Volume 4, Issue 1 (June 2018)                   Elderly Health Journal 2018, 4(1): 29-34 | Back to browse issues page

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Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , afshari_m20@yahoo.com
Abstract:   (67 Views)
Introduction: Aging is associated with non-communicable diseases and it gives rise to increase drug consumption. Regarding deeper cognition of the subject, a qualitative study was accomplished for recognition of taking medication problems from the elderly's viewpoint in Hamadan health centers.
Methods: The present qualitative study was done through conventional content analysis. The data were collected using semi-structured deep interviews with 15 elderlies referred to health-care centers in Hamadan. The participants were selected through purposive sampling from both genders and maximum variation of age, social and economic class and education level. Data strength was confirmed by member and external check. All the interviews were transcribed and analyzed using content analysis method.
Results: Analyzing data led to extraction of 7 themes of ignorance to medication use, medication forgetfulness, physical and mental status of the elderly, need to others help and support in medication use, relative negligence, economic and environmental problems in addition to 22 sub-themes of taking medication problems from elderly's viewpoint.
Conclusion: Study represented elderly people having some personal and environmental problems regarding medication. Alternatively, drug consumption difficulties in old people led to other side effects, individual's problems, and some problems related to their health.

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Type of Study: Research | Subject: General
Received: 2017/10/30 | Accepted: 2018/06/12 | Published: 2018/06/24

