Research Square (Research Square),
Год журнала:
2022,
Номер
unknown
Опубликована: Май 25, 2022
Abstract
Background:
Deprescribing
as
the
part
of
optimal
health
care
is
aimed
at
reducing
overall
impact
polypharmacy
on
patients
and
services.
Understanding
how
older
adults
their
caregivers
understand
deprescribing
crucial
to
ensuring
a
holistic
approach
deprescribing.
Objective:
To
assess
attitude
towards
medication
Ambo
university
referral
hospital.
Methodology:
Institutional
based
cross-sectional
study
was
conducted
using
revised
Patient
Attitude
Towards
tool
(rPATD).
The
collected
data
were
processed
analyzed
by
statistical
package
for
social
science
(SPSS-25)
presented
in
tables.
Backward
linear
regression
logistic
used
determine
degree
association
between
dependent
independent
variables.
95%
confidence
interval
two
sides
P-value
≤
0.05
utilized
reporting.
Result:
One
hundred
fifty
six
(81.3%)
respondents
(i.e.85%
77.2%
caregivers)
agreed
stop
one
or
more
regular
medications
if
physician
recommends
doing
so
despite
98(51.0%)
them
(i.e.
49%
53.3%
being
satisfied
with
their/their
recipient’s
medications.
On
aggregate
mean
score,
had
neutral
position
(2.6-3.59)
regarding
burden
concerns
stopping
factor
score
whereas
majority
disagree
(1-2.59)
inappropriateness
they
been
received
(3.6-5)
need
involvement
medicine
decision
making.
Concerns
scores
(AOR=0.440,
CI=0.262-0.741,
P=0.035)
significantly
associated
willingness
have
medicine(s)
deprescribed.
Perceived
levels
(AOR=0.653,
CI=
0.456-0.936,
P=0.020)
satisfaction
medicines
regimen.
Conclusion:
Majority
would
be
willing
stopped
physicians
recommend
it.
Having
higher
perceived
main
determinants
deprescribe
respectively.
Healthcare
providers
should
prompt
process
clinical
practice.
PLoS ONE,
Год журнала:
2024,
Номер
19(12), С. e0311853 - e0311853
Опубликована: Дек. 19, 2024
Deprescribing
is
defined
as
the
reduction
of
medications
to
improve
patient
care.
For
effective
deprescribing
regular
evaluation
medication
adjustment
regimens
required
it
documented
be
an
method
reduce
polypharmacy
and
potentially
inappropriate
while
improving
well-being.
Several
factors,
including
patient-related
aspects,
influence
process.
Among
these
willingness
plays
a
pivotal
role,
making
essential
better
understand
their
perspectives
attitudes
towards
use
successfully
implement
maintain
approach.
We
investigated
older
patients
attending
geriatric
clinics
in
Kuwait
toward
identified
predictors
that
undergo
this
enrolled
aged
≥65
years
who
were
primary
care
settings
Kuwait.
These
participants
completed
revised
Arabic
version
Patients’
Attitudes
Towards
(rPATD)
questionnaire.
The
questionnaire
was
designed
assess
participants’
participate
actively
decision-making
inclination
discontinuing
certain
medicines.
Descriptive
statistics
applied
gain
insight
into
characteristics
responses
rPATD
Binary
logistic
regression
influencing
desire
deprescribe
among
participants.
study
included
535
participants,
out
which
388
analyzed,
with
233
(43.6%)
being
women.
majority,
77%
(n
=
412),
between
65
74
years.
Out
total,
205
(38.4%)
had
one
two
medical
conditions
prescribed
five
medications.
showed
high
deprescribe,
inversely
associated
sex
(p
0.15),
age
0.044).
Many
visiting
receptive
concept
medications,
particularly
if
advised
by
doctor.
Nevertheless,
observed
male
patients,
individuals
on
more
than
5
groups
lower
deprescribe.
Public Health Nursing,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 30, 2024
Deprescribing
is
a
strategy
to
optimize
medication
use
and
prevent
harm.
Despite
the
fact
that
behavioral
theories
have
been
shown
be
useful
in
explaining
health
behaviors,
literature
on
deprescribing
relies
almost
exclusively
attitudes
as
an
explanatory
factor
for
behavior.
