Dehkordi Leila Mardanian
Department of Adult Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2013 May;18(3):198-201.
Coronary artery diseases are one of the most important issues in health and social problems. One of the amendable risk factors in development of these diseases is high cholesterol which can be modified through correction of lifestyle (diet change, playing sports, and usage of lipid-lowering drugs). Patients' compliance to therapeutic programs is the most important element to achieve this goal. This study aims to define the factors associated with compliance to medications among hyperlipidemic patients.
This is a descriptive analytical study conducted on 82 hyperlipidemic patients. The data were collected by a questionnaire including two sections: The first section was about demographic characteristics and the second section contained a questionnaire extracted from Foley questionnaire (2005) to inquire medication compliance. The data were analyzed by descriptive statistics (mean), Pearson Spearman correlation coefficients, and independent t-test.
Based on the findings, it was evident that most of the hyperlipidemic individuals were compliant. There was a significant association between scores of medication compliance and age (P = 0.035), the number of family members (P = 0.033), the number of consumed drugs (P = 0.022), and education (P < 0.001).
The results obtained in the present study were consistent with those of other studies reporting high compliance to medication among hyperlipidemic patients and possibly are one of the reasons for the low number of consumed drugs. Since compliance was lower among the individuals with increased age, lesser number of family members, and lesser education, these groups should be supported to promote their level of compliance to medication orders, and this important issue should be included in their educational programs.
冠状动脉疾病是健康和社会问题中最重要的问题之一。这些疾病发展过程中一个可改变的风险因素是高胆固醇,可通过改变生活方式(饮食改变、运动和使用降脂药物)来改善。患者对治疗方案的依从性是实现这一目标的最重要因素。本研究旨在确定与高脂血症患者药物依从性相关的因素。
这是一项对82例高脂血症患者进行的描述性分析研究。数据通过一份问卷收集,问卷包括两个部分:第一部分是关于人口统计学特征,第二部分包含从福利问卷(2005年)中提取的一份问卷,用于询问药物依从性。数据采用描述性统计(均值)、Pearson Spearman相关系数和独立t检验进行分析。
根据研究结果,很明显大多数高脂血症患者是依从的。药物依从性得分与年龄(P = 0.035)、家庭成员数量(P = 0.033)、服用药物数量(P = 0.022)和教育程度(P < 0.001)之间存在显著关联。
本研究获得的结果与其他报告高脂血症患者药物依从性高的研究结果一致,可能是服用药物数量少的原因之一。由于年龄较大、家庭成员较少和教育程度较低的个体依从性较低,应支持这些群体提高他们对医嘱的依从水平,并且这个重要问题应纳入他们的教育计划中。