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http://dx.doi.org/10.22650/JKCNR.2018.24.1.56

Effects of Image-Use Medication Education on Knowledge, Self-Efficacy, and Misuse of Medication in Elderly Inpatients  

Kim, Hyo Jung (Department of Nursing, Sehung Hospital)
Kim, Kon Hee (College of Nursing, Ewha Womans University)
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Abstract
Purpose: This quasi-experimental study was done to develop image-use medication education for older inpatients and to evaluate the effects on their knowledge, self-efficacy, and misuse of medication. Methods: Fifty nine elders (experimental group - 30, and control group - 29) received medication education once a week for 3 weeks. Data were collected before (pretest), right after (post 1), and 4 weeks after the program finished (post 2). Drug Use Knowledge Scale, Self-efficacy for Appropriate Medication Use Scale, and Drug Misuse Scale were used. Analysis included descriptive statistics, $x^2$ test, repeated measured ANOVA. Results: Findings showed significant differences in knowledge of medication and drug misuse between groups according to time(pretest, post 1, and post 2). At post 1 and post 2, knowledge and self-efficacy levels were significantly higher and misuse scores were lower in the experimental group compared to the control group. Conclusion: Findings indicate that elder-tailored medication education consisting of group education and individual guidance with images is effective and practical for medicine safety in elderly inpatients. Moreover, it could lead to a healthier life for elders, even elders with multiple chronic diseases and taking several medications.
Keywords
Aged; Patient Education; Medication Knowledge; Self-Efficacy; Drug Misuse;
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1 Park YI, Lee KY, Kim DO, Uhm DC, Kim JH. Medication status and the effects of a medication management education program for the elderly in a community. Journal of Korean Academy of Community Health Nursing. 2014;25(3):170-179.   DOI
2 Lee JK. Evaluation of a medication self-management education program for elders with hypertension living in the community. Journal of Korean Academy of Nursing. 2013;43 (2):267-275. https://doi.org/10.4040/jkan.2013.43.2.267   DOI
3 Min SH, Kim JI. Construction of explanatory model for medication adherence in older people with chronic disease. Journal of Korean Academy of Fundamentals Nursing. 2012;19(4): 463-473.   DOI
4 Kim YJ. The effects of an education program on the knowledge of medication and prevention of depression in the elderly with chronic disease at a local community. Journal of Korean Academy of Community Health Nursing. 2011;22(4):399-408. https://doi.org/10.12799/jkachn.2011.22.4.399   DOI
5 Son YJ, Lee YM. Development and effects of health literacy enhancement program to improve self care adherence in lowincome elderly patients with heart failure. Journal of the Korean Data Analysis Society. 2012;14(1):215-230.
6 Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Education and Counseling. 2004;61(2):173-190. https://doi.org/10.1016/j.pec.2005.05.004   DOI
7 Doh SR. Medical utilizations of the aged: Issues and policy tasks. Health and Welfare Policy Forum. 2009;157:66-79.
8 Kim HK, Go SD, Kim YB, Kim EJ, Park KO, Park JS, et al. Health education for health education specialist. 2nd ed. Seoul: Hanmi Medical Publishing Co.; 2012. p. 312.
9 Morrow DG, Weiner M, Young J, Steinley D, Deer M, Murray MD. Improving medication knowledge among older adults with heart failure: A patient-centered approach to instruction design. The Gerontologist. 2005;45(4):545-552.   DOI
10 Zeng-Treitler Q, Perri S, Nakamura C, Kuang J, Hill B, Bui DD, et al. Evaluation of a pictograph enhancement system for patient instruction: A recall study. Journal of the American Medical Informatics Association. 2014;21(6):1026-1031. https://doi.org/10.1136/amiajnl-2013-002330   DOI
