DOI QR코드

DOI QR Code

Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey

고혈압 환자의 약물복용 이행에 영향을 미치는 요인: 2008년 국민건강영양조사를 이용하여

  • Received : 2013.08.20
  • Accepted : 2013.12.17
  • Published : 2013.12.31

Abstract

Purpose: The purpose of this study is to examine factors influencing medication adherence in patients with hypertension. Methods: This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, $x^2$ test, t-test, and logistic regression. Results: Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence. Conclusion: Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.

Keywords

References

  1. Barat, I., Andersen, F., & Damsgaard, E. M. S. (2001). Drug therapy in the elderly: What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51 (6), 615-622. https://doi.org/10.1046/j.0306-5251.2001.01401.x
  2. Beckman, A. G., Parker, M. G., & Thorslund, M. (2005). Can elderly people take their medicine?. Patient Education and Counseling, 59 (2), 186-191. https://doi.org/10.1016/j.pec.2004.11.005
  3. Byeon, Y. S., Kim, S. O., & Cho, J. H. (2012). Factors influencing the stages of change in medication adherence in patients with hypertension. Journal of Korean Academy of Community Health Nursing, 23 (2), 189-200. https://doi.org/10.12799/jkachn.2012.23.2.189
  4. Chang, K. O. (2003). The relationship among health habits, perceived health status and knowledge related to hypertension and medication compliances of hypertensive elderly. Unpublished master's thesis, Catholic University, Busan.
  5. Chang, Y. J. (2007). Effects of a comprehensive education program on the self-efficacy and health behavior performance in patients with hypertension. Unpublished master's thesis, Ajou University, Suwon.
  6. Choi, S. R. (2009). Prevalence and perception levels of essential hypertension -the third Korea national health and nutrition examination survey-. Unpublished master's thesis, Korea University, Seoul.
  7. DiMatteo, M. R., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002). Patient adherence and medical treatment outcomes: A meta-analysis. Medical Care, 40 (9), 794-811. https://doi.org/10.1097/00005650-200209000-00009
  8. Han, G. S. (2009). Relationship of blood pressure control with healthy lifestyle practiceand medication adherence of hypertensive patients. Unpublished master's thesis, Chonbuk National University, Jeonju.
  9. Kim, J. O. (2011). A study on management and health-related behaviors of the hypertensive patients. Unpublished master's thesis, Inje University, Busan.
  10. Kim, J. S. (2006). The patterns of drug use in the elderly women with chronic disease in community. Journal of Qualitative Research, 7 (1), 67-76.
  11. Kim, J. Y., Lee, D. B., Cho, Y. C., Lee, S. G., Chang, S. S., Kwon, Y. H., et al. (2000). Study on health behavior of hypertensive patients and compliance for treatment of antihypertensive medicine. Korean Journal of Rural Medicine, 25 (1), 29-49.
  12. Kim, K. E. (2002). A study on health behaviors and medication compliance of hypertensive patients in a rural area. Journal of Korean Academy of Community Health Nursing, 13 (1), 49-56.
  13. Kim, S. G., Kim, S. A., & Park, W. S. (2006). Prevalence and management status of hypertension in Korea. Journal of the Korean Society of Hypertension, 12 (2), 7-15.
  14. Kim, S. O. (2011). The development and effects of a medication adherence intervention program for hypertensive patients. Journal of Korean Academy of Community Health Nursing, 22 (3), 342-354.
  15. Kim, Y. J. (2011). The effects of an education program on the knowledge of medication and prevention of depression in the elderly with chronic disease at a local community. Journal of Korean Academy of Community Health Nursing, 22 (4), 399-408.
  16. Lee, J. G. (2009). 2008 national health statistics report (3). Seoul: Korea Centers for Disease Control and Prevention.
  17. Lee, J. K. (2013). Evaluation of a medication self-management education program for elders with hypertension living in the community. Journal of Korean Academy of Nursing, 43 (2), 267-175. https://doi.org/10.4040/jkan.2013.43.2.267
  18. Lee, K. A. (2012). The impact of medication adherence on healthcare utilization and expenditure. Unpublished master's thesis, Seoul National University, Seoul.
  19. Lee, Y. T. (2011). Working hours in Korea. The Korea Times.Retrieved July 21, 2013, from http://news.hankooki.com/lpage/economy/201112/h2011123102311221500.htm
  20. MacLaughlin, E. J., Cynthia, L. R., Treadway, A. K., Sterling, T. L., Zoller, D. P., & Bond, C. A. (2005). Assessing Medication Adherence in the elderly. Drug and Aging, 22 (3), 231-255. https://doi.org/10.2165/00002512-200522030-00005
  21. Min, E. S., & Hur, M. H. (2012). Predictors of compliance in hypertensive patients. Journal of Korean Academy Fundamentals of Nursing, 19 (4), 474-482. https://doi.org/10.7739/jkafn.2012.19.4.474
  22. Min, S. H., & Kim, J. I. (2012). Construction of explanatory model for medication adherence in older people with chronic disease. Journal of Korean Academy Fundamentals of Nursing, 19 (4), 463-473. https://doi.org/10.7739/jkafn.2012.19.4.463
  23. Ministry of Health Welfare. (2010). Community health survey. General Statistics (approval number. 11775). Retrieved July 12, 2013, from http://www.mw.go.kr/
  24. Ministry of Health Welfare. (2013). 2012 community health survey. Retrieved July 19, 2013, from http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=284380&page=1
  25. Park, J. H., Shin, Y. S., Lee, S. Y., & Lee, S. I. (2007). Antihypertensive drug medication adherence and its affecting factors in South Korea. International Journal of Cardiology, 128 (3), 392-398.
  26. Park, S. H. (2009). A study on drug abuse among the elderly. Unpublished master's thesis, Hannam University, Daejeon.
  27. Sung, J. D., Choi, J. H., On, Y. K., Lee, S. C., Park, S. W., Gwon, H. C., et al. (2005). Study of compliance to antihypertensive medication in Korean hypertensive patients using medication event monitoring system. Korean Circulation Journal, 35 (11), 821-826.
  28. Wilburt, S. A. (2009). Treating hypertension in older adults. Drug Safety, 32 (2), 111-118. https://doi.org/10.2165/00002018-200932020-00004
  29. Willey, C., Redding, C., Stafford, J., Garfield, F., Geletko, S., Flanigan, T., et al. (2000). Stages of change for adherence with medication regimens of a measure. Clinical Therapeutics, 22 (7), 858-871. https://doi.org/10.1016/S0149-2918(00)80058-2

