Istanbul University, Turkey.
Medipol University, Turkey.
J Health Psychol. 2024 Jul;29(8):836-847. doi: 10.1177/13591053231213306. Epub 2023 Nov 28.
This study examined the effect of patient satisfaction on medication adherence through serial mediation of Self Regulatory Model (SRM) components which are illness perception and beliefs about medicines in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS). The 222 outpatients ( = 112; = 110) were administered a sociodemographic form, the Medication Adherence Report Scale, the Brief Illness Perception Questionnaire, the Short Assessment of Patient Satisfaction, and the Beliefs about Medicines Questionnaire. The results showed that SRM components fully mediated the relationship between patient satisfaction and medication adherence. This proposed model had acceptable and better fit indices than the alternative model where patient satisfaction was introduced as a direct predictor. Furthermore, patient satisfaction, illness perception, and beliefs about medicines had an extremely good relationship, so these may be interpreted as variables of a latent construct of the which deserves further research in these group of patients.
本研究通过类风湿关节炎（RA）和强直性脊柱炎（AS）患者的疾病感知和药物信念等自我调节模型（SRM）成分的序列中介，考察了患者满意度对药物依从性的影响。共纳入 222 名门诊患者（RA 患者 n=112，AS 患者 n=110），采用社会人口学表格、药物依从性报告量表、简要疾病感知问卷、患者满意度简短评估量表和药物信念问卷进行评估。结果表明，SRM 成分完全中介了患者满意度和药物依从性之间的关系。与将患者满意度作为直接预测因子的替代模型相比，该模型具有更好的拟合度。此外，患者满意度、疾病感知和药物信念之间存在极强的相关性，因此可以将这些变量解释为该人群潜在构念的变量，值得在这些患者群体中进一步研究。
