探讨老年患者降压药物满意度与依从性之间的关系。
Examining the relationship between antihypertensive medication satisfaction and adherence in older patients.
机构信息
Department of Clinical Pharmacy, College of Pharmacy, King Saud University, P.O. Box 2454, Riyadh 11451, Saudi Arabia.
Pharmaceutical Economics, Policy, and Outcomes Research, College of Pharmacy, Seoul National University, Seoul, South Korea.
出版信息
Res Social Adm Pharm. 2017 May-Jun;13(3):602-613. doi: 10.1016/j.sapharm.2016.06.013. Epub 2016 Jul 9.
BACKGROUND
The relationship between medication adherence and treatment satisfaction has been consistently positive, however, this relationship has not been examined among older adults with hypertension.
OBJECTIVES
The aim of this study was to examine the relationship between medication adherence and treatment satisfaction among a sample of older adults with hypertension.
METHODS
This was a survey-based cross-sectional study in which seven community senior centers in the city of Memphis, Tennessee and its surrounding areas were visited. Individuals aged 60 years and older with self-reported hypertension who visited the community senior centers between August and December 2013 were asked to participate. The participants' satisfaction with their antihypertensive medications was assessed using a newly developed scale. The Short Form Health Survey (SF-12v2) was used to assess the health-related quality of life (HRQoL). The Primary Care Assessment Survey (PCAS) Communication scale was used to assess the satisfaction with health care provider communication. The Beliefs About Medicines Questionnaire (BMQ-General) was used to assess the participant beliefs about medications. The eight-item Morisky Medication Adherence Scale (MMAS-8) was used to assess adherence to antihypertensive medications. And the Single Item Literacy Screener (SILS) was used to assess health literacy. Multiple linear regression was conducted to examine the relationship between medication adherence and satisfaction with antihypertensive therapy controlling for multiple variables.
RESULTS
One hundred and ninety participants with hypertension were included in the study. Most participants were white, women, aged ≥70 years, taking ≥2 prescription medications and having ≥2 medical conditions. After adjusting for age, education, number of prescription medications, race, health literacy, sex, marital status, SF-12v2 Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12), and PCAS-Communication scores, the overall satisfaction score of the antihypertensive medication regimen was positively and significantly associated with MMAS-8 sore (β = 0.262; 95% confidence interval, 0.007-0.517; P = 0.043).
CONCLUSIONS
Treatment satisfaction was associated with higher medication adherence among older adults with hypertension.
背景
药物依从性与治疗满意度之间的关系一直是积极的，但这种关系尚未在老年高血压患者中得到检验。
目的
本研究旨在检验高血压老年患者中药物依从性与治疗满意度之间的关系。
方法
这是一项基于调查的横断面研究，研究人员走访了田纳西州孟菲斯市及其周边地区的 7 个社区老年中心。2013 年 8 月至 12 月期间，在社区老年中心就诊且自我报告患有高血压的年龄在 60 岁及以上的个体被邀请参加研究。使用新开发的量表评估参与者对降压药物的满意度。使用健康调查简表 12 项版本 2（SF-12v2）评估与健康相关的生活质量（HRQoL）。使用初级保健评估调查（PCAS）沟通量表评估对医疗保健提供者沟通的满意度。使用药物信念问卷（BMQ-General）评估参与者对药物的信念。使用 8 项 Morisky 用药依从性量表（MMAS-8）评估对降压药物的依从性。使用单一项目文化程度筛查工具（SILS）评估健康素养。采用多元线性回归分析控制多个变量后，考察药物依从性与降压治疗满意度之间的关系。
结果
共有 190 名高血压患者纳入研究。大多数参与者为白人、女性、年龄≥70 岁、服用≥2 种处方药且患有≥2 种疾病。在调整年龄、教育程度、处方药数量、种族、健康素养、性别、婚姻状况、SF-12v2 生理成分综合评分（PCS-12）和心理成分综合评分（MCS-12）以及 PCAS-沟通评分后，降压药物治疗方案的总体满意度评分与 MMAS-8 评分呈正相关（β=0.262；95%置信区间，0.007-0.517；P=0.043）。
结论
治疗满意度与老年高血压患者的药物依从性较高有关。
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