Yaşlılarda ilaç uyumunun geliştirilmesine yönelik stratejiler

Abstract

Dünyada ve Türkiye’de yaşlı nüfusun hızla artması, yaşlı bireylerde ilaç yönetimi konusunu sağlık hizmetlerinin öncelikli alanlarından biri haline getirmiştir. Yaşlı bireylerde çoklu hastalık yükü ve buna bağlı polifarmasi, ilaç tedavisini karmaşıklaştırmakta ve ilaç uyumunu zorlaştırmaktadır. Bu derlemede, yaşlılarda ilaç kullanımı uyumunu etkileyen faktörler kapsamlı şekilde ele alınmış; fiziksel, bilişsel, tedaviye ilişkin, sosyoekonomik ve sistem kaynaklı birçok etkenin uyum üzerinde belirleyici rol oynadığı vurgulanmıştır. Ayrıca, ilaç uyumunu artırmaya yönelik teknoloji destekli uygulamalar, hasta eğitimi, eczacı ilaç danışmanlığı, polifarmasi yönetimi ve hasta-merkezli iletişim gibi çok boyutlu stratejiler değerlendirilmiştir. Güncel literatür, bu stratejilerin etkileşimli ve bireyselleştirilmiş şekilde uygulanmasının, ilaç uyumunu anlamlı düzeyde artırabileceğini göstermektedir. Yaşlı bireylerin yaşam kalitesini ve tedavi etkinliğini artırmak için multidisipliner ve bütüncül yaklaşımlar temel alınmalıdır.

Keywords

• Yaşlı birey
• ilaç uyumu
• polifarmasi
• akılcı ilaç kullanımı
• tedaviye uyum

Strategies for improving medication compliance in elderly people

Abstract

The rapid increase in the elderly population both globally and in Turkey has made medication management in older adults one of the priority areas in healthcare services. In older individuals, multimorbidity and the resulting polypharmacy complicate pharmacological treatment and make medication adherence more challenging. This review comprehensively examines the factors affecting medication adherence in the elderly, highlighting that physical, cognitive, treatment-related, socioeconomic, and system-based factors play a decisive role in adherence. Additionally, multidimensional strategies such as technology-supported applications, patient education, pharmacist’s medication counseling, polypharmacy management, and patient-centered communication are evaluated to improve adherence. Current literature suggests that implementing these strategies in an interactive and personalized manner can significantly increase medication adherence. To improve the quality of life and treatment efficacy in older adults, multidisciplinary and holistic approaches must be taken as a basis.

Keywords

• Older adult
• medication adherence
• polypharmacy
• rational drug use
• treatment adherence

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