Aim: Elucidating factors affecting medication management in patients with cognitive dysfunction is useful toward providing support for those taking medication. In this study, we investigated factors affecting medication management in patients with cognitive dysfunction.Methods: From February 2013 to September 2017, a retrospective medical chart review was conducted. The survey items included age, sex, patient’s educational level, number of daily doses, number of daily medications, frailty, vitality index, Barthel index, mini mental state examination (MMSE), instrumental activities of daily living (IADL) for each men and women, respective, geriatric depression scale (GDS)-15, long-term care insurance, use of medications three or more times a day, MMSE scores of 22 or less, women’s IADL, and medication management.
Results: Among 129 elderly patients (42 men and 87 women), use of medications three or more times a day, long-term care insurance, and women’s IADL were involved in medication management. However, age, sex, patient’s educational level, frailty, number of daily doses, number of daily medications, vitality index, Barthel index, and MMSE scores were not related to in medication management. The IADL scores were highest in women who did not use medications and had long-term care insurance.
Conclusions: Factors affecting medication management in patients with cognitive dysfunction are the use of medications three or more times a day and independence in IALD in women who do not have long-term care insurance.
View full abstract