Jong Kyung Lee

doi:10.4040/jkan.2013.43.2.267

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 43(2); 2013 > Article

Original Article
Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community: Jong Kyung Lee; Journal of Korean Academy of Nursing 2013;43(2):267-275.
DOI: https://doi.org/10.4040/jkan.2013.43.2.267
Published online: April 30, 2013

Department of Nursing, College of Medicine, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, College of Medicine, Dankook University, San 29 Anseo-dong, Cheonan, Chungnam, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, kyunglee@dankook.ac.kr

• Received: August 4, 2012 • Accepted: January 11, 2013

15 Views
0 Download
7 Scopus

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension.
Methods
The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program.
Results
There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure.
Conclusion
The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.
Keywords: Aged; Hypertension; Self-management; Medication; Education

This study was supported by the research fund of Dankook University in 2011 (No.: 104131).

REFERENCES

1. Aguiar PM, Balisa-Rocha BJ, Brito GC, Lyra DP Jr. Pharmaceutical care program for elderly patients with uncontrolled hypertension. J Am Pharm Assoc (2003). 2012;52(4):515–518. http://dx.doi.org/10.1331/JAPhA.2012.11015.Article PubMed
2. Aguwa CN, Ukwe CV, Ekwunife OI. Effect of pharmaceutical care programme on blood pressure and quality of life in a Nigerian pharmacy. Pharm World Sci. 2008;30(1):107–110. http://dx.doi.org/10.1007/s11096-007-9151-x.Article PubMed PDF
3. Bergman-Evans B. AIDES to improving medication adherence in older adults. Geriatr Nurs. 2006a;27(3):174–182. http://dx.doi.org/10.1016/j.gerinurse.2006.03.003.Article PubMed
4. Bergman-Evans B. Evidence-based guideline. Improving medication management for older adult clients. J Gerontol Nurs. 2006b;32(7):6–14.Article
5. Carroll CR. Drugs in modern society. 2000;5th ed. Boston, MA, McGraw-Hill Companies.
6. Case Management Society of America. Korea Research Group of Case Management. CMAG : Case management adherence guidelines 2.0. 2007;Seoul, Hyunmoon. (Original work published 2006).
7. Cohen J. Statistical power analysis for the behavioral sciences. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Associates.
8. DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW. Patient adherence and medical treatment outcomes: A meta-analysis. Med Care. 2002;40(9):794–811. http://dx.doi.org/10.1097/01.mlr.0000024612.61915.2d.PubMed
9. Hacihasanoğlu R, Gözüm S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011;20(5-6):692–705. http://dx.doi.org/10.1111/j.1365-2702.2010.03534.x.Article PubMed
10. Han JH. The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people. 2007;Seoul, Ewha Womans University. Unpublished master's thesis.
11. Han JH. Effects of medication education for elderly with low health literacy on medication knowledge and medication misuse & abuse behavior. 2011;Daegu, Keimyung University. Unpublished master's thesis.
12. Hogan DB, Kwan M. Patient sheet: Tips for avoiding problems with polypharmacy. CMAJ. 2006;175(8):876. http://dx.doi.org/10.1503/cmaj.060888.Article PubMed PMC
13. Hsu YH, Mao CL, Wey M. Antihypertensive medication adherence among elderly Chinese Americans. J Transcult Nurs. 2010;21(4):297–305. http://dx.doi.org/10.1177/1043659609360707.Article PubMed PDF
14. Kim KH, Park SH, Lee HK. A study on the factors influencing to the medication compliance of the hypertensive patient in one public health center in Seoul. Korean J Health Promot Dis Prev. 2005;5(4):267–274.
15. Lee DY. Development and evaluation of preventive education program for medication misuse of the community dwelling elderly. 2002;Seoul, Yonsei University. Unpublished doctoral dissertation.
16. Lee JH, Park M. The effects of an education program for safe drug use in the rural elderly. J Korean Acad Nurs. 2007;37(3):295–304.Article PDF
17. Lee JK. Factors associated with drug misuse behaviors among polypharmacy elderly. Korean J Adult Nurs. 2011;23(6):554–563.
18. Ministry of Health & Welfare. Korea national health and nutrition examination survey (KNHANES V-1). 2010;Retrieved April 5, 2012. from http://knhanes.cdc.go.kr/knhanes/index.do.
19. Murray MD, Morrow DG, Weiner M, Clark DO, Tu W, Deer MM, et al. A conceptual framework to study medication adherence in older adults. Am J Geriatr Pharmacother. 2004;2(1):36–43.Article PubMed
20. Opdycke RA, Ascione FJ, Shimp LA, Rosen RI. A systematic approach to educating elderly patients about their medications. Patient Educ Couns. 1992;19(1):43–60.Article PubMed
21. Park CH. Resistant hypertension: Causes and management. Korean J Med. 2009;76(4):398–401.
22. Shen Q, Karr M, Ko A, Chan DK, Khan R, Duvall D. Evaluation of a medication education program for elderly hospital in-patients. Geriatr Nurs. 2006;27(3):184–192. http://dx.doi.org/10.1016/j.gerinurse.2006.03.015.Article PubMed
23. 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. J Korean Acad Nurs. 2005;35(5):763–773.Article PDF
24. Suh SR, Lee EH. A path model predicting medication adherence and self-care of low-income older adults with hypertension. Korean J Adult Nurs. 2011;23(4):374–385.

Figure 1

Research design.

Table 1

Homogeneity Test for General Characteristics between the Two Groups

^*Fisher's exact test.

Cont.=Control group; Exp.=Experimental group; OTC=over-the-counter drug; CCB=calcium channel blocker; ARB=angiotensin receptor blocker; ACEI=angiotensin converting enzyme inhibitor; BB=beta blocker.

Table 2

Homogeneity Test for Dependent Variables between the Two Groups (N=49)

Table 3

Mean Differences in Dependent Variables between the Two Groups (N=49)

Cont.=Control group (n=23); Exp=Experimental group (n=26).

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community

J Korean Acad Nurs. 2013;43(2):267-275. Published online April 30, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.2.267

XML Download

Figure

We recommend

Related articles

Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial

Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community

Figure 1 Research design.

Figure 1

Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community

Table 1

Homogeneity Test for General Characteristics between the Two Groups

^*Fisher's exact test.

Cont.=Control group; Exp.=Experimental group; OTC=over-the-counter drug; CCB=calcium channel blocker; ARB=angiotensin receptor blocker; ACEI=angiotensin converting enzyme inhibitor; BB=beta blocker.

Table 2

Homogeneity Test for Dependent Variables between the Two Groups (N=49)

Table 3

Mean Differences in Dependent Variables between the Two Groups (N=49)

Cont.=Control group (n=23); Exp=Experimental group (n=26).

Table 1 Homogeneity Test for General Characteristics between the Two Groups

^*Fisher's exact test.

Cont.=Control group; Exp.=Experimental group; OTC=over-the-counter drug; CCB=calcium channel blocker; ARB=angiotensin receptor blocker; ACEI=angiotensin converting enzyme inhibitor; BB=beta blocker.

Table 2 Homogeneity Test for Dependent Variables between the Two Groups (N=49)

Table 3 Mean Differences in Dependent Variables between the Two Groups (N=49)

Cont.=Control group (n=23); Exp=Experimental group (n=26).