title: Medication-related problems among community-dwelling older adults after recent hospital discharge in mainland China.
abstract: BACKGROUND
  Most research about medication-related problems after hospital discharge among older adults has been carried out in Western countries. The experience of older adults in China has not been described.
  
  
  OBJECTIVE
  The aim of the study was to explore the prevalence, types, and predictors of medication-related problems among community-dwelling older adults with cardiovascular problems after recent hospital discharge in mainland China.
  
  
  METHODS
  An exploratory, cross-sectional survey design was used. Participants (N = 769) aged 60 and over-discharged with more than one medication-were administered three self-report questionnaires: the demographic questionnaire, the 15-Item Geriatric Depression Scale, and the questionnaire about medication use.
  
  
  RESULTS
  Nearly 40% of this sample experienced medication-related problems. Omission (failing to take a dose of medication) was most common (20.4%). Predictors of any medication-related problems included absence of caregiver (OR = 1.71; 95% CI [1.22, 2.39]), depression (OR = 2.56; 95% CI [1.77, 3.71]), and use of more than six medications (OR = 1.39; 95% CI [1.03, 1.87]).
  
  
  CONCLUSIONS
  Significant attention should be given to older adults in China who are recently discharged from the hospital. Our study highlights the importance of effective interventions to help this group manage their medications well.
authors.affiliation: Tian Xiong, RN, MSN, is Nurse, Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Jie Li, PhD,is Lecturer; Jing Mao, MD, is Professor and Dean; Jiaqi Xu, RN, is Master student in Nursing, School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
authors.forename: Tian
authors.initials: T
authors.lastname: Xiong
authors.forename: Jie
authors.initials: J
authors.lastname: Li
authors.forename: Jing
authors.initials: J
authors.lastname: Mao
authors.forename: Jiaqi
authors.initials: J
authors.lastname: Xu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000188:drug therapy* / Q000453:epidemiology; D017028:Caregivers / Q000706:statistics & numerical data; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008508:Medication Errors / Q000706:statistics & numerical data*; D008875:Middle Aged; D010351:Patient Discharge; D019338:Polypharmacy; D011795:Surveys and Questionnaires; D016903:Drug Monitoring