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Effects of Elderly Care with Chronic Diseases on Quality Use of Medicine at Home in Area of Sub-district Health Promoting Hospitals, Somdet District, Kalasin province |
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| รหัสดีโอไอ | |
| Creator | Chananooch Manadee |
| Title | Effects of Elderly Care with Chronic Diseases on Quality Use of Medicine at Home in Area of Sub-district Health Promoting Hospitals, Somdet District, Kalasin province |
| Contributor | Chanuttha Ploylearmsang, Phayom Sookaneknun |
| Publisher | Faculty of Pharmaceutical Sciences KKU MSU UBU |
| Publication Year | 2557 |
| Journal Title | Isan Journal ofPharmaceutical Sciences |
| Journal Vol. | 10 |
| Journal No. | 3 |
| Page no. | 354-371 |
| Keyword | home care, elderly, diabetes and hypertension, quality use of medicine, health promoting hospitals |
| URL Website | https://tci-thaijo.org/index.php/IJPS |
| Website title | Isan Journal ofPharmaceutical Sciences, IJPS |
| ISSN | 19050852 |
| Abstract | Introduction: This study aimed to determine the impact of home quality use of medicine in chronically ill elderly patients in the health promoting hospitals of Somdet District, Kalasin Province. Clinical outcomes were medication compliance, adverse drug reactions, rehospitalization/ER-visit, treatment cost, and quality of life. Methods: This quasi-experimental study was conducted between February and July 2013. One hundred elderly patients with diabetes mellitus (DM) type 2 and/or hypertension (HT) patients in two sub-districts (Mahachai and Mhoomon) were included. The experimental group (n = 50) was provided elderly care for quality use of medicine at home by health care teams for six visits (once per month). The control group (n=50) received usual care. Data was collected by Patient data recorder sheet, WHO's algorithm and quality of life (QoL) was assessed by the SF-36. Baseline characteristics were analyzed by descriptive statistics. Comparison within group, paired t-test and McNemar test were used. Comparison between two groups, Chi-square, Fisher's exact test and independent t-test were used. Results: At the end of six months follow-up, fasting blood sugar (FBS) in the experimental group was signifcantly lower than the control group (119.70?30.19, 147.08?52.72 mg/dl, p=0.002). Systolic blood pressure (SBP) in the experimental group was signifcantly lower than the control group (126.86?11.96, 134.40?16.09 mmHg, p=0.009). Medication compliance of the experimental group was signifcantly higher than the control group. Incidence of adverse drug reactions (ADRs) in the experimental group was also reduced. The incidence of re-hospitalizations or ER visits, for the experimental group was lower than the control group and amounted to a cost savings of 7,527 baht. Quality of life (QOL) score for the experimental group was signifcantly higher than the control group in fve out of eight domains. Conclusions: The six month elderly care for quality use of medicine at home by health care team can improve clinical outcomes and medication compliance, prevent adverse drug reactions, reduce re-hospitalizations or emergency room visits, decrease health care cost and improve quality of life. |
