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Document Type |
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Thesis |
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Document Title |
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MEDICATION NON-ADHERENCE AMONG OLDER PATIENTS: A MULTI-CENTERS CROSS SECTIONAL STUDY IN JEDDAH-SAUDI ARABIA 2018 عدم الإلتزام بالدواء بين مرضى كبار السن : دراسة مقطعية في مراكز متعددة بجدة - المملكة العربية السعودية - 2018 |
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Subject |
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Faculty of medicine |
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Document Language |
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Arabic |
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Abstract |
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Background: Older patients aged 60 years and above mostly have multiple medications prescribed by doctors more than any age group, because they usually suffer from multiple chronic conditions that may require lifelong management. Approximately, 50% of the older adults who use more than one medication have poor adherence and thus leading to medical problems. Using multiple medications is a global health issue among the aging population. Our study aims to assess the level of adherence to medications among older patients with chronic health diseases at King Abdulaziz university hospital and King Abdulaziz Medical City in Jeddah, Saudi Arabia.
Method: A cross-sectional study among 400 non-probability convenient sample of Saudi patients, conducted between August and November 2018 at Family Medicine Clinic of King Abdulaziz University Hospital and King Abdulaziz Medical City, Jeddah, Saudi Arabia. All Saudi patients aged 60 years old and above attending Family Medicine Clinic with chronic health problems have been included in this study. Patients with mental health problems and acute illnesses were excluded.
Results: Four hundreds Saudi older patients were recruited in this study. Age ranged from 60 to 89 years old (68.5±06.2). The proportion of male patients was slightly higher (53.3%) compared to females (46.8%). Overall, 81.0% of the patients were married. Cardiovascular and endocrine disorders were the two most common diseases to be identified in our study group. The prevalence of non-adherence in our study was 59.5%, while adherence was 40.5%. The most significant independent factors of non-adherence to medication were having more than 5 medications per day (p<0.001), increasing the number of chronic diseases (p<0.05) , absence of caregiver (p<0.05), While better adherence was associated with university degree because of significant interaction with higher number of chronic diseases (p<0.05).
Conclusion: The present study revealed that nearly 60% of the older patients in our study in Saudi Arabia were non-adherent to medication. Educational level, number of medications, number of chronic diseases and presence of caregiver were the significant independent factors of patients' non-adherence to medication. Educational programs and training among these high-risk groups are needed taking to consideration the number of chronic diseases of the patient.
Keywords: Non-adherence, Adherence, medication, Older patients, Chronic disease. |
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Supervisor |
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Prof. Waleed Milaat |
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Thesis Type |
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Master Thesis |
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Publishing Year |
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1441 AH
2020 AD |
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Co-Supervisor |
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Dr. Mai Kadi |
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Added Date |
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Friday, August 21, 2020 |
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Researchers
| لميس سامي بخش | Bakhsh, Lamis | Researcher | Master | |
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