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가정간호 노인대상자의 처방약물복용 실태 및 복용 이행도 영향요인

 Medication Status and Adherence of the Elderly under Home Care Nursing

지역사회간호학회지 2011년 22권 3호 p.290 ~ 301
KMID : 0607720110220030290
김영희 ( Kim Young-Hee ) - 삼성서울병원

이미경 ( Lee Mi-Kyoung ) - 성균관대학교 임상간호대학원 삼성서울병원 임상간호학연구소
이승자 ( Lee Seung-Ja ) - 삼성서울병원
조명숙 ( Cho Myoung-Sook ) - 삼성서울병원
황문숙 ( Hwang Moon-Sook ) - 우석대학교 간호학과

Abstract

Purpose: This study is a descriptive research intended to clarify the medication status of community?dwelling
elders and to identify factors affecting their medication adherence.

Methods: Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul.

Results: According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self?reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=?.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035).

Conclusion: The presence of depression affected the elderly subjects’ the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long?lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.
KeyWords

Home nursing, Aged, Medication adherence
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학술진흥재단(KCI) KoreaMed