Factors predicting home medication management practices among chronically ill older population of selected districts of Nepal

Shrestha, S; Poudel, RS; Pradhan, S; Adhikari, A; Giri, A; Poudel, A

Factors predicting home medication management practices among chronically ill older population of selected districts of Nepal

Shrestha, S Poudel, RS Pradhan, S Adhikari, A Giri, A Poudel, A

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Publication Type:: Journal Article
Citation:: BMC Geriatrics, 2019, 19 (1)
Issue Date:: 2019-02-27

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Field	Value	Language
dc.contributor.author	Shrestha, S	en_US
dc.contributor.author	Poudel, RS	en_US
dc.contributor.author	Pradhan, S	en_US
dc.contributor.author	Adhikari, A	en_US
dc.contributor.author	Giri, A	en_US
dc.contributor.author	Poudel, A	en_US
dc.date.available	2019-02-19	en_US
dc.date.issued	2019-02-27	en_US
dc.identifier.citation	BMC Geriatrics, 2019, 19 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136439
dc.description.abstract	© 2019 The Author(s). Background: Older population often have multiple and complex needs that are consequently challenged by the presence of polypharmacy, adverse drug reactions and drug-drug interaction. We aimed to determine home medication management practices (MMP) and its associated factors among chronically ill older population of selected districts of Nepal. Methods: A community based cross-sectional survey was conducted among 386 chronically ill older individuals from selected areas of Nepal between April to September 2016. Appropriateness of MMP was assessed through scores of questions using interview method. Multivariate logistic regression analysis using potential variables from bivariate analysis were used to determine factors affecting MMP. Results: The overall home MMP was mostly inappropriate (80.1%). Most participants had multiple prescribers for single disease (202, 52.3%) and inappropriate medication storage (188, 48.7%). Though the majority of them had drug administration schedule (378, 97.9%), expired medicines were also used (2, 0.5%). Regression analysis showed less than one year duration of disease (odds ratio [OR] = 3.901, 95% confidence interval [CI] = 1.528 to 9.959, P = 0.004), 1-2 years duration of disease (OR = 2.415, 95% CI = 1.210 to 4.821, P = 0.012) and smokers (OR = 2.025, 95% CI = 1.036 to 3.956, P = 0.039) as the major factors affecting appropriate home MMP. Conclusions: The home MMP was associated with duration of disease and smoking status among chronically ill older patients living in selected districts of Nepal. Proper counselling and monitoring of such patients might be necessary to improve the practice.	en_US
dc.relation.ispartof	BMC Geriatrics	en_US
dc.relation.isbasedon	10.1186/s12877-019-1081-7	en_US
dc.subject.classification	Geriatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Chronic Disease	en_US
dc.subject.mesh	Pharmaceutical Preparations	en_US
dc.subject.mesh	Polypharmacy	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Drug Interactions	en_US
dc.subject.mesh	Forecasting	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Home Care Services	en_US
dc.subject.mesh	Nepal	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Medication Therapy Management	en_US
dc.subject.mesh	Drug-Related Side Effects and Adverse Reactions	en_US
dc.title	Factors predicting home medication management practices among chronically ill older population of selected districts of Nepal	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	19	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

© 2019 The Author(s). Background: Older population often have multiple and complex needs that are consequently challenged by the presence of polypharmacy, adverse drug reactions and drug-drug interaction. We aimed to determine home medication management practices (MMP) and its associated factors among chronically ill older population of selected districts of Nepal. Methods: A community based cross-sectional survey was conducted among 386 chronically ill older individuals from selected areas of Nepal between April to September 2016. Appropriateness of MMP was assessed through scores of questions using interview method. Multivariate logistic regression analysis using potential variables from bivariate analysis were used to determine factors affecting MMP. Results: The overall home MMP was mostly inappropriate (80.1%). Most participants had multiple prescribers for single disease (202, 52.3%) and inappropriate medication storage (188, 48.7%). Though the majority of them had drug administration schedule (378, 97.9%), expired medicines were also used (2, 0.5%). Regression analysis showed less than one year duration of disease (odds ratio [OR] = 3.901, 95% confidence interval [CI] = 1.528 to 9.959, P = 0.004), 1-2 years duration of disease (OR = 2.415, 95% CI = 1.210 to 4.821, P = 0.012) and smokers (OR = 2.025, 95% CI = 1.036 to 3.956, P = 0.039) as the major factors affecting appropriate home MMP. Conclusions: The home MMP was associated with duration of disease and smoking status among chronically ill older patients living in selected districts of Nepal. Proper counselling and monitoring of such patients might be necessary to improve the practice.

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http://hdl.handle.net/10453/136439