Cited by

  1. 고혈압 환자의 건강관련 삶의 질에 영향을 미치는 요인: 제5기 국민건강영양조사를 이용하여 vol.16, pp.5, 2013, https://doi.org/10.5392/jkca.2016.16.05.399
  2. 노인의 건강정보이해력, 자기효능감, 사회적 지지가 약물복용이행에 미치는 영향 vol.25, pp.1, 2018, https://doi.org/10.5953/jmjh.2018.25.1.30
  3. 일개 도시지역 근로자의 건강행태에 따른 만성질환 관련성 vol.8, pp.3, 2013, https://doi.org/10.22156/cs4smb.2018.8.3.017
  4. Health Behaviors and Quality of Life in the Elderly with High Blood Pressure vol.19, pp.11, 2013, https://doi.org/10.9728/dcs.2018.19.11.2159
  5. Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis vol.32, pp.2, 2013, https://doi.org/10.7475/kjan.2020.32.2.124
  6. Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors vol.27, pp.2, 2013, https://doi.org/10.1007/s12529-020-09854-z
  7. 고혈압 환자의 삶의 질 관련 요인: 제 7기 1차년도(2016년) 국민건강영양조사 vol.21, pp.1, 2013, https://doi.org/10.35133/kssche.20200531.05
  8. 고혈압환자의 생애주기별 건강행태와 삶의 질 vol.10, pp.7, 2020, https://doi.org/10.22156/cs4smb.2020.10.07.058
  9. Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospe vol.37, pp.8, 2013, https://doi.org/10.1007/s12325-020-01404-z
  10. Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015) vol.42, pp.2, 2013, https://doi.org/10.4082/kjfm.19.0128