Effect of Educational Program about Medication Considerations on Promoting Quality of Pharmacotherapy among Elderly with Multi-Morbidity

Azzam, Nadia Ismail El Saeid Al Dosokey; El-Zeftawy, Amaal Mohamed; Hassan, Lulah Abdelwahab  Abdelatey; Mekled, Samar Ahmed

doi:10.21608/tsnj.2024.349134

Effect of Educational Program about Medication Considerations on Promoting Quality of Pharmacotherapy among Elderly with Multi-Morbidity

Document Type : Original Article

Authors

¹ Assistant Lecturer of Community Health Nursing, Faculty of Nursing, Tanta University, Egypt

² Professor of Community Health Nursing, Faculty of Nursing, Tanta University, Egypt

³ Lecturer of Community Health Nursing Department, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2024.349134

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.