Relación entre adhesión a la medicación y alfabetización em salud en personas ancianas

Authors

DOI:

https://doi.org/10.33448/rsd-v9i3.2327

Keywords:

Aged; Medication adherence; Health literacy; Family Health Strategy; Nursing.

Abstract

This study aimed to verify whether there is a relationship between medication adherence and health literacy in elderly people attending the Family Health Strategy of the western zone of a municipality in southern Brazil. A cross-sectional exploratory-descriptive, quantitative study of 17 family health teams with 350 elderly people, applying a Portuguese version of the Morisky Medication Adherence Scale, which verified the degree of adherence to the medication and a translated version of the Short-Test of Functional Health Literacy in Adults, which verified the degree of health literacy. A descriptive and inferential statistical analysis was performed. It was verified that 224 (64%) participants were considered non-adherent to the medication, and 206 (58.9%) had inadequate literacy, and there was no significant association between these variables. Participants reported other difficulties in drug treatment, among them, forgetfulness had a significant relationship with adherence. The lack of understanding of health information did not influence adherence to the medication treatment of the participants. Professionals must pay attention to other difficulties that may arise, especially forgetfulness, listing strategies aimed at minimizing it, such as monitoring and monitoring drug treatment.

References

Aiolfi, C. R., Alvarenga, M. R. M., Moura, C. D. S., & Renovato, R. D. (2015). Adherence to medicine use among hypertensive elderly. Revista Brasileira de Geriatria e Gerontologia, 18(2), 397-404.

Baker, D. W., Williams, M. V., Parker, R. M., Gazmararian, J. A., & Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient education and counseling, 38(1), 33-42.

Basheti, I. A., El Hait, S. S., Qunaibi, E. A., Aburuz, S., & Bulatova, N. (2016). Associations between patient factors and medication adherence: a Jordanian experience. Pharmacy Practice (Granada), 14(1), 0-0.

Bauer, A. M., Schillinger, D., Parker, M. M., Katon, W., Adler, N., Adams, A. S., Moffet, H. H., & Karter, A. J. (2013). Health literacy and antidepressant medication adherence among adults with diabetes: the diabetes study of Northern California (DISTANCE). Journal of general internal medicine, 28(9), 1181-1187.

Billingsley, L., & Carruth, A. (2015). Use of technology to promote effective medication adherence. The Journal of Continuing Education in Nursing, 46(8), 340-342.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. (2012). Política Nacional de Atenção Básica. Brasília: Ministério da Saúde.

Campbell, N. L., Zhan, J., Tu, W., Weber, Z., Ambeuhl, R., McKay, C., & McElwee, N. (2016). Self‐reported medication adherence barriers among ambulatory older adults with mild cognitive impairment. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 36(2), 196-202.

Carthery-Goulart, M. T., Anghinah, R., Areza-Fegyveres, R., Bahia, V. S., Brucki, S. M. D., Damin, A., Formigoni, A. P., Frota, N., Guariglia, C., Jacinto A. F., Kato, E. M., Lima E. P., Mansur, L., Moreira, D., Nóbrega, A., Porto, C. S., Senaha, M. L. H., Silva, M. M., Smid, J., Souza-Talarico, J. N., Radanovic, M., & Nitrini, R. (2009). Performance of a Brazilian population on the test of functional health literacy in adults. Revista de Saúde Pública, 43, 631-638.

Carvalho, M. H. R. D., Carvalho, S. M. R. D., Laurenti, R., & Payão, S. L. M. (2014). Chronic disease-related elderly mortality trends in the city of Marilia-SP, Brazil: 1998-2000 and 2005-2007. Epidemiologia e Serviços de Saúde, 23(2), 347-354.

Crespillo-Garcia, E., Rivas-Ruiz, F., Contreras, E. F., Castellano, P. M., Suárez, G. A., & Perez-Trueba, E. (2013). Knowledge, perceptions and attitudes involved in adherence to treatment elderly patients polymedicated from qualitative perspective. Revista de calidad asistencial: organo de la Sociedad Espanola de Calidad Asistencial, 28(1), 56-62.

Duong, V. T., Lin, I. F., Sorensen, K., Pelikan, J. M., Van Den Broucke, S., Lin, Y. C., & Chang, P. W. (2015). Health literacy in Taiwan: a population-based study. Asia Pacific Journal of Public Health, 27(8), 871-880.