1. Halter JB, Ouslander JG, Tinetti M. Hazzard’sgeriatric medicine and gerontology. 6 Ed. The McGraw-Hill; 2009.
2. Abedi HA, Alavi M. The Experiences of healthcare team and elderly in-patients about concept of elderly patients' education in a hospital affiliated to isfahan university of medical sciences. Iranian Journal of Medical Education. 2007; 7(1): 93-100. [Persian]
3. Salarvand SH, Abedi HA. Causes andmotivations of elderly home residency from residents' point of view. Feyz Journal of Kashan University of Medical Sciences. 2008; 12(2): 55-61. [Persian]
4. Bond J, Corner L. Quality of life and olderpeople. New York: McGraw-Hill; 2004.
5. Maas ML, Buckwalter KC, Hardy MD, Tripp-Reimer T. Nursing care of older adults: diagnoses, interventions, outcomes and interventions. Philadelphia, PA: Mosby; 2001.
6. Rasel M, Ardalan A. The future costs of agingand its health care costs: a warning for health system. Salmand: Iranian Journal of Ageing. 2007; 2(2): 300-5.[Persian]
7. Jahanpour F, Rafiei Z, Ravanipour M, MotamedN. Assessment of medication adherence in elderly patients with cardiovascular diseases based on demographic factors in Bushehr city in the year 2013. Jundishapur Journal Chronic Disease Care. 2015; 4(3): 49-53.
8. Delshad A, Salari H, Hashemian H. The amountof medication use in older adults using formulas Cockeroft-goult. Ofoghedanesh. 2005; 10(4): 53-8. [Persian]
9. Samadi S, Bayat A, Taheri M, Joneid B, Rooz-Bahani N. Knowledge, attitude and practice of elderly towards lifestyle during aging. The Journal of Qazvin University of Medical Sciences. 2007; 11(1): 83-4. [Persian]
10. Notenboom K, Beers E, Van Riet-Nales DA,Egberts TCG, Leufkens HGM, Jansen PAF, et al. Practical problems with medication use that older people experience: A qualitative study. Journal of the American Geriatrics Society. 2014; 62(12): 2339–44.
11. Nikolaus T, Kruse W, Bach M, Specht-Leible N,Oster P, Schlierf G. Elderly patients' problems with medication. European Journal of Clinical Pharmacology. 1996; 49(4): 255-9.
12. Stegemann S, Ecker F, Maio M, Kraahs P,Wohlfart R, Breitkreutz J, et al. Geriatric drug therapy: Neglecting the inevitable majority. Ageing Research Reviews. 2010; 9(4): 384–98.
13. Streubert HJ, Carpenter DR. Qualitative researchin nursing: advancing the humanistic imperative. 5nd ed. Lippincott Williams and Wilkins; 2010.
14. Ahmadi-Javid A, Seyedi P, Syam S. A survey ofhealthcare facility location. Computers & Operations Research. 2017; 79: 223–63.
15. Abedi HA, Lali M, Keyvanniya SH, Nikbakht A.Life experiences of older people who are used to spend their time in parks. Journal of Qualitative Research in Health Sciences. 2013; 2(2): 184-93. [Persian]
16. Morse JM, Richards L. Readme first for a user'sguide to qualitative methods. Washington CA: Sage Publications; 2002.
17. Adib Hajbagheri M, Parvisi S, Salsali M.Qualitative research methods. 3nd ed. Tehran: Boshra publishers; 2011. [Persian]
18. Graneheim UH, Lundman B. Qualitative contentanalysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004; 24(2): 105-12.
19. Yavari HR, Akbari Kamrani AA, Bakhshi E,Saboor M, Sahhaf R. Association between polypharmacy and socio-demographic factors among elderly residents of Kahrizak Charity Foundation, Tehran, 2010-2011. Salmand: Iranian Journal Ageing. 2014; 8(4): 7-14. [Persian]
20. Notenboom K, Beers E, Van Riet-Nales DA,Egberts TCG, Leufkens HGM, Jansen PAF, et al. Practical problems with medication use that older people experience: A qualitative study. Journal of American Geriatrics Society. 2014; 62(12): 2339-44.
21. Ruscin JM, Semla TP. Assessment of medicationmanagement skills in older outpatients. Annals of Pharmacotherapy. 1996; 30(10): 1083–88.
22. Philbert D, Notenboom K, Bouvy ML, VanGeffen ECG. Problems experienced by older people when opening medicine packaging. International Journal of Pharmacy Practice. 2014; 22(3): 200–4.
23. Tordoff J, Simonsen K, Thomson WM, T.NorrisP. It’s just routine. A qualitative study of medicine-taking amongst older people in New Zealand. PharmacyWorld and Science. 2010; 32(2): 154 -61.
24. Van Geffen EC, Meuwese E, Philbert D, BouvyML. Problems with medicine packages: Experiences reported to a Dutch medicine reporting system. Annals of Pharmacotherapy. 2010; 44(6): 1104–09.
25. Modig S, Kristensson J, Troein M, Brorsson A,Midlov P. Frail elderly patients’ experiences of information on medication. A qualitative study. Biomed Central Geriatrics. 2012; 12(46): 2-10.
26. Rejeh N, Heravi-Karimooi M, Foroughan M. Theneeds of hospitalized elderly patients: A qualitative study. Salmand: Iranian Journal Ageing. 2010; 5(1): 42-52. [Persian]
27. Klarin I, Fastbom J,Wimo A. A population-basedstudy of drug use in the very old living in a rural district of Sweden, with focus on cardiovascular drug consumption: comparison with an urban cohort. Pharmacoepidemiology and Drug Safety. 2003; 12(8): 669- 78.
28. Lai SH, Lin CH, Liao K, Su LT, Sung F, Lin CH.Association between polypharmacy and dementia in older people: A population-based case–control study in Taiwan. Geriatrics & Gerontology International. 2012; 12(3): 491-8.
29. Darvishpoor Kakhki A, Abed Saeedi J, DelavarA, Saeia Alzakerin M. Autonomy in the elderly: A phenomenological study. Hakim Reseaech Journal. 2010; 12(4): 1-10. [Persian]
30. Hamroonsawasdi K, Phoolphoklang S,Nanthamongkolchai S, Munsawaengsub C. Factors influencing health promoting behaviors among the elderly under the universal coverage program, Buriram province, Thailan. Asia Journal of Public Health. 2010; 1(1): 15-19.
31. Thanakwang K, Soonthorndhada K. Familyrelations and health- promoting behavior among older people in Nan Province. Journal of the Medical Association of Thailand. 2008; 91(7): 1102-8.