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Polypharmacy in the elderly: therapy adherence

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Resumo:The elderly population has been growing significantly, leading to an increased prevalence of chronic diseases and consequent taking medication. Polypharmacy is the chronic and simultaneous use of different drugs by the same individual, and the elderly are the more susceptible. The complex therapies of elderly can lead to therapy non-adherence, increasing several health risks. This study aimed to estimate the prevalence of polymedicated elderly, evaluate therapy adherence and associated factors, and check the differences among non-institutionalized elderly and users of day centers. This cross-sectional study was based on a questionnaire, validated for the Portuguese population based on the Morisky scale, applied to 200 non-institutionalized elderly and 68 under day centers, of interior and coastal counties of northern Portugal. It was considered as polymedicated seniors taking ≥4 drugs. To assess therapy adherence, those whose average adherence levels were ≥3.5, were called adherent. The sample was predominantly polymedicated (59%) and shows high therapy adherence (95%), the average number of different drugs daily ingested was about seven. Elderly of coastal, show superiors levels of therapy adherence than those of interior county (p=0.007). Only the economic difficulties are related to non-adherence (p=0.022). No statistically significant differences were found between non-institutionalized elderly and users of day centers. This study shows that a large proportion of elderly were polymedicated, managing an average of almost 7 drugs daily. The majority adhered to the therapy prescribed, and only the area of residence and economic difficulties were related to levels of therapy adherence. institutionalized elderly; Users of day centers.
Autores principais:Pinto, Isabel C.
Outros Autores:Ribeiro, Maria Isabel; Geraldo, Inês; Novo, S.; Reis, M.; Rocha, D.
Assunto:Non-institutionalized elderly Polymedicated elderly Polypharmacy Therapy adherence Users of day centers
Ano:2014
País:Portugal
Tipo de documento:documento de conferência
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Pinto, Isabel C.
author2 Ribeiro, Maria Isabel
Geraldo, Inês
Novo, S.
Reis, M.
Rocha, D.
author2_role author
author
author
author
author
author_facet Pinto, Isabel C.
Ribeiro, Maria Isabel
Geraldo, Inês
Novo, S.
Reis, M.
Rocha, D.
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Pinto, Isabel C.\",\"Person.identifier.orcid\":\"0000-0003-4745-6489\"},{\"Person.name\":\"Ribeiro, Maria Isabel\",\"Person.identifier.orcid\":\"0000-0002-5425-006X\"},{\"Person.name\":\"Geraldo, Inês\"},{\"Person.name\":\"Novo, S.\"},{\"Person.name\":\"Reis, M.\"},{\"Person.name\":\"Rocha, D.\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Pinto, Isabel C.
Ribeiro, Maria Isabel
Geraldo, Inês
Novo, S.
Reis, M.
Rocha, D.
datacite.date.Accepted.fl_str_mv 2014-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2014-10-07T17:33:25Z
datacite.date.embargoed.fl_str_mv 2014-10-07T17:33:25Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
datacite.titles.title.fl_str_mv Polypharmacy in the elderly: therapy adherence
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Pinto, Isabel C.
Ribeiro, Maria Isabel
Geraldo, Inês
Novo, S.
Reis, M.
Rocha, D.
dc.date.Accepted.fl_str_mv 2014-01-01T00:00:00Z
dc.date.available.fl_str_mv 2014-10-07T17:33:25Z
dc.date.embargoed.fl_str_mv 2014-10-07T17:33:25Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/10738
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
dc.title.fl_str_mv Polypharmacy in the elderly: therapy adherence
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_c94f
description The elderly population has been growing significantly, leading to an increased prevalence of chronic diseases and consequent taking medication. Polypharmacy is the chronic and simultaneous use of different drugs by the same individual, and the elderly are the more susceptible. The complex therapies of elderly can lead to therapy non-adherence, increasing several health risks. This study aimed to estimate the prevalence of polymedicated elderly, evaluate therapy adherence and associated factors, and check the differences among non-institutionalized elderly and users of day centers. This cross-sectional study was based on a questionnaire, validated for the Portuguese population based on the Morisky scale, applied to 200 non-institutionalized elderly and 68 under day centers, of interior and coastal counties of northern Portugal. It was considered as polymedicated seniors taking ≥4 drugs. To assess therapy adherence, those whose average adherence levels were ≥3.5, were called adherent. The sample was predominantly polymedicated (59%) and shows high therapy adherence (95%), the average number of different drugs daily ingested was about seven. Elderly of coastal, show superiors levels of therapy adherence than those of interior county (p=0.007). Only the economic difficulties are related to non-adherence (p=0.022). No statistically significant differences were found between non-institutionalized elderly and users of day centers. This study shows that a large proportion of elderly were polymedicated, managing an average of almost 7 drugs daily. The majority adhered to the therapy prescribed, and only the area of residence and economic difficulties were related to levels of therapy adherence. institutionalized elderly; Users of day centers.
