본문 바로가기
KERD
논문KCI 등재

지역사회 노인의 약물복용이행과 관련된 융합 요인

A Convergence Factors Associated with Medication Adherence among the Elderly in the Community

김연옥|김명숙
한국융합학회 (Korea Convergence Society)|2021.12|한국융합학회논문지 (Journal of the Korea Convergence Society)|제12권 제12호|pp. 125-137|DOI https://doi.org/10.15207/JKCS.2021.12.12.125

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

노인주관적 건강상태ElderlySubjective Health StatusMedication Adherence의료인과 의사소통약물오남용복약복용이행Communication with Medical PersonnelDrug Misuse
주제분류학제간연구

초록

본 연구는 지역사회 노인복지관 이용 노인의 주관적 건강상태, 의료인과 의사소통, 약물오남용이 약물복용이행에 대한 융합 영향요인을 파악하기 위한 서술적 조사연구이다. 본 연구 대상자는 지역사회 노인복지관 이용 노인 179명이었다. 자료는 2020년 1월13일부터 2020년 1월17일까지 수집하였다. 자료분석은 빈도, 백분율, 평균, 표준편차, t-test, ANOVA, 사후검정은 Scheffe test, Pearson‘s correlation coefficients, 다중회귀분석을 실시하였다. 본 연구 회귀식은 약물복용이행을 24%를 설명하였다. 대상자의 약물복용이행에 가장 큰 영향을 미치는 요인은 약물오남용(β=-4.32, p=<.001)이었고 다음은 만성질환 유,무(β=–3.04, p=.003), 결혼상태(β=2.64, p=.009), 의료인과 의사소통(β=2.26, p=.025 ) 순으로 나타났다. 따라서 지역사회 노인복지관 이용 노인의 약물복용이행을 위한 융합적 시스템 구축이 요구된다.

Abstract

This study is a descriptive investigation study to identify the Convergence factors of the subjective health status, communication with medical personnel and drug misuse on medication adherence. The subjects of this study were 179 senior citizens who used community elderly welfare centers. Data were collected from January 13, 2020 to January 17, 2020. Data analysis was performed using frequency, percentage, mean, standard deviation, t-test, ANOVA. Post-Hoc Test Was performed using Scheffe test, Pearson's correlation coefficients and multiple regression analysis. The regression equation of this study explained 24% of medication adherence. Drug misuse(β=-4.32, p=<.001) was the factor that had the greatest influence on the medication adherence, followed by the presence or absence of chronic disease (β=-3.04, p=.003), marital status (β=2.64, p=.009), and communication with medical personnel (β=2.26, p=.025 ) in that order. Therefore, it is necessary to establish a convergence system of medication adherence for the elderly using community welfare centers.

참고문헌 (48)

