Analysis of Drug Management Ability on the Elderly in the East Surabaya Using MedMaIDEâ„¢
Downloads
The elderly are at the highest risk for drug-related problems caused by age-related physiological changes, multiple chronic illnesses, polypharmacy, and poor drug management. This study aims to analyze the ability of elderly regarding drug management. This study used an observational research method with an elderly population in the East Surabaya area. The research instrument used was MedMaIDETM (Medication Management Instrument for Deficiencies in the Elderly), which can be used to measure ability in medication management in the elderly community who are undergoing self-medication with at least one medication. Sampling was carried out using a non-random sampling method with a purposive sampling technique. The number of respondents obtained in this study were 100 elderly who live in the East Surabaya area. The inclusion criteria for research respondents were: (1) willing to be a respondent; (2) domiciled in the East Surabaya area; (3) aged ≥ 60 years; (4) able to communicate in Indonesian; and (5) consuming at least one medicine. The variable studied was drug management skills in the elderly which includes knowledge of the medications aspect, knowledge on how to take the medication aspect, and knowledge on how to obtain the medication. The average MedMAIDE scores of respondents in the three domains with a total average value of 1.18 and a standard deviation of 0.10, meanings each elderly at least had one deficiency out of 13 maximun score of deficiencies. There were 70 respondents out of 100 respondents who had limitations in drug management with one deficiency score as the smallest score and the largest total deficiency score being 7. Meanwhile, 30 other respondents had a no deficiency. The most difficult tasks were identified the problems after taking the medication, fill a glass with water, sip enough water to swallow medication and identify if a refill exists on a prescription. The ability of elderly people in the East Surabaya area to manage their medicines was good. The elderly were able to recognize the drugs used, use the drugs correctly, and comply with drug administration.
Assalwa, U., Ningrum, G. P., Tindawati, T. M., Zahro, S., Trisfalia, R. R., Yuliani, A. P., Syarifudin, F., Najah, A. L. ., Devi, A. S., Irmatiara, F., and Priyandani, Y. (2020) ‘Profil perilaku pengelolaan obat pada lansia.', Jurnal Farmasi Komunitas, 8(1),pp. 9-14. doi: 10.20473/jfk.v8i1.21916
Basic Health Research (2018) ‘Research and development agency.' Indonesia: Indonesia Basic Health Research (RISKESDAS)
Chippa V, Roy K. (2023) ‘Geriatric cognitive decline and polypharmacy.'Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK574575/
East Java Province. (2020) "Profil kesehatan.' Available at: https://dinkes.jatimprov.go.id/userfile/dokumen/PROFIL%20KESEHATAN%202020.pdf (Accessed: November 2, 2022).
Fuchs J. (2009) ‘The amount of liquid patients use to take tablets or capsules.', Pharmacy practice, 7(3), pp. 170–174. doi: 10.4321/s1886-36552009000300007
Fitrika, Y., Saputra, K. Y., and Munarti, M. (2018) ‘Hubungan fungsi kognitif terhadap kepatuhan minum obat anti hipertensi pada pasien lanjut usia di poliklinik penyakit dalam Rumah Sakit Blud Meuraxa Kota Banda Aceh.', SEL Jurnal Penelitian Kesehatan, 5(2), pp. 11-20.
Georgia State University (2023) ‘Research Guide SPSS.' Georgia State University Library. Available at: www.research.library.gsu.edu.
Government of the Republic of Indonesia. (2021) ‘Presidential regulation of the Republic of Indonesia number 88 of 2021 concerning the national strategy for aging.' RI Gazette 2021, No. 88. Jakarta.
Gray, S. L., Mahoney, J. E., and Blough, D. K. (2001) ‘Medication adherence in elderly patients receiving home health services following hospital discharge.', The Annals of pharmacotherapy, 35(5), pp. 539–545. doi: 10.1345/aph.10295
Hummler, H., Stillhart, C., Meilicke, L., Grimm, M., Krause, E., Mannaa, M., Gollasch, M., Weitschies, W., and Page, S. (2023) ‘Impact of tablet size and shape on the swallowability in older adults.', Pharmaceutics, 15(4), pp. 1042 - 1062. doi: 10.3390/pharmaceutics15041042.
