Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Construction of Explanatory Model for Medication Adherence in Older People with Chronic disease

만성질환을 가진 노인의 약물복용이행 설명모형 구축

  • Received : 2012.08.28
  • Accepted : 2012.11.25
  • Published : 2012.11.30
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Abstract

Purpose: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease. Method: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program. Results: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression. Conclusion: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.

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References

  1. Bandura, A. (1986). Social foundation of thought and action: A social cognitive theory. Englewood Cliffs. NJ: Prentice-Hall. Inc.
  2. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman and Company.
  3. Bandura, A. (2000). Cultivate self-efficacy for personal and organizational effectiveness. In Locke, E. A. (Eds.) The Blackwell handbook of principles of organizational behavior(pp.120-136). Oxford: Blackwell.
  4. Buabeng, K. O., Matowe, L., & Plange-Rhule, J. (2004). Unaffordable drug prices: The major cause of non-compliance with hypertension medication in Ghana. Journal of Pharmacy & Pharmaceutical Sciences, 7, 350-352.
  5. Burge, S., White, D., Bajorek, E., Bazaldua, O., Trevino J., Albright T., et al. (2005). Correlates of medication knowledge and adherence: Findings from the residency research network of south Texas. Family Medicine, 37, 712-718.
  6. Gu, M. O., Yu, J. S., Kwon, I. K., Kim, H. W., & Lee, E. O. (1994). A review of research on self efficacy theory applied to health related behavior. Journal of Korean Academy of Nursing, 24, 278-302.
  7. Han, J. H. (2007). The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people. Unpublished master's thesis, Ewha Womans University, Seoul.
  8. Jin, J., Sklar, G. E., Oh, V. M. S., & Li, S. C. (2008). Factors affecting therapeutic compliance: A review from the patient's perspective. Therapeutic and Clinical Risk Management, 4, 269-286. https://doi.org/10.2147/TCRM.S1458
  9. Kee, B. S. (1996). A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea version. Journal of The Korean Neuropsychiatric Association, 35, 298-307.
  10. Kim, H. S. & Kim, H. Y. (2007). Factors predicting medication compliance among elderly visitors of public health centers. Journal of Korean Academy of Community Health Nursing, 18, 5-13.
  11. Kim, K. S. (2010). AMOS 18.0 Analysis structural equation modeling. Seoul: Hannarae Press.
  12. Kim, M. S. (2010). Medication compliance for osteoporosis patient's and related factors. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, M. Y. (2010). A study on depression and self-efficacy by medication adherence in patients with coronary artery disease. Unpublished master's thesis, Soonchunhyang University, Asan.
  14. Kim, N. J. (2010). Effects of health education at the medical clinic of community welfare center on hypertension knowledge, self-efficacy, self-care behaviors and blood pressure among elderly patients with hypertension. Unpublished master's thesis, Yonsei University, Seoul.
  15. Kim, Y. S. (2011). Factors related to medication adherence in elderly hemodialysis patients. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Ko, J. S. (2010). The relationship between social environment and medication adherence among elderly. Unpublished master's thesis, Yonsei University, Seoul.
  17. Korea Institute for Health and Social Affairs. (2011). Research on the actual condition of the aged. Seoul : Ministry of Health and Welfare(South Korea).
  18. Kressin, N. R., Wang, F., Long, J. Bokhour, B. G., Orner, M. B., Rothendler, J., et al. (2007). Hypertensive patients' race, health beliefs, process of care, and medication adherence. Journal of General Internal Medicine, 22, 768-774. https://doi.org/10.1007/s11606-007-0165-9
  19. Lee, H. J. (2002). Factors affecting medication compliance of hypertensive patients. Unpublished master's thesis, Dankook University, Cheonan.
  20. Morisky, D. E., Ang, A., Krorsel-Wood, M. & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension, 10, 348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
  21. Murphy, D. A., Greenwell, L., & Hoffman, D. (2002). Factors associated with antiretroviral adherence among HIV-infected women with children. Women & Health, 36, 97-111. https://doi.org/10.1300/J013v36n01_07
  22. Murray, M. D., Morrow, D. G., Weiner, M., Clark, D. O., Tu, W., Deer, M. M., et al. (2004). A conceptual framework to study medication adherence in older adults. The American Journal of Geriatric Pharmacotherapy, 2(1), 36-43. https://doi.org/10.1016/S1543-5946(04)90005-0
  23. Noh, Y. S. (2003). An explanatory model for patient adherence in patients with hypertension. Unpublished doctoral dissertation, Yonsei University, Seoul.
  24. Oh, H. J. (2011). Factors affecting medication adherence in the elderly people with chronic disease. Unpublished master's thesis, Kyungpook National University, Daegu.
  25. Okuno, J., Yanagi, H., & Tomura, S. (2001). Is cognitive impairment a risk factor for poor compliance among Japanese elderly in the community? European Journal Clinical Pharmacology, 57, 589-594. https://doi.org/10.1007/s002280100347
  26. Park, K. A., Kim, J. G., Kim, B. W., Kam, S., Kim, K.,Y., Ha, S. W., et al. (2010). Factors that affect medication adherence in elderly patients with diabetes mellitus. Korean Diabetes Journal, 34, 55-65. https://doi.org/10.4093/kdj.2010.34.1.55
  27. Park, J. H., & Kwon, Y. C. (1989). Part I : Development of the Test for the Elderly = Korean Version of Mini-Mental State Examination (MMSE-K). Journal of the Korean Neuropsychiatric Association, 28(1), 125-135.
  28. Schlenk, E. A., Dunbar-Jacob, J., & Engberg, S. (2004). Medication non-adherence among older adults: A review of strategies and interventions for improvement. Journal of Gerontolological Nursing, 30(7), 33-43.
  29. Seo, M. A. (2001). (A) structural equation model explaining medication compliance of schizophrenia. Unpublished doctoral dissertation, Yonsei University, Seoul.
  30. Wertheimer, A. I., & Santella, T. M. (2003). Medication non-compliance: What we know, what we need to learn. Fabad Journal of Pharmaceutical Sciences, 28, 207-214.

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