  4. A. Beckman, "Can eldery people take their medicine?", Patient Education and Counseling, 59, pp.186~191 (2005)
  6. Emily R. Hajjar, "Polypharmacy in elderly patients", The American Journal of Geriatric Pharmacotherapy, 5(4), pp.345~351 (2007), Elsevier BV[DOI]
  7. E. J. MacLaughlin, "Assessing Medication Adherence in the elderly", Drug and Aging, 22(3), pp.231~255 (2005)
  8. Jørgen Vestbo, "Bias due to withdrawal in long-term randomised trials in COPD: Evidence from the TORCH study", The Clinical Respiratory Journal, 5(1), pp.44~49 (2011), Wiley[DOI]
  9. Hayden B. Bosworth, "Medication adherence: A call for action", American Heart Journal, 162(3), pp.412~424 (2011), Elsevier BV[DOI]
  10. M. Song., "The factors related to subjective and objective health levels for the elderly in South Korea", Master, pp.2016
  11. J. Mcintyre, "Anxiety and Depressive Disordersin Older Primary Care Patients: Defining a Clinical Severity Gradient Corresponding to Differences in Health Status", Functioning and Health Service Use Ageing International, 32(2), pp.93~107 (2008)
  12. H. Falk, "Self-rated health and its association with mortality in older adults in China, India and Latin America 10", 66 Dementia Research Group study, 2017, pp.46(6), 932~939
  13. M. O. Rahman, "Self-reported health among older Bangladeshis : how good a health indicator is it?", Gerontologist, 43(6), pp.856~863 (2003)
  14. K. S. Shin., "A study on the drug and abuse among elderly in rural area", pp.2009
  15. O. J. Lee, "Medical dictionary" (2002), Academy Publishers
  16. 이종경, "다약제 복용 노인의 약물 오용 행위에 영향을 미치는 요인", 성인간호학회지, 23(6), pp.554~563 (2011), 한국성인간호학회
  17. J. Fastbom., "Increased consumption of drugs among the elderly results in greater risk of problems", Lakartidningen, 98(14), pp.1674~1679 (2001)
  19. M. S. Kim, "Behavior of drug misuse &abuse elderly patients-compared to general elderly patients with low-income seniors patients using public hospitals", Master, pp.2010
  20. S. H. Park., "A study on drug Abuse among the Eldely", Master's, pp.2009
  21. J. H. Han., "The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people", Master's, pp.2007
  23. Y. S. Hong, "A study on medication information, usage, and misusage on ambulatory elderly patients of a public hospital", master, pp.2009
  24. Flora Keshishian, "Physician–patient and pharmacist–patient communication: Geriatrics’ perceptions and opinions", Patient Education and Counseling, 71(2), pp.265~284 (2008), Elsevier BV[DOI]
  25. H. Kerzman, "What do disꠓcharged patients know about their medication", Patient Education Counseling, 56(3), pp.276~282 (2005)
  26. 김성옥, "고혈압과 당뇨병 노인의 복약순응도와 이에 영향을 미치는 요인", 한국임상약학회지, 21(2), pp.81~89 (2011), 한국임상약학회
  27. 박영례, "노인의 건강정보이해력, 자기효능감, 사회적 지지가 약물복용이행에 미치는 영향", 근관절건강학회지, 25(1), pp.30~38 (2018), 대한근관절건강학회[DOI]
  28. K. L. Hong., "How do you approach the consultation of medication", Journal of Korean Society of Hospital Pha-macists, 21(2), pp.30~67 (2004)
  29. J. H. Han, "The influence of cognitive function, their family support and medication knowledge upon medication adherence on old people", master, pp.2007
  30. Livingstatus analysis and policy issues of elderly in Korea, "G. O. Lee", Korea Institute for Health and Social Affairs, ~ (1994)
  31. D. B. Hogan, "Patient sheet : Tips for avoiding problems with polypharmacy", Canadian Medical Association Journal, 175, pp.876~ (2006)
  32. S. H. Park, "A study on Drug Abuse among the Elderly", master, pp.2009
  33. D. Y. Lee., "Development and evaluation of preventive education program for medication misuse of the community dwelling elderly", pp.2002
  34. M. S. Hwang., "Effects of drug education on the correct understanding of mind and drug compliance for schizophrenics", pp.1997
  35. K. S. Shin., "Effect of Home Visit Education on the Drug Compliance for Chronic Schizophrenics in House and the Caregiver's Role", pp.2001
  36. 홍세화, "재가노인의 약물오용행위 예측모형", Journal of Korean Academy of Nursing, 46(5), pp.630~641 (2016), 한국간호과학회
  37. 장신재, "노인의 주관적 건강과 근로능력, 경제활동 참여, 삶의 만족 간의 구조적 관계에 관한 연구", 한국융합학회논문지, 8(10), pp.305~310 (2017), 한국융합학회[DOI]
  38. S. Modig, "Frail elderly patients in primary careꠓtheir medication knowledge and beliefs about prescribed medicines", European Journal of Clinical Pharmacology, 65(2), pp.151~155 (2008)
  39. M. I. Rossi, "Polypharmacy and health beliefs in older outpatients", American Journal of Geriatric Pharmacotherapy, 5(4), pp.317~323 (2007)
  40. S. J. Blalock, "Factors associated with potentially inappropriated drug utilization in a samꠓple of rural community-dwelling older adults", American Journal of Geriatric Pharmacotherapy, 3(3), pp.168~179 (2005)
  41. 원종순, "노인의 주관적 건강상태와 관련요인에 관한 연구", 문화기술의 융합, 5(4), pp.217~225 (2019), 국제문화기술진흥원
  42. 김영희, "가정간호 노인대상자의 처방약물복용 실태 및 복용 이행도 영향요인", 지역사회간호학회지, 22(3), pp.290~301 (2011), 한국지역사회간호학회
  43. S. Malhotra, "Drug relatedmedical emergencies in the elderly : role of adverse drug reactions and non-compliance", Postgraduate Institute of Medical Eucation & Research, 77, pp.703~707 (2001)
  44. 정현주, "만성질환노인의 건강정보이해능력, 사회적지지가 약물복용이행에 미치는 영향", 디지털융복합연구, 16(7), pp.419~428 (2018), 한국디지털정책학회[DOI]
  45. Effects of health literacy, self-efficacy, and social support on medication, "Y. R. Park", ~ (2018)
  46. J. S. Sin, "The effects of social supports on psychosocial well-being of the unemployed", Korean Journal of Social Welfare, 37, pp.241~269 (1999)[DOI]
  47. B. F. Andreasen, "Drug therapy in the elderly : what doctors believe and patients actually do", British Journal of clinical pharmacology, 51(6), pp.615~622 (2001)
  48. Lisa C. Hutchison, "Assessment of medication management by community-living elderly persons with two standardized assessment tools: A cross-sectional study", The American Journal of Geriatric Pharmacotherapy, 4(2), pp.144~153 (2006), Elsevier BV[DOI]

이 간행물의 다른 논문 (59건)

논문 및 특허 기반의 ICT 동향 분석 연구최예림, 손연빈, 김솔하pp. 1-18시간관리 모바일 앱 사용성 평가도구 개발에 관한 연구이샘, 남원석pp. 19-29특징 융합과 공간 강조를 적용한 딥러닝 기반의 개선된 YOLOv4S황범연, 이상훈, 이승현pp. 31-37한국어 단어 및 문장 분류 태스크를 위한 분절 전략의 효과성 연구손준영, 김진성, 박정배, 임희석, 김경민pp. 39-47연관분석을 이용한 금융 상품 거래 동향의 빅데이터 분석신현준, 유재필pp. 49-57
원문 보기