(3) 用藥安全：七日藥盒可以讓病患用藥正確，按時間服用，社區藥局及長照機構需提供老年人用藥的輔助工具（七日藥盒），以讓老年人服藥更方便、更正確而得到最大的安全保障。 As the elderly population increases, in today's aging society, the appropriateness of the drug taking behavior of the elderly in recent years become an important topic for discussion. With the global trend of increasing aging population, Taiwan is no exception! The satisfaction of drug taking by the elderly has always been considered an important indicator of treatment quality. Therefore, this study aims to investigate the impact of seven-day dosing administration aids to the satisfaction of drug taking behavior on the elderly.
The study used one group before and after design to investigate the changes of satisfaction. Two community pharmacies located at Taoyuan County of north Taiwan are participated the study, one in Chungli City and one in Taoyuan City. Patients over 65 years of age who bring in refill prescription for their chronic diseases were the target population of this study. A structured questionnaire was designed for the pretest, a seven-day dosing administration aid was used to pack their prescription drugs; patients returned after seven days of drug usage to the pharmacy for their posttest and drugs for their continuing therapy.
Total of 900 elderly were agreed to participate in this study, so 900 questionnaires were issued at pretest, however, 825 patients returned and 765 questionnaires were recovered, the recovery rate was 85%. Twenty-eight questionnaires with incomplete or irrational responses were excluded, with a final of 737 valid questionnaires used for the data analysis.
The study found out that seven-day dosing administration aid increases the overall satisfaction of the elderly on their drug using behavior and they gave strong support and expectations on future usage of this aid. The study also shown that pharmacist does have time to provide the aid and enhance the adherence of drug usage. The study recommends (1) pharmacists should provide needed drug information to the elderly and help them to understand the meaning of all labels on the package; (2) pharmacists should take more active role in providing the seven-day dosing administration aid and provide suitable adherence counseling services. Pharmacists should ask how patient is going to take each and every drug at home, if any inappropriate usage was found out, suitable education should be provided; (3) Seven-day pill box can increase the adherence and safe use of drugs. Community pharmacies and nursing homes should have the pill box package ready for the elderly to secure the safety and convenience of drug usage behavior of the elderly.