老年人高血压患者社会支持与药物知识水平的相关性。
Association between social support and medication literacy in older adults with hypertension.
机构信息
Department of Hematology, Third Xiangya Hospital, Central South University, Changsha, China.
Clinical Nursing Safety Management Research Center of Central South University, Third Xiangya Hospital, Central South University, Changsha, China.
出版信息
Front Public Health. 2022 Nov 7;10:987526. doi: 10.3389/fpubh.2022.987526. eCollection 2022.
BACKGROUND
Reduced physical function and reduced social networks place older adults with hypertension at high risk for medication-related harm. Medication literacy is one of the preventable factors that affect the success of drug therapy for hypertension. However, little is known about the level of medication literacy and its influencing factors in older adults with hypertension.
OBJECTIVE
The purpose of this study was to investigate the levels of social support and medication literacy, and the association between them in older Chinese adult patients with hypertension.
METHODS
A total of 362 older adult patients with hypertension were investigated using a demographic characteristics questionnaire, the Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP) and the Social Support Rating Scale (SSRS). Pearson correlation analysis, canonical correlation analysis (CCA) and hierarchical linear regression were used to analyse the relationship between social support and medication literacy.
RESULTS
Our results showed that the mean scores for the C-MLSHP and the SSRS for older adult patients with hypertension were 23.89 (SD = 4.66) and 39.22 (SD = 5.53), respectively. The results of the Pearson correlation analysis suggested that the score for social support was positively correlated with the score for medication literacy ( = 0.431, < 0.01). The results of CCA demonstrate that older adult patients with hypertension who had more subjective ( = 0.682) and objective support ( = 0.817) performed better in knowledge ( = 0.633), skills ( = 0.631) and behavior literacy ( = 0.715). Hierarchical linear regression indicated that two dimensions of subjective support ( = 0.252, < 0.001) and objective support ( = 0.690, < 0.001) in social support were found to be independent predictors of medication literacy ( = 0.335 = 19.745, < 0.001).
CONCLUSION
Social support is positively associated with medication literacy in older Chinese adult patients with hypertension. The study highlights the importance of social support in promoting medication literacy among older adult patients with hypertension.
背景
身体机能下降和社交网络减少使患有高血压的老年人面临较高的药物相关伤害风险。药物素养是影响高血压药物治疗成功的可预防因素之一。然而，关于高血压老年患者的药物素养水平及其影响因素知之甚少。
目的
本研究旨在探讨中国老年高血压患者的社会支持和药物素养水平及其相关性。
方法
采用一般情况调查问卷、中国高血压患者药物素养量表（C-MLSHP）和社会支持评定量表（SSRS）对 362 名老年高血压患者进行调查。采用 Pearson 相关分析、典型相关分析（CCA）和分层线性回归分析社会支持与药物素养之间的关系。
结果
本研究中，老年高血压患者的 C-MLSHP 平均得分为 23.89（SD = 4.66），SSRS 平均得分为 39.22（SD = 5.53）。Pearson 相关分析结果表明，社会支持得分与药物素养得分呈正相关（ = 0.431， < 0.01）。CCA 结果表明，主观支持（ = 0.682）和客观支持（ = 0.817）得分较高的老年高血压患者在知识（ = 0.633）、技能（ = 0.631）和行为素养（ = 0.715）方面表现更好。分层线性回归表明，社会支持的两个维度（主观支持： = 0.252， < 0.001；客观支持： = 0.690， < 0.001）是药物素养的独立预测因素（ = 0.335 = 19.745， < 0.001）。
结论
社会支持与中国老年高血压患者的药物素养呈正相关。该研究强调了社会支持在提高老年高血压患者药物素养中的重要性。
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