Algameel Magda
Dr. Magda Algameel, Nursing Department, College of Applied Medical Science, Prince Sattam Bin Abdulaziz University, KSA, Wadi Al-Dawasser 11991, Saudi Arabia.
Pak J Med Sci. 2020 May-Jun;36(4):729-734. doi: 10.12669/pjms.36.4.1923.
To evaluate health care related to medication regimens among institutionalized elders in Damanhour, Beheira Governate, Egypt.
A prospective, multi-centered, observational study was conducted in the two elderly residential homes in Damanhour between March and May 2017. A questionnaire was developed and validated to test for elderly socio-economic, chronic diseases, current therapy adherence, vaccination history and patient education. Descriptive and quantitative analysis were performed.
sixty-three elderly residents were included in the study. The sample showed broad socioeconomic variability posing a true reflection of Egyptian population. 63.5% had no hearing problems, 31.7% had proper vision and 57% could move with no help. More than three quarters had chronic diseases of which 58.7% were previously hospitalized. The most prevalent diseases were hypertension, diabetes and arthritis 46%, 41.3%, 26.9% respectively. Only 7.9% and 4.7% showed chronic liver and kidney diseases, respectively and less than 10% suffered from respiratory related diseases. No alcohol drinker, 25.3% were smokers and 58.7% drank caffeine. Only 25.3% of residents showed full adherence to their medication pattern. Approximately 80% of residents never received proper patient education. Forty-three residents did not know the indication of their medications and 92% ignored its side effects.
Absence of proper medical care exposure for the elderly residents was reflected in their low medication adherence, adverse side effects and hospitalization. We suggest extension of the national medical insurance system to include larger number of elderly population. To monitor the care given concerning medication, a daily resident gerontological nurse needs to be assigned, visits by clinical pharmacists weekly or bi-weekly from the nearby governmental hospital can improve improper medication.
评估埃及贝赫拉省达曼胡尔市养老院中与药物治疗方案相关的医疗保健情况。
2017年3月至5月间，在达曼胡尔市的两家养老院开展了一项前瞻性、多中心观察性研究。设计并验证了一份问卷，用于调查老年人的社会经济状况、慢性病、当前治疗依从性、疫苗接种史及患者教育情况。进行了描述性和定量分析。
63名老年居民纳入研究。样本显示出广泛的社会经济差异，真实反映了埃及人口情况。63.5%无听力问题，31.7%视力正常，57%可独立行动。超过四分之三患有慢性病，其中58.7%曾住院治疗。最常见的疾病是高血压、糖尿病和关节炎，分别占46%、41.3%、26.9%。仅7.9%和4.7%分别患有慢性肝病和肾病，不到10%患有呼吸道相关疾病。无人饮酒，25.3%吸烟，58.7%饮用咖啡因。仅25.3%的居民完全依从其用药模式。约80%的居民从未接受过适当的患者教育。43名居民不知道所用药物的适应症，92%忽视其副作用。
老年居民缺乏适当的医疗保健，这体现在他们用药依从性低、出现不良副作用及住院治疗方面。我们建议扩大国家医疗保险体系，纳入更多老年人口。为监测药物治疗护理情况，需安排每日驻院老年护理护士，附近政府医院的临床药师每周或每两周进行查房可改善用药不当情况。
