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- Adherence to the therapeutic medication and biopsychosocial aspects of elderly integrated in the home-based long-term carePublication . Monterroso, Lígia Eduarda Pereira; Sá, Luís Octávio de; Joaquim, Natércia Maria TeixeiraObjective: To evaluate the association between the biopsychosocial aspects and the adherence to the therapeutic medication of elderly integrated into the home-based long-term care teams. Methods: A cross-sectional, quantitative study, with a sample of 198 eldery. Interviews took place between May 2012 and May 2013 in Portugal. For therapeutic characterization, the data were collected using two questionnaires and one interview. Data analysis made with the Statistical Package for Social Sciences version 20.0. Descriptive statistics were used to present the results and the Chi-Square test to evaluate the association between variables. Results: It was observed that 49% of the elderly do not adhere to the therapeutic medication and the level of adherence showed a statistically significant association with nutritional status (p = 0.002), instrumental autonomy (p = 0.030) and social isolation (p = 0.046). Conclusions: Due to the multiplicity of aspects involved in adherence, it is suggested that they be considered in the nursing interventions that promote therapeutic control measures.
- Medication adherence in elderly people integrated in the long-term care domiciliary teamsPublication . Monterroso, Lígia Eduarda Pereira; Joaquim, Natércia; Sá, Luís Octávio deTheoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion: The low level of MA is influenced by cognitive factors that should be considered while planning interventions to promote the MA among the elderly.