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

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

doi:10.21608/tsnj.2024.350966

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 4Lecturer of Community Health Nursing Department, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2024.350966

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. Aim of the Study: It was to evaluate the effect of educational program about
medication considerations on promoting quality of pharmacotherapy among elderly with multi
morbidity. Subjects and Method: Study design: A quasi-experimental study design. Study
settings: Health Insurance Hospital outpatient clinics, Outpatient clinics of Tanta University and
Dar El Saada Geriatric Home in Tanta city. Study subjects: A convenience sample of 75 elderly
patients who attended the previously mentioned settings. Study tools: 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. Part 2: Drug Attitude Inventory. Part 3: Assessment of
Subjective Norms. Part 4: Assessment of Enabling Factors. Tool III: Medication Management
Instrument for Deficiencies in Elderly. 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. Conclusion and recommendations: The educational
program was effective in improving the elderly patients' beliefs, attitude, overall influential
motivator and the enabling factors which support them. Therefore, the nurse should assess the
multi-morbid elderly and organize health education programs based on BASNEF model about
safe medication.