title: Prevalence and Related Factors of Ineffective Self-Health Management in Polymedicated Patients Over the Age of 65 Years.
abstract: OBJECTIVE
  To determine the prevalence of Ineffective Self-Health Management (ISHM) (00078) and its related factors in polymedicated patients over the age of 65 years.
  
  
  METHODS
  A cross-sectional, descriptive design was used. A home interview was conducted with each participant (N = 375) for data collection.
  
  
  RESULTS
  The prevalence of ISHM was 37.3%. The risk factors associated were social risk, depression, noncompliance, medication errors, and confusion with medications.
  
  
  CONCLUSIONS
  Among polymedicated elderly patients, the prevalence of ISHM is high. The diagnosis is closely connected to the compliance and complexity of the treatment regimen, in addition to those relating strictly to social and emotional factors.
  
  
  CONCLUSIONS
  Nursing methodology encompasses instruments that allow nurses in clinical practice to evaluate the issue of compliance.
authors.affiliation: Primary Care Nurse, Primary Health Care Centre San Miguel (Torremolinos), District of Primary Health Care Costa del Sol, and Clinical Lecturer at Faculty of Health Sciences, Department of Nursing, University of Málaga, Málaga, Spain.
authors.forename: Alonso
authors.initials: A
authors.lastname: Montiel-Luque
authors.affiliation: Nurse, Intensive Care Unit, Hospital of Antequera, Health Area North of Málaga, Málaga, Spain.
authors.forename: Antonio Jesús
authors.initials: AJ
authors.lastname: Núñez-Montenegro
authors.affiliation: Director, Primary Health Care Centre La Roca, District of Primary Health Care Málaga, Málaga, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Martín-Aurioles
authors.affiliation: Primary Care Nurse, Primary Health Care Centre Cala de Mijas (Mijas), District of Primary Health Care Costa del Sol, Málaga, Spain.
authors.forename: Felicísima
authors.initials: F
authors.lastname: García-Dillana
authors.affiliation: Director, Primary Health Care Centre Campillos, Health Area North of Málaga, Málaga, Spain.
authors.forename: Maria Carmen
authors.initials: MC
authors.lastname: Toro-Toro
authors.affiliation: Professor of Pharmacology, Department of Pharmacology, Biomedical Research Institute of Málaga, University of Málaga, Málaga, Spain.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: González-Correa
authors.affiliation: Primary Care Nurse, Primary Health Care Centre San Miguel (Torremolinos), District of Primary Health Care Costa del Sol, and Clinical Lecturer at Faculty of Health Sciences, Department of Nursing, University of Málaga, Málaga, Spain.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D019338:Polypharmacy; D015995:Prevalence; D012307:Risk Factors; D000073278:Self-Management
keywords: Aged patient; Ineffective Self-Health Management; medication therapy management; nursing; polypharmacy