中文社区中高血压老年患者的用药依从性及其相关因素。
Medication adherence and its associated factors among Chinese community-dwelling older adults with hypertension.
机构信息
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
出版信息
Heart Lung. 2014 Jul-Aug;43(4):278-83. doi: 10.1016/j.hrtlng.2014.05.001. Epub 2014 May 22.
OBJECTIVE
To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension.
METHODS
A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants.
RESULTS
Participants older than 65 years (β = .118, p = .017), with a low level of education (β = .128, p = .01), who had more than one other common disease (β = .120, p = .015), were on long-term medication (β = .221, p < .001) and who reported higher self-care (β = .188, p = .001), had better medication adherence.
CONCLUSIONS
Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.
目的
调查影响中国社区高血压老年患者药物治疗依从性的因素。
方法
本研究采用便利抽样法，选取了中国澳门 6 家卫生中心的 382 名高血压老年患者进行横断面研究。参与者接受了中文版 Morisky 4 项用药自我报告测量表、与帮助专业人员的亲密恐惧量表和自我护理能力量表的评估。
结果
年龄大于 65 岁（β=0.118，p=0.017）、教育程度低（β=0.128，p=0.01）、患有多种其他常见疾病（β=0.120，p=0.015）、长期服用药物（β=0.221，p<0.001）和自我护理能力较高（β=0.188，p=0.001）的患者，其药物治疗依从性更好。
结论
在为中国高血压老年患者制定药物治疗方案时，医护人员应考虑这些因素，以提高药物治疗依从性，改善患者预后。
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