고혈압과 당뇨병 노인의 복약순응도와 이에 영향을 미치는 요인
Medication Adherence of Elderly with Hypertension and/or Diabetes-mellitus and its' Influencing Factors
2
조회
0
다운로드
25
인용
0
참고문헌
키워드
초록
Medication adherence is an important public health issue. This study is conducted to explore non-adherence of elderly with hypertension and/or diabetes mellitus and to better understand its' influencing factors. To explore non-adherence,605 elderly patients in community were surveyed with Modified Morisky Scale (MMS), from Aug 18 to Sept 19, 2008. MMS is designed to predict medication-taking behavior and outcomes, and also to explain persistence of the patient’s long-term continuation of therapy, which is a significant factor in the long-term management of chronic diseases. Also,MMS is designed to classify patients into a high/low continuum for knowledge and motivation. Patients self reported medication adherence were average 4.66 with MMS (range 0-6), only 78% of patients hold high motivation of medication adherence although 95.5% of patients hold high knowledge of medication adherence. This study explores which factors influence to high motivation of medication adherence and it proved that patients' participation in work, education level, participation in private health insurance, number of medication and medication frequency per day, pharmacists'explanation, experience of non adherence due to cost are important factors to explain high motivation of medication adherence of elderly with hypertension and/or diabetes mellitus.
Abstract
Medication adherence is an important public health issue. This study is conducted to explore non-adherence of elderly with hypertension and/or diabetes mellitus and to better understand its' influencing factors. To explore non-adherence,605 elderly patients in community were surveyed with Modified Morisky Scale (MMS), from Aug 18 to Sept 19, 2008. MMS is designed to predict medication-taking behavior and outcomes, and also to explain persistence of the patient’s long-term continuation of therapy, which is a significant factor in the long-term management of chronic diseases. Also,MMS is designed to classify patients into a high/low continuum for knowledge and motivation. Patients self reported medication adherence were average 4.66 with MMS (range 0-6), only 78% of patients hold high motivation of medication adherence although 95.5% of patients hold high knowledge of medication adherence. This study explores which factors influence to high motivation of medication adherence and it proved that patients' participation in work, education level, participation in private health insurance, number of medication and medication frequency per day, pharmacists'explanation, experience of non adherence due to cost are important factors to explain high motivation of medication adherence of elderly with hypertension and/or diabetes mellitus.
참고문헌 (13)
- 김성원, "복약 순응도에 관한 자가보고 설문의 한국어판 개발 및 타당도 조사", 가정의학회지, 16(2), pp.172~180 (1995)
- 김진현, "만성질환자의 복약순응도", 제2회 한국의료패널 학술세미나 자료집 (2010)
- 박종혁, "고혈압약 투약을 시작한 장애인의 투약 순응도와 이에 영향을 미치는 요인", 예방의학회지, 40(3), pp.249~258 (2007), 대한예방의학회
- 고령화 사회에서의 노인보건의료체계 구축방안, "선우덕", 한국보건사회연구원, ~, pp.한국보건사회연구원 연구보고서 2005-04 (2005)
- 신현택, "약료학 개론" (2000), 도서출판 신일상사
- 우리나라 노인환자의 의약품사용 실태 및 문제점 분석과 대책 방향, "신현택", ~ (2005)
- 이의경, "노인 당뇨환자의 복약 및 다제병용실태 분석", 보건교육.건강증진학회지, 17(1), pp.81~93 (2000)
- 국민건강영양조사 제3기 조사결과 심층분석 연구 보고서: 검진부문, "질병관리본부", ~ (2007)
- Barat I, "Drug therapy in the elderly: what doctors believe and patients actually do", Br J Clin Pharmacol, 51(6), pp.615~622 (2001)
- Case Management Society of America, "Modified Morisky Scale, IN Case Management Adherence Guidelines version 1.0" (2004)
- Shelly A. Vik, "Assessing medication adherence among older persons in community settings", Can J Clin Pharmacol, 12(1), pp.e152~e164 (2005)
- The Task Force For Compliance, "Noncompliance with Medications-An Economic Tragedy with Importatnt Implications for Health Care Reform" (1993)