldman, T. S. Kim, B. Carty, M. Beers, M. Molina and M. Putnam, “An Intervention Study to Enhance Medication Compliance in Community-Dwelling Elderly Individuals,” Journal of Gerontology Nursing, Vol. 25, No. 8, 1999, pp. 6-13.
- A. A. Ryan,” Medication Compliance and Older People: A Review of the Literature,” International Journal of Nursing Study, Vol. 36, No. 2, 1999, pp.153-162. doi:10.1016/S0020-7489(99)00003-6
- J. Petermans, A. S. Suarez and T. V. Hees, “Therapeutic Adherence in Elderly,” Revue Medical of Liege, Vol. 65, No. 5-6, 2010, pp. 261-266.
- Y. Yuzawa, “Making and the usefulness of the Medication Assessment Tool of the Outpatient,” Ochanomizu Medical Journal, Vol. 50, No. 3, 2002, pp. 133-143.
- Y. Miura, J. Green and S. Fukuhara, “Manual of the KDQOL Japanese Version 1.3,” Institute for Health Outcomes & Process Evaluation Research, Kyoto, 2004.
- S. Fukuhara and Y. Suzukamo, “Manual of the SF-8 Japanese Version,” Institute for Health Outcomes & Process Evaluation Research, Kyoto, 2004.
- I. Fukunishi, “Development of the Measure of the Psychological Acceptance Level of the Dialysis Treatment,” OFF TIME Chugai Pharmaceutical, Tokyo, 2002, p. 67.
- E. Uegima, S. Mikami and H. Morimoto, “Drug Compli- ance in the Elderly,” Nippon Ronen Igakkai Zasshi, Vol. 29, No. 1, 1992, pp. 855-863. doi:10.3143/geriatrics.29.855
- B. R. Siegal, R. J. Calsyn and R. M. Cuddihee, “The Relationship of Social Support to Psychological Adjustment in End-Stage Renal Disease Patient,” Journal of Chronic Disease, Vol. 40, No. 4, 1987, pp. 337-344.
- D. Cukor, D. S. Rosenthal, R. M. Jindal, C. D. Brown and P. L. Kimmel, “Depression Is an Important Contributor to Low Medication Adherence in Hemodialyzed Patients and Transplant Recipients,” Kidney International, Vol. 75, No. 11, 2009, pp. 1223-1229. doi:10.1038/ki.2009.51