Older adults with various chronic diseases (not limited to a specific disease)
Conditions
Interventions
In the intervention group, nurses use the "
Nursing Support System for Medication Adherence in Older Adults"
to perform an initial assessment within 3 days of admission. Based on the system'
s radar chart, nurses identify strengths and weaknesses in patients'
medication self-management, provide individualized counseling, explain medication management strategies, offer motivational support, and, if necessary, provide guidance to family members. Reassessment
will not be used, and usual nursing support for medication adherence will be provided.
Sponsors
SHIMANE University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients admitted to community-based integrated care wards at a Hospital 2. Aged 65-74 years and under the care of the participating nurse 3. Expected hospital stay >=2 weeks 4. Continuously taking cardiovascular medications 5. Self-managing >=3 medications with family support 6. Able to provide written informed consent 7. Approved for participation by the attending physician
Exclusion criteria
Exclusion criteria: 1. Severe hearing or language impairments preventing understanding of the study or providing consent 2. Severe physical illness or acute exacerbation making the intervention difficult, or life expectancy judged to be extremely short 3. Diagnosis of dementia or MCI, or cognitive impairment leading to family- or healthcare provider-led medication management 4. History of psychiatric disorders or current pharmacotherapy for psychiatric conditions 5. Hospital stay <2 weeks, making intervention or evaluation insufficient 6. Complete discontinuation of all oral medications during the intervention period or after discharge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in medication adherence score measured by the 12-item Medication Adherence Assessment Tool for Older Adults | — |
Countries
Japan
Contacts
Public ContactSaki Moriwaki
Shimane University Department of Fundamental Nursing, School of Medicine
Outcome results
None listed