Mortelmans, Laura, Elyne De Baetselier, Eva Goossens, and Tinne Dilles. (2021) ‘What happens after hospital discharge? deficiencies in medication management encountered by geriatric patients with polypharmacy.', International Journal of Environmental Research and Public Health 18(13), pp. 7031. 10.3390/ijerph18137031
Nieuwlaat, R., Wilczynski, N., Navarro, T., Hobson, N., Jeffery, R., Keepanasseril, A., Agoritsas, T., Mistry, N., Iorio, A., Jack, S., Sivaramalingam, B., Iserman, E., Mustafa, R. A., Jedraszewski, D., Cotoi, C., & Haynes, R. B. (2014) ‘Interventions for enhancing medication adherence.', The Cochrane database of systematic reviews, 2014(11), pp. 518. doi: 10.1002/14651858.CD000011.pub4.
Nienke E. Dijkstra, Carolien G.M. Sino, Marieke J. Schuurmans, Lisette Schoonhoven, Eibert R. Heerdink. (2022) ‘Medication self-management: Considerations and decisions by older people living at home.', Research in Social and Administrative Pharmacy, 18(1), pp. 2410-2423, doi: 10.1016/j.sapharm.2020.09.004
Nguyen, T., Wong, E., Ciummo, F. (2020) ‘Polypharmacy in older adults: Practical applications alongside a patient case.', The Journal for Nurse Practitioners, 16(3),pp. 205-209. doi: 10.1016/j.nurpra.2019.11.017 1
OECD (2018) ‘Investing in medication adherence improves health outcomes and health system efficiency: Adherence to medicines for diabetes, hypertension, and hyperlipidaemia.', OECD Health Working Papers, 105(2), pp. 1-40. doi: 10.1787/8178962c-en
Orwig, D., Brandt, N., and Gruber-Baldini, A. L. (2006) ‘Medication management assessment for older adults in the community.' The Gerontologist, 46(5), pp. 661–668. doi: 10.1093/geront/46.5.661
Pietraszek, A., Agrawal, S., Dróżdż, M., Makuch, S., DomaÅ„ski, I., Dudzik, T., Dudek, K., and SobieszczaÅ„ska, M. (2022) ‘Sociodemographic and health-related factors influencing drug intake among the elderly population.', International journal of environmental research and public health, 19(14), pp. 8766. doi: 10.3390/ijerph19148766
Stegemann, S., Gosch, M., and Breitkreutz, J. (2012) ‘Swallowing dysfunction and dysphagia is an unrecognized challenge for oral drug therapy.' International journal of pharmaceutics, 430(1-2), pp. 197–206. doi: 10.1016/j.ijpharm.2012.04.022
Simonson, W., and Feinberg, J. L. (2005) ‘Medication-related problems in the elderly : defining the issues and identifying solutions.', Drugs & aging, 22(7), pp. 559–569. doi: 10.2165/00002512-200522070-00002
Suwarni, S., Setiawan, S., Syatibi, M.M. (2017) ‘Hubungan usia demensia dan kemampuan fungsional pada lansia.', Jurnal Keterapian Fisik. 2(1), pp. 1-61. doi: https://doi.org/10.37341/jkf.v2i1.77
Copyright (c) 2023 Jurnal Farmasi Komunitas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
In order to be accepted and published by JFK, author(s) submitting the article manuscript should complete all the review stages. By submitting the manuscript, the author(s) agreed to these following terms:
1. Copyright of the article is transferred to the journal (JFK), by the knowledge of the author, whilst the moral right of the publication belongs to the author. The intended copyright includes the rights to publish articles in various forms (including reprints). JFK maintain the publishing rights to the published articles.
2. The formal legal aspect of journal publication accessibility refers to the Creative Commons Attribution-Non-Commercial-Share Alike (CC BY-NC-SA), which implies that the publication can be used for non-commercial purposes in its original form.
3. Every publication (print/electronic) is open access for educational, research, and library purposes. In addition to the objectives mentioned above, the editorial board is not responsible for copyright infringement
The Copyright Transfer Agreement Form can be downloaded ON THIS FORM.
Jurnal Farmasi Komunitas (JFK) by Unair is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