Elsous, A., Radwan, M., Al-Sharif, H., & Abu Mustafa, A. (2017). Medications adherence and associated factors among patients with type 2 diabetes mellitus in the Gaza Strip, Palestine. Frontiers in endocrinology, 8, 100.

Geboers, B., Brainard, J. S., Loke, Y. K., Jansen, C. J., Salter, C., Reijneveld, S. A., & de Winter, A. F. (2015). The association of health literacy with adherence in older adults, and its role in interventions: a systematic meta-review. BMC public health, 15(1), 903.

Instituto Brasileiro de Geografia e Estatística. (2010). Cidades e Estados do Brasil. Municípios. Rio Grande RS. Pesquisas. Censo demográfico 2010: amostra - características da população; Acesso em 27 dezembro, 2018, em: https://cidades.ibge.gov.br/brasil/rs/rio-grande/pesquisa/23/25888?detalhes=true

Jin, H., Kim, Y., & Rhie, S. J. (2016). Factors affecting medication adherence in elderly people. Patient preference and adherence, 10, 2117-2125.

Jones, J. H., Treiber, L. A., & Jones, M. C. (2014). Intervening at the intersection of medication adherence and health literacy. The Journal for Nurse Practitioners, 10(8), 527-534.

Kim, S., Shin, D. W., Yun, J. M., Hwang, Y., Park, S. K., Ko, Y. J., & Cho, B. (2016). Medication adherence and the risk of cardiovascular mortality and hospitalization among patients with newly prescribed antihypertensive medications. Hypertension, 67(3), 506-512.

Levy, H., Janke, A. T., & Langa, K. M. (2015). Health literacy and the digital divide among older Americans. Journal of general internal medicine, 30(3), 284-289.

Lindquist, L. A., Go, L., Fleisher, J., Jain, N., Friesema, E., & Baker, D. W. (2012). Relationship of health literacy to intentional and unintentional non-adherence of hospital discharge medications. Journal of general internal medicine, 27(2), 173-178.

Machado, A. L. G., Gubert, F. A., Pinheiro, P. N. C., Vieira, N. F. C., Oliveira, P. S., & Guedes, I. H. (2015). Letramento em Saúde e Envelhecimento: Foco em condições crônicas de saúde. CIAIQ2014, 2, 187-92.

Magnabosco, P., Teraoka, E. C., Oliveira, E. M. D., Felipe, E. A., Freitas, D., & Marchi-Alves, L. M. (2015). Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations. Revista latino-americana de enfermagem, 23(1), 20-27.

Marcum, Z. A., & Gellad, W. F. (2012). Medication adherence to multidrug regimens. Clinics in geriatric medicine, 28(2), 287-300.

Markotic, F., Obrdalj, E. C., Zalihic, A., Pehar, R., Hadziosmanovic, Z., Pivic, G., Durasovic, S., Grgic, V., Banozic, A., Sapunar, D., & Puljak, L. (2013). Adherence to pharmacological treatment of chronic nonmalignant pain in individuals aged 65 and older. Pain Medicine, 14(2), 247-256.

Merz, R. (2016). Strengthening the health competence of patients. MMW Fortschritte der Medizin, 158(12), 36.

Monterroso, L. E. P., Joaquim, N., & de Sá, L. O. (2015). Medication adherence in elderly people integrated in the Long-Term Care domiciliary teams. Revista de Enfermagem Referência, 4(5), 9.

Morisky, D. E., Ang, A., Krousel‐Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10(5), 348-354.

O'Conor, R., Wolf, M. S., Smith, S. G., Martynenko, M., Vicencio, D. P., Sano, M., Wisnivesky, J. P., & Federman, A. D. (2015). Health literacy, cognitive function, proper use, and adherence to inhaled asthma controller medications among older adults with asthma. Chest, 147(5), 1307-1315.

Oliveira-Filho, A. D., Barreto-Filho, J. A., Neves, S. J. F., & Lyra Junior, D. P. D. (2012). Association between the 8-item Morisky Medication Adherence Scale (MMAS-8) and blood pressure control. Arquivos brasileiros de cardiologia, 99(1), 649-658.

Ramos, L. R., Tavares, N. U. L., Bertoldi, A. D., Farias, M. R., Oliveira, M. A., Luiza, V. L., Dal Pizzol, T.S., Arrais, P. S. D. & Mengue, S. S. (2016). Polypharmacy and Polymorbidity in Older Adults in Brazil: a public health challenge. Revista de saude publica, 50, 9s.