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identifier.url.fl_str_mv http://hdl.handle.net/10198/10738
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institution Instituto Politécnico de Bragança
instname_str Instituto Politécnico de Bragança
language eng
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network_name_str Biblioteca Digital do IPB
oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/10738
organization_str_mv urn:organizationAcronym:ipb
person_str_mv Pinto, Isabel C.
Pinto, Isabel C.
https://www.ciencia-id.pt/851B-247F-C650
851B-247F-C650
http://orcid.org/0000-0003-4745-6489
0000-0003-4745-6489
Ribeiro, Maria Isabel
Ribeiro, Maria Isabel
https://www.ciencia-id.pt/8D1B-9409-7921
8D1B-9409-7921
http://orcid.org/0000-0002-5425-006X
0000-0002-5425-006X
Geraldo, Inês
Novo, S.
Reis, M.
Rocha, D.
publishDate 2014
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
reponame_str Biblioteca Digital do IPB
repository_id_str urn:repositoryAcronym:ipb
service_str_mv urn:repositoryAcronym:ipb
spelling engFaculdade de Saúde Pública da Universidade de São PauloporThe elderly population has been growing significantly, leading to an increased prevalence of chronic diseases and consequent taking medication. Polypharmacy is the chronic and simultaneous use of different drugs by the same individual, and the elderly are the more susceptible. The complex therapies of elderly can lead to therapy non-adherence, increasing several health risks. This study aimed to estimate the prevalence of polymedicated elderly, evaluate therapy adherence and associated factors, and check the differences among non-institutionalized elderly and users of day centers. This cross-sectional study was based on a questionnaire, validated for the Portuguese population based on the Morisky scale, applied to 200 non-institutionalized elderly and 68 under day centers, of interior and coastal counties of northern Portugal. It was considered as polymedicated seniors taking ≥4 drugs. To assess therapy adherence, those whose average adherence levels were ≥3.5, were called adherent. The sample was predominantly polymedicated (59%) and shows high therapy adherence (95%), the average number of different drugs daily ingested was about seven. Elderly of coastal, show superiors levels of therapy adherence than those of interior county (p=0.007). Only the economic difficulties are related to non-adherence (p=0.022). No statistically significant differences were found between non-institutionalized elderly and users of day centers. This study shows that a large proportion of elderly were polymedicated, managing an average of almost 7 drugs daily. The majority adhered to the therapy prescribed, and only the area of residence and economic difficulties were related to levels of therapy adherence. institutionalized elderly; Users of day centers.application/pdfporPolypharmacy in the elderly: therapy adherencePersonalPinto, Isabel C.DSpacehttp://dspace.org/items/751d74ab-e27c-4713-97ba-62cad38d1890DSpacehttp://dspace.org/items/751d74ab-e27c-4713-97ba-62cad38d1890PintoIsabel C.Ciência IDhttps://www.ciencia-id.pt851B-247F-C650ORCIDhttp://orcid.org0000-0003-4745-6489PersonalRibeiro, Maria IsabelDSpacehttp://dspace.org/items/cff96812-d440-40dc-b44f-998d48894fd0DSpacehttp://dspace.org/items/cff96812-d440-40dc-b44f-998d48894fd0RibeiroMaria IsabelCiência IDhttps://www.ciencia-id.pt8D1B-9409-7921ORCIDhttp://orcid.org0000-0002-5425-006XScopus Author IDhttps://www.scopus.com58492545800Geraldo, InêsNovo, S.Reis, M.Rocha, D.HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf0034-89102014-10-07T17:33:25Z20142014-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/10738http://purl.org/coar/access_right/c_abf2open accessNon-institutionalized elderlyPolymedicated elderlyPolypharmacyTherapy adherenceUsers of day centers511753 bytesother research producthttp://purl.org/coar/resource_type/c_c94fconference objecthttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/9d0f428b-afde-4d60-a576-01551964c419/downloadRevista de Saúde Pública243243São Paulo, Brasil
spellingShingle Polypharmacy in the elderly: therapy adherence
Pinto, Isabel C.
Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
status SINGLETON
subject.fl_str_mv Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
title Polypharmacy in the elderly: therapy adherence
title_full Polypharmacy in the elderly: therapy adherence
title_fullStr Polypharmacy in the elderly: therapy adherence
title_full_unstemmed Polypharmacy in the elderly: therapy adherence
title_short Polypharmacy in the elderly: therapy adherence
title_sort Polypharmacy in the elderly: therapy adherence
topic Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
topic_facet Non-institutionalized elderly
Polymedicated elderly
Polypharmacy
Therapy adherence
Users of day centers
url http://hdl.handle.net/10198/10738
visible 1