Objective: To investigate the current status of medication compliance of elderly inpatients with chronic diseases and analyze its influencing factors, with the purpose of providing references for improving medication compliance of elderly patients with chronic diseases. Methods: :General information questionnaire, medication adherence report scale (MARS) and the eHealth literacy scale (eHEALS) were designed to investigate 500 inpatients who were randomly selected from an AAA hospital. Univariate analysis, Pearson correlation analysis and multivariate logistic regression analysis were used to analyze the influencing factors of medication compliance in elderly hospitalized patients with chronic diseases. Results: :Among 500 elderly inpatients with chronic diseases, 213 (42.6%) had good medication compliance, 287 (57.4%) had poor medication compliance. Pearson correlation analysis results showed that the total score of medication compliance of elderly inpatients with chronic diseases was positively correlated with the total score of eHEALS (r=0.319, P=0.008). Multivariate logistic regression analysis results showed that education level, residence, economic level, age, current working status and e-health literacy were the main influencing factors of medication compliance of elderly hospitalized patients with chronic diseases (P＜0.05). Conclusion: :The level of medication compliance in elderly hospitalized patients with chronic diseases is generally low. Health publicity and education on patients with chronic diseases should be strengthened to improve their cognition degree of chronic disease hazards, chronic disease prevention and treatment ability and medication compliance, so as to reduce the risk of chronic disease complications and lower their burden.
CHI Chenru
,
ZHOU Zhiqing
,
LIU Huan
,
FEI Xiaoyun
,
TONG Xiaoli
,
YANG Yuhui
,
KUANG Xia
. Current status and influencing factors of medication compliance in elderly inpatients with chronic diseases[J]. Journal of Baotou Medical College, 2024
, 40(3)
: 60
-64
.
DOI: 10.16833/j.cnki.jbmc.2024.03.011
[1] 曹新西,徐晨婕,侯亚冰,等.1990-2025年我国高发慢性病的流行趋势及预测[J].中国慢性病预防与控制,2020,28(1):14-19.
[2] 季萍,老年慢性病护理管理模式的构建及效果评价[J].当代护士(上旬刊),2021,28(2):158-160.
[3] 陈红雨,秦明芳,杨永芳,等.云南省成年居民慢性病危险因素流行情况及聚类特征分析[J].中国慢性病预防与控制,2022,30(11):806-810.
[4] 薛文俊,牛晓丹,王艳红.老年2型糖尿病患者医院-家庭过渡期用药偏差的调查研究[J].中华护理杂志,2021,56(2):225-232.
[5] 李敬源,蒋婷,徐凌忠,等.徐州市机构和家庭养老模式下慢性病老年患者用药依从性差异及其影响因素[J].医学与社会,2020,33(8):10-13.
[6] 付丽,郑芳,陈长香.城市社区高龄老年人衰弱及其影响因素分析[J].华北理工大学学报(医学版),2021,23(1):33-36.
[7] 吴丽红,刘宇,宋桂云,等.住院老年慢性病病人服药依从性与健康素养的相关性研究[J].护理研究,2018,32(11):1803-1806.
[8] Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence[J]. Med Care, 1986, 24(1):67-74.
[9] Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world[J].Journal of Medical Internet Research, 2006,8(2):e9.
[10] 郭帅军,余小鸣,孙玉颖,等.eHEALS健康素养量表的汉化及适用性探索[J].中国健康教育,2013,29(2):106-108+123.
[11] 石蕊,郭琼,耿圆圆,等.天津市河东区高血压患者服药依从性现状及其影响因素[J].武警后勤学院学报(医学版),2021,30(5):25-29.
[12] 林正旭.老年慢性病患者用药依从性现状及对策研究[J].中国农村卫生,2020,12(14):48.
[13] 韩婷婷,陈景,张燕,等.农村老年慢性病患者健康自我管理认知与服药依从性的关系[J].临床心身疾病杂志,2022,28(5):146-150.
[14] 戴素贞.维持性血液透析合并高血压患者降压药服药依从性及影响因素分析[J].心血管病防治知识,2021,11(32):51-53.
[15] Eisele M, Harder M, Rakebrandt A, et al. Association of depression and anxiety with adherence in primary care patients with heart failure-cross-sectional results of the observational RECODE-HF cohort study[J]. Fam Pract, 2020, 37(5):695-702.
[16] Peverelle MR, Baradi A, Paleri S, et al. Higher long-term adherence to statins in rural patients at high atherosclerotic risk[J]. J Clin Lipidol, 2019,13(1):163-169.
[17] 曹立云,许莹,王红岩,等.内科住院患者参与用药安全行为的现状调查研究[J].护士进修杂志,2020,35(4):350-353.。
[18] 陈希,严青华,吴菲,等.上海市社区高血压患者服药依从性现况及其影响因素分析[J].现代预防医学,2022,49(1):72-76.
[19] 潘婉玉,张春慧,张振香,等.老年慢性病共病患者多重用药管理分析与评论[J].中国全科医学,2022,25(13):1545-1550.
[20] 周艺.冠心病患者服药依从性预测模型的构建[D].河北大学,2018.
[21] 罗辉芳,黄颜怡,宋嘉婷,等.类风湿关节炎患者电子健康素养与服药依从性调查[J].中国临床研究,2022,35(4):534-538.
[22] 张琦,于小贝,暴银素.中青年高血压患者电子健康素养与服药依从性相关性研究[J].华南预防医学,2021,47(6):744-747+752.
[23] Pouls BPH, Vriezekolk JE, Bekker CL, et al. Effect of interactive eHealth interventions on improving medication adherence in adults with long-term medication: systematic review[J].J Med Internet Res, 2021,23(1):e18901.
