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강숙희 ( Kang Sook-Hee ) - Sunchon Medical Center
고은 ( Ko Eun ) - Sunchon National University College of Life Science and Natural Resources Department of Nursing
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Abstract
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Purpose: The study sought to investigate the relationships between beliefs about medications, self-efficacy of medication use, social support and medication adherence, and the general factors associated with medication adherence among the elderly living with chronic disease.
Methods: This study took the form of a descriptive survey involving 222 elderly outpatients - aged 65 years or older - who visited S medical center, located in S city. Data were collected through self-report questionnaires from July to August 2019. Data analysis was conducted using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and a hierarchical multiple regression via the SPSS/WIN 25.0 program.
Results: The mean score for medication adherence was 61.80±10.19 (range 16~80). Participants’ medication adherence positively correlated with beliefs about medications (r=.17, p=.012), self-efficacy for medication use (r=.31, p<.001) and social support (r=.20, p=.003). Frequency of alcohol consumption (β=-.20, p=.001), burden level of medical costs (β=-.18, p=.012), experience of side-effects (β=-.21, p=.001), medication-taking education (β=.17, p=.008), beliefs about medication (β=.13, p=.038), and self-efficacy for medication use (β=.19, p=.004) explained for 24.9% of medication adherence (F=6.23, p<.001).
Conclusion: It is necessary to consider the beliefs about medication and self-efficacy for medication use when developing educational programs aimed at improving medication adherence among the elderly living with chronic diseases.
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KeyWords
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만성질환, 노인, 자기효능감, 사회적 지지, 약물복용이행
Chronic disease, Elderly, Self efficacy, Social support, Medication adherence
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원문 및 링크아웃 정보
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등재저널 정보
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