11 Park MH, Kim AR, Kim JS, Kim HJ, Park YH, Song JA, et al. Geriatric nursing. 3rd ed. Seoul: Jungdam Media; 2013.
12 Gellad WF, Grenard JL, Marcum ZA. A systematic review of barriers to medication adherence in the elderly: Looking beyond cost and regimen. The American Journal of Geriatric Pharmacotherpy. 2011;9(1):11-23. https://doi.org/10.1016/j.amjopharm.2011.02.004   DOI
13 Kim YH, Lee MK, Lee SJ, Cho MS, Hwang MS. Medication status and adherence of the elderly under home care nursing. Journal of Korean Academy of Community Health Nursing. 2011;22(3):290-301. https://doi.org/10.12799/jkachn.2011.22.3.290   DOI
14 World Health Organization. Process of translation and ad- aptation of instruments [Internet]. Geneva: WHO; 2018 [cited 2018 Feburary 28]. Available from: http://www.who.int/substance_abuse/research_tools/tran slation/en/.
15 Flamminger A, Maibach H. Drug dosage in the elderly. Drugs & Aging. 2006;23:203-215. https://doi.org/10.2165/00002512-200623030-00003   DOI
16 Kim KH. Use of pictogram in elderly medication education. The Treatise on the Plastic Media. 2017;20(4):20-28.
17 Han KS, Moon SY, Park HO, Park EH. The survey on the drug use status, knowledge and attitude of college students(Seoul and northern part of the Kyunggi-do). The Journal of Korean Academic Society of Nursing Education. 2000;6(2):376-389.
18 Lee JH, Park M. The Effects of an education program for safe drug use in the rural elderly. Journal of Korean Academy of Nursing. 2007;37(3):295-304. https://doi.org/10.4040/jkan.2007.37.3.295   DOI
19 Lindquist LA, Go L, Fleisher J, Jain N, Friesema E, Baker DW. Relationship of health literacy to intentional and uninten- tional non-adherence of hospital discharge medications. Journal of General Internal Medicine. 2012;27(2):173-178. https://doi.org/10.1007/s11606-011-1886-3   DOI
20 Mansoor LE, Dowse R. Effect of pictograms on readability of patient information materials. Annals of Pharmacotherapy. 2003;37(7-8):1003-1009. https://doi.org/10.1345/aph.1C449   DOI
21 Lee WD. A study on the development of pictogram system for the visual effect of signage. [master's thesis]. Seoul: Hanyang University; 2015. p. 1-95.
22 Yoo BW. Pattern of medications usage and study of potentially inappropriate medication usage among elderly patients based on Beers' criteria [dissertation]. Asan: Soonchunhyang University; 2007. p. 1-65.
23 Timiras PS. Physiological basis of aging and geriatrics. 3rd ed. Kim YK, An DH, Jo MO, Kim DR, Kim MA, Kim OS, et al. translator. Seoul: Hyunmoonsa; 2007. p. 599.
24 Griffiths R, Johnson M, Piper M, Langdon R. A nursing intervention for the quality use of medicines by elderly community clients. International Journal of Nursing Practice. 2004;10 (4):166-176.   DOI
25 Lee JK. Factors associated with drug misuse behaviors among polypharmacy elderly. Korean Journal of Adult Nursing. 2011;23(6):554-563.
26 Risser J, Jacobson TA, Kripalani S. Development and psycho- metric evaluation of the self-efficacy for appropriate medication use scale(SEAMS) in low-literacy patients with chronic disease. Journal of Nursing Measurement. 2007;15:203-219. https://doi.org/10.1891/106137407783095757   DOI
27 Yang JR. The effect of health literacy and self-efficacy on medication adherence among the elderly patients with chronic disease. Health & Nursing. 2014;26(1):29-38.
28 Steurer-Stey C, Storch M, Benz S, Hobi B, Steffen-Bürgi B, Steurer J, et al. Motivational training improves self-efficacy but not short-term adherence with asthma self-management: a randomized controlled trial. Primary Health Care Research & Development. 2015;16(1):32-41. https://doi.org/10.1017/S1463423613000480   DOI
29 Shin KR, Kim JS, Kim JY, Yi HR. Effects of a drug misuse and abuse prevention program on knowledge, attitude, and preventive behaviors related to drug misuse and abuse, and depression in low-income elderly women. Journal of Korean Academy of Nursing. 2005;35(5):763-773. https://doi.org/10.4040/jkan.2005.35.5.763   DOI