Aggarwal Brooke, Liao Ming, Mosca Lori
Columbia University Medical Center/New York-Presbyterian Hospital, New York, NY, USA.
Ann Behav Med. 2013 Oct;46(2):237-42. doi: 10.1007/s12160-013-9492-8.
Medication non-adherence is a significant contributor to suboptimal control of blood pressure and lipids.
This study determined if having a paid and/or family caregiver was associated with medication adherence in patients hospitalized for cardiovascular disease.
Consecutive patients admitted to the cardiovascular service at a university medical center who completed a standardized questionnaire about medication adherence and caregiving (paid/professional or family member/friend) were included in this analysis (N = 1,432; 63 % white; 63%male).
Among cardiac patients, 39 % reported being prescribed ≥ 7 different medications, and one in four reported being non-adherent to their medication(s). Participants who reported having/planning to have a paid caregiver were 40 % less likely to be non-adherent to their medications compared to their counterparts. The association remained significant after adjustment for demographic confounders and comorbid conditions (OR = 0.49; 95 %CI = 0.29-0.82).
Cardiac patients with a paid caregiver were half as likely to be non-adherent to medications as those without caregivers.
药物治疗依从性不佳是血压和血脂控制不理想的重要原因。
本研究旨在确定在因心血管疾病住院的患者中，拥有付费和/或家庭护理人员是否与药物治疗依从性相关。
本分析纳入了在一所大学医学中心心血管科连续收治的患者，这些患者完成了一份关于药物治疗依从性和护理情况（付费/专业或家庭成员/朋友）的标准化问卷（N = 1432；63%为白人；63%为男性）。
在心脏病患者中，39%的患者报告被开具了≥7种不同药物，四分之一的患者报告存在药物治疗不依从情况。与未报告有/计划有付费护理人员的参与者相比，报告有/计划有付费护理人员的参与者药物治疗不依从的可能性降低了40%。在对人口统计学混杂因素和合并症进行调整后，这种关联仍然显著（OR = 0.49；95%CI = 0.29 - 0.82）。
有付费护理人员的心脏病患者药物治疗不依从的可能性是没有护理人员患者的一半。