Remondi, F. A., Cabrera, M. A. S., & Souza, R. K. T. D. (2014). Non-adherence to continuous treatment and associated factors: prevalence and determinants in adults 40 years and older. Cadernos de saude publica, 30(1), 126-136.

Rodgers, J. E., Thudium, E. M., Beyhaghi, H., Sueta, C. A., Alburikan, K. A., Kucharska-Newton, A. M., Chang, P. P., & Stearns, S. C. (2018). Predictors of medication adherence in the elderly: The role of mental health. Medical Care Research and Review, 75(6), 746-761.

Roy, N. T., Sajith, M., & Bansode, M. P. (2017). Assessment of Factors Associated with Low Adherence to Pharmacotherapy in Elderly Patients. Journal of Young Pharmacists, 9(2), 272-276.

Santos, M. I. P. D. O., & Portella, M. R. (2016). Conditions of functional health literacy of an elderly diabetics group. Revista brasileira de enfermagem, 69(1), 156-164.

Schmitt Júnior, A. A., Lindner, S., & Helena, E. T. D. S. (2013). Assessment of adherence in elderly patients in primary care. Revista da Associação Médica Brasileira, 59(6), 614-621.

Silva, A. B. D., Engroff, P., Sgnaolin, V., Ely, L. S., & Gomes, I. (2016). Prevalence of diabetes mellitus and medication adherence in elderly of the Family Health Program in Porto Alegre. Cadernos Saúde Coletiva, 24(3), 308-316.

Silva, E. A., & Macedo, L. C. (2013) Polifarmácia em Idosos. Saúde e Pesquisa, 6(3),477-486.

Silva, R. D., Schmidt, O. F., & Silva, S. D. (2012). Polifarmácia em geriatria. Rev. AMRIGS, 56(2), 164-174.

Smith, S. G., O'Conor, R., Curtis, L. M., Waite, K., Deary, I. J., Paasche-Orlow, M., & Wolf, M. S. (2015). Low health literacy predicts decline in physical function among older adults: findings from the LitCog cohort study. J Epidemiol Community Health, 69(5), 474-480.

Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC public health, 12(1), 80.

Souza, J. G., Apolinario, D., Magaldi, R. M., Busse, A. L., Campora, F., & Jacob-Filho, W. (2014). Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study. BMJ open, 4(2), e004180.

Tavares, N. U. L., Bertoldi, A. D., Mengue, S. S., Arrais, P. S. D., Luiza, V. L., Oliveira, M. A., Ramos, L. R., Farias, M. R., & Pizzol, T. D. S. D. (2016). Factors associated with low adherence to medicine treatment for chronic diseases in Brazil. Revista de saude publica, 50, 10s.

Tavares, N. U. L., Bertoldi, A. D., Thumé, E., Facchini, L. A., França, G. V. A. D., & Mengue, S. S. (2013). Factors associated with low adherence to medication in older adults. Revista de saude publica, 47(6), 1092-1101.

Vancini-Campanharo, C. R., Oliveira, G. N., Andrade, T. F. L., Okuno, M. F. P., Lopes, M. C. B. T., & Batista, R. E. A. (2015). Systemic Arterial Hypertension in the Emergency Service: medication adherence and understanding of this disease. Revista latino-americana de enfermagem, 23(6), 1149-1156.

Vieira, L. B., & Cassiani, S. H. D. B. (2014). Avaliação da adesão medicamentosa de pacientes idosos hipertensos em uso de polifarmácia. Rev Bras Cardiol, 27(3), 195-202.

Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., & Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertensive older adults treated at primary health care centers. Southeast Asian Journal of Tropical Medicine and Public Health, 47(1), 109.

World Health Organization. (2003) Adherence to long term therapies, time for action. Geneva: World Health Organization.

Zhang, N. J., Terry, A., & McHorney, C. A. (2014). Impact of health literacy on medication adherence: a systematic review and meta-analysis. Annals of Pharmacotherapy, 48(6), 741-751.

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Published

01/01/2020

How to Cite

MARTINS, N. F. F.; ABREU, D. P. G.; LIMA, J. P. de; BANDEIRA, E. de O.; BRUM, A. N.; ILHA, S. Relación entre adhesión a la medicación y alfabetización em salud en personas ancianas. Research, Society and Development, [S. l.], v. 9, n. 3, p. e48932327, 2020. DOI: 10.33448/rsd-v9i3.2327. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/2327. Acesso em: 28 apr. 2024.

Issue

Vol. 9 No. 3

Section

Health Sciences

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