This
study
systematically
reviews
made
explicit
of
constructs
included
behavior
(HBTs)
explain
older
adults'
informal
caregivers'
outcomes.
BMJ Open,
Год журнала:
2023,
Номер
13(11), С. e078391 - e078391
Опубликована: Ноя. 1, 2023
Objectives
This
study
set
out
to
assess
older
people’s
perception
of
their
medications,
attitude
towards
medication
use
and
willingness
have
medications
deprescribed
in
a
geriatric
centre
Southwestern
Nigeria.
Design
setting
A
cross-sectional
was
conducted
at
the
Chief
Tony
Anenih
Geriatric
Centre,
University
Ibadan,
using
an
interviewer-administered
questionnaire.
The
questionnaire
used
revised
version
Patient’s
Attitude
Towards
Deprescribing
Questionnaire.
Descriptive
statistics,
multivariate
bivariate
analyses
were
performed
SPSS
V.23.
Statistical
significance
p<0.05.
Participants
415
patients
aged
≥60
years
who
attended
College
Hospital
Ibadan
between
April
July
2022.
Main
outcome
measure
primary
person
deprescribe
if
recommended
by
physician.
Results
mean
age
participants
69.6±6.4
years,
252
(60.7%)
female.
Overall,
positive
deprescribing
among
respondents
60.5%
89.7%,
respectively.
Factors
significantly
associated
with
financial
self-support
(p=0.021),
having
no
previous
hospital
admission
(p=0.009),
better-perceived
quality
health
relative
peers
(p<0.0001),
polypharmacy
(p=0.003),
domains
burden
(p=0.007),
appropriateness
concerns
about
stopping
(p<0.0001)
involvement
(p<0.0001).
predictive
factors
for
improved
direct
(OR=2.463;
95%
CI
1.501
4.043,
p<0.0001),
(OR=0.462;
0.254
0.838,
p=0.011)
(OR=2.031;
1.191
3.463,
p=0.009).
Conclusion
demonstrated
greater
physicians
it.
Predictive
that
may
influence
medications.
Research Square (Research Square),
Год журнала:
2022,
Номер
unknown
Опубликована: Май 25, 2022
Abstract
Background:
Deprescribing
as
the
part
of
optimal
health
care
is
aimed
at
reducing
overall
impact
polypharmacy
on
patients
and
services.
Understanding
how
older
adults
their
caregivers
understand
deprescribing
crucial
to
ensuring
a
holistic
approach
deprescribing.
Objective:
To
assess
attitude
towards
medication
Ambo
university
referral
hospital.
Methodology:
Institutional
based
cross-sectional
study
was
conducted
using
revised
Patient
Attitude
Towards
tool
(rPATD).
The
collected
data
were
processed
analyzed
by
statistical
package
for
social
science
(SPSS-25)
presented
in
tables.
Backward
linear
regression
logistic
used
determine
degree
association
between
dependent
independent
variables.
95%
confidence
interval
two
sides
P-value
≤
0.05
utilized
reporting.
Result:
One
hundred
fifty
six
(81.3%)
respondents
(i.e.85%
77.2%
caregivers)
agreed
stop
one
or
more
regular
medications
if
physician
recommends
doing
so
despite
98(51.0%)
them
(i.e.
49%
53.3%
being
satisfied
with
their/their
recipient’s
medications.
On
aggregate
mean
score,
had
neutral
position
(2.6-3.59)
regarding
burden
concerns
stopping
factor
score
whereas
majority
disagree
(1-2.59)
inappropriateness
they
been
received
(3.6-5)
need
involvement
medicine
decision
making.
Concerns
scores
(AOR=0.440,
CI=0.262-0.741,
P=0.035)
significantly
associated
willingness
have
medicine(s)
deprescribed.
Perceived
levels
(AOR=0.653,
CI=
0.456-0.936,
P=0.020)
satisfaction
medicines
regimen.
Conclusion:
Majority
would
be
willing
stopped
physicians
recommend
it.
Having
higher
perceived
main
determinants
deprescribe
respectively.
Healthcare
providers
should
prompt
process
clinical
practice.
