Browse > Article
http://dx.doi.org/10.7586/jkbns.2014.16.3.244

A Study on the Status of Drug Use among Elderly Residents in Long-Term Care Facility  

Jeon, Mi Yang (Department of Nursing.Institute of Health Science, Gyeongsang National University)
Lee, Yong Sook (Department of Nursing, Gyeongsang National University)
Lim, Jeong Ok (Department of Nursing, Gyeongsang National University)
Seol, Ju Yeong (Department of Nursing, Gyeongsang National University)
Kim, Ju Yeong (Department of Nursing, Gyeongsang National University)
Kim, Yeon (Department of Nursing, Gyeongsang National University)
Publication Information
Journal of Korean Biological Nursing Science / v.16, no.3, 2014 , pp. 244-250 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate medication and related factors including: gender, age, duration of hospitalization, MMSE, and ADL in elderly who were hospitalized in long-term care facilities. Methods: A total of 282 elderly people who were hospitalized for more than a month were asked to fill in a structured questionnaire which was used to collect data regarding their gender, age, duration of hospitalization, MMSE, ADL, and medication. Results: The average number of drugs per patient was 7.50. Subjects taking 6-7 medications were the highest ranking (23.7%). According to multiple regression analysis, the most significant factor relating to the number of drugs prescribed for each subject were the ages of the subjects (p=.007). Conclusion: We found that the number of prescribed drugs taken by those who were hospitalized were related to age. A tailored strategy is needed to decrease the number of drugs according to age and to control the medicines prescribed to the elderly who are hospitalized in long-term care facilities.
Keywords
Elderly; Long-term care facility; Drug;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Moon, S. Y. (2012) A study on the drug use in ambulatory elderly patients with chronic disease. Unpublished master's thesis, Gachon University, Incheon.
2 Morasco, B., & Dobscha, S. (2008). Prescription medication misuse in substance use disorder in VA primary care patients with chronic pain. General Hospital Psychiatry, 30, 93-99.   DOI
3 National Health Insurance. (2013). Long-term care facilities. Retrieve October 14 from http://www.longtermcare.or.kr/portal/site/nydev/MENUITEM_ORGSEARCH
4 Park, J. H., Cho, S. W., & Shon, H. S. (1995). Reliability of functional satus measurements in elderly people. The Korean Neuropsychiatric Association, 34(2), 485-481.
5 Park, J. H., & Kwon., Y. C. (1989). Standardization of Korean Version of the Mini-Mental State Examination (MMSE-K) for use in the elderly. part II. Diagnostic Validity. Journal of the Korean Neuropsychiatric Association, 28(3), 508-513.
6 Shin, H. J. (2012) Drug use review among elderly residents in elderly health care facility through comprehensive geriatric assessment. Unpublished master's thesis, Ewha Womans University, Seoul.
7 Park, M. S. (2008). Drug use in the elderly. Journal of Korean Academic Fundamental Nursing, 15(2), 195-205.   과학기술학회마을
8 Raji, M. A., Ostir, G. V., & Markides, K. S. (2003). Potentially inappropriate medication use by elderly Mexican Americans. Annually Pharmacotherapy, 37, 1197-1202.   DOI
9 Bonner, A. F., Castle, N. G., Perera, S., & Handler, S. M. (2008). Patient safety culture: A review of the nursing home literature and recommendations for practice. The Annals of Long-term Care, 16(3), 18-22.
10 Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical methods for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.   DOI   ScienceOn
11 Choi, Y. S. (2001). Survey on current situations of geriatric patients' medication and drug interactions. Unpublished master's thesis, Chungang University, Seoul.
12 Doan, J., Zakrzewski-Jakubiak, H., Roy, J., Turgeon, J., & Tannenbaum, C. (2013). Prevalence and risk of potential cytochrome P450-mediated drug-drug interactions in older hospitalized patients with polypharmacy. The Annals of Pharmacotherapy, 47(3), 324-32. doi: http://dx.doi.org/10.1345/aph.1R621   DOI
13 Dwyer, L. L., Han, B., Woodwell, D. A., & Rechtsteiner, E. A. (2010). Polypharmacy in nursing home residents in the United States: results of the 2004 National Nursing Home Survey. The American Journal of Geriatric Pharmacotherapy, 8(1), 63-72. http://dx.doi.org/10.1016/j.amjopharm.2010.01.001   DOI
14 Hong, Y. S. (2009). A study on medication information, usage, and misusage on ambulatory elderly patients of a public hospital. Unpublished master's thesis, Hanyang University, Seoul.
15 Kim, J. S., & Kang, H. C. (2013). Prediction Model for Drug Misuse and Abuse Behavior in Elderly People. Journal of Korean Gerontological Nursing, 15(1), 32-42.
16 Jeong, K. H. (2002). The status of caregiving for frail older persons and family caregiving burden. Health and Welfare Policy Forum, 66, 17-31.
17 Kim, B. R., Song, K. H., An, H. J., Jung, G. Y., & Shin, J. S. (2001). A Survey on medicine use in the elderly. Journal of Korean Gerontological Nursing, 3(2), 208-216.
18 Kim, H. M. (2004). Use of medications and inappropriate medication use among the elderly inpatients Korea. Unpublished master's thesis, Sookmyung Women's University, Seoul.
19 Maher, R. L., Hanlon, J., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert Opinion on Drug Safety, 13(1), 57-65. http://dx.doi.org/10.1517/14740338.2013.827660   DOI
20 Kim, J. S., & Oh, H. Y. (2006). Perceptions and attitude on use of physical restraints among caregivers in long term care facilities. Journal of the Korean Gerontological Society, 26(2), 347-360.
21 Lee, J. K. (2011). Factors associated with drug misuse behaviors among polypharmacy elderly. Korean Journal of Adult Nursing, 23(6), 554-563.   과학기술학회마을
22 Lee, J. S., Lee, J. E., Jung, Y., Ma, S. H., Kim, M. Y., Yoo, S. H., et al. (2008). Polypharmacy and inappropriate drug prescription in community-dwelling elderly. Journal of Korean Academy Family Medicine, 29(12), 925-931.   과학기술학회마을
23 Ministry of Health and Welfare. (2009). 2008 Survey on the elderly status-A nationwide survey on the elderly living status and welfare needs. Seoul: Ministry of Health and Welfare.
24 Statistics Korea. (2013). Age structure of the population by gender. Retrieve October 14, 2013. from http://www.kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board?bmode=read&aSeq=308688
25 Ruggiero, C., Dell'Aquila, G., Gasperini, B., Onder, G., Lattanzio, F., Volpato, S., Corsonello, A., Maraldi, C., Bernabej, R., & Cherubini, A. (2010). Potentially inappropriate drug prescriptions and risk of hospitalization among older, Italian, nursing home residents: the ULISSE project. Drugs Aging, 27(9), 747-758.   DOI
26 Song, M. S., Ha, Y. S., Yu, S. J., & Park, Y. H. (2013). Gerontological Nursing. Seoul: Seoul National University Press.
27 Statistics Korea. (2011). 2011 Statistical Report on the Aged. Retrieved Jun 10, 2012, from http://kostat.go.kr/portal
28 Tjia, J., Velten, S. J., Parsons, C., Valluri, S., & Briesacher, B. A. (2013). Studies to reduce unnecessary medication use in frail older adults: a systematic review. Drugs Aging, 30(5), 285-307. http://dx.doi.org/10.1007/s40266-013-0064-1   DOI
29 Yeom, H. E. (2005). A study about compliance of medication, stress and depression of the elderly in chronic disease. Unpublished master's thesis, Seoul National University, Seoul.