Kim Gye-Gyoung, Yoo Sung-Hee, Park Man-Seok, Park Hyun-Young, Cha Jae-Kwan
College of Nursing, Chonnam National University, Gwangju 61469, Korea.
Department of Neurology, Chonnam National University Hospital, Gwangju 61469, Korea.
J Clin Med. 2022 Jul 1;11(13):3825. doi: 10.3390/jcm11133825.
Background: Medication beliefs are known as predictors of medication adherence. However, understanding of the relevance of these beliefs is lacking. Therefore, this study aimed to identify medication beliefs, and their influencing factors, in stroke survivors. Methods: This was a secondary analysis, using baseline data from a longitudinal study conducted to predict long-term medication adherence in Korean stroke survivors, and included 471 patients. Medication beliefs were investigated using the Belief about Medicine Questionnaire (BMQ), and the belief score and attitudes were derived from the “necessity” and “concern” scores, which are subscales of the BMQ. Multiple linear regression was used to determine independent factors influencing medication beliefs. Results: The mean score of medication beliefs is 7.07 ± 6.32, and the accepting group comprises 288 patients (61.1%). Medication beliefs are significantly higher in older adults (p < 0.001), females (p = 0.001), and patients with non-type D personality (p = 0.023), low-state anxiety (p < 0.001), high stroke severity (p = 0.001), a high number of medications (p < 0.001), and high knowledge about medications (p = 0.001). Conclusion: This study shows that type D personality, state anxiety, and knowledge about medication are major mediating factors for improving medication beliefs. These results may help healthcare professionals develop strategies to enhance medication adherence, by improving patients’ medication beliefs.
药物信念被认为是药物依从性的预测指标。然而，对这些信念的相关性缺乏了解。因此，本研究旨在确定中风幸存者的药物信念及其影响因素。方法：这是一项二次分析，使用了一项纵向研究的基线数据，该研究旨在预测韩国中风幸存者的长期药物依从性，纳入了471名患者。使用药物信念问卷（BMQ）调查药物信念，信念得分和态度来自BMQ的子量表“必要性”和“担忧”得分。采用多元线性回归确定影响药物信念的独立因素。结果：药物信念的平均得分为7.07±6.32，接受组包括288名患者（61.1%）。老年人（p<0.001）、女性（p=0.001）、非D型人格患者（p=0.023）、低状态焦虑患者（p<0.001）、高卒中严重程度患者（p=0.001）、用药数量多的患者（p<0.001）以及药物知识丰富的患者（p=0.001）的药物信念显著更高。结论：本研究表明，D型人格、状态焦虑和药物知识是改善药物信念的主要中介因素。这些结果可能有助于医护人员通过改善患者的药物信念来制定提高药物依从性的策略。
