Medication Management and Adherence Among Cognitively Impaired Older Adults

被引:52
作者
Cotrell, Victoria [1 ]
Wild, Katherine [2 ]
Bader, Theresa [3 ]
机构
[1] Portland State Univ, Grad Sch Social Work, POB 751, Portland, OR 97207 USA
[2] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97239 USA
[3] Portland State Univ, Grad Sch Social Work, Reg Res Inst, Portland, OR 97207 USA
来源
JOURNAL OF GERONTOLOGICAL SOCIAL WORK | 2006年 / 47卷 / 3-4期
关键词
Alzheimer's disease; caregiver; medication adherence; awareness;
D O I
10.1300/J083v47n03_03
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
This study examined the relationship between patients' cognitive status, deficit awareness, medication management skills, and actual medication adherence. Twenty-seven persons with Alzheimer's disease and 20 healthy controls were evaluated for their predicted and objective performance on tasks related to medication management. Caregivers were also evaluated for their prediction of the care recipient's management abilities. A pill count was taken at the initial interview and 30 days later. MMSEand deficit awareness were related to amount of help received from a family member, suggesting that caregivers tend to accurately assess their relatives'medication management abilities. Adherence rates were acceptable, but some intervention strategies selected by caregivers were not effective in assuring adequate adherence. Additional study is needed to determine the effectiveness of various strategies adopted by informal caregivers. (C) 2006 by The Haworth Press, Inc. All rights reserved.
引用
收藏
页码:31 / 46
页数:16
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