慢性老年患者的药物依从性：使用药物依从性报告量表（MARS-5I）的意大利观察性研究。
Medication Adherence in Chronic Older Patients: An Italian Observational Study Using Medication Adherence Report Scale (MARS-5I).
机构信息
Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy.
Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri-IFO, 00144 Rome, Italy.
出版信息
Int J Environ Res Public Health. 2022 Apr 25;19(9):5190. doi: 10.3390/ijerph19095190.
BACKGROUND
the world population is aging, and the prevalence of chronic diseases is increasing. Chronic diseases affect the quality of life of patients and contribute toward increased healthcare costs if patients do not adhere to treatment. This study defines the medication adherence levels of patients with chronic diseases.
METHODS
an observational cross-sectional study was carried out. Patients aged 65 years and older with chronic diseases were included in this study. The medication adherence report scale was used.
RESULTS
overall, 98 patients aged 65 years and older were included. The mean age of responders was 78.65 years.
STUDY POPULATION
71.43% were always adherent; 9.79% often adherent; 14.89% sometimes adherent; 3.87% rarely adherent; and 1% never adherent. The internal consistency of the MARS-5I was good: Cronbach's alfa value of 0.77.
CONCLUSIONS
the MARS-5I is an effective self-report instrument to measure the medication adherence of patients. However, further studies are needed to explore factors affecting medication adherence to avoid clinical consequences for patients and high healthcare costs for healthcare facilities. Healthcare communication could be improved to ensure better transitional care.
背景
世界人口老龄化，慢性病患病率上升。如果患者不遵医嘱，慢性病会影响患者的生活质量，并导致医疗保健费用增加。本研究旨在确定慢性病患者的药物依从性水平。
方法
本研究采用观察性横断面研究。纳入年龄在 65 岁及以上的慢性病患者。使用药物依从性报告量表。
结果
共纳入 98 名年龄在 65 岁及以上的患者。应答者的平均年龄为 78.65 岁。
研究人群
71.43%的患者始终遵医嘱；9.79%的患者经常遵医嘱；14.89%的患者有时遵医嘱；3.87%的患者很少遵医嘱；1%的患者从不遵医嘱。MARS-5I 的内部一致性较好：Cronbach's alfa 值为 0.77。
结论
MARS-5I 是一种有效的自我报告工具，可用于测量患者的药物依从性。然而，需要进一步研究来探讨影响药物依从性的因素，以避免患者出现临床后果和医疗机构医疗保健费用增加。可以改善医疗保健沟通，以确保更好的过渡护理。
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