Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Influence of Health Literacy and Social-Support on Medication Adherence in Eldery with Chronic Disease

만성질환노인의 건강정보이해능력, 사회적지지가 약물복용이행에 미치는 영향

  • 정현주 (남부대학교 간호학과) ;
  • 배정희 (광주보건대학교 병원전산관리과)
  • Received : 2018.04.02
  • Accepted : 2018.07.20
  • Published : 2018.07.28
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Abstract

Purpose: The study was done to investigate the correlation among health literacy, social support and medication adherence in elderly with chronic diseases. Method: Participants were 100 patients with chronic diseases in two small hospitals in J do H. A structured questionnaires was used to measure the study variables from July 14, 2017 to August 14, 2017. Data was analyzed using descriptive statistics, t-test, ANOVA, Spearman correlation coefficient, and Multiple regression by SPSS/WIN 18.0 program. Result: Medication adherence and health literacy were positively correlated(r=.398, p<.001), Medication adherence and social support were positively correlated (r=.453, p<.001) and health literacy and social support were positively correlated(r=.731, p<.001). The factors influencing on medication adherance are Experience of adverse drug effect. The explanation is that medication adherence is total 25.9%(F=3.91, p<.001). Conclusion: Thus this suggests that in order to enhance medication adherence of the elderly with chronic diseases, educational programs are needed for offering customized medical information considering unique characteristics of the area and objects.

본 연구는 만성질환노인의 건강정보이해능력, 사회적지지 및 약물복용이행 간의 관계를 확인하고 약물복용이행에 영향을 주는 요인을 파악하는 서술적 상관관계 연구이다. 연구대상은 J도 H군에 소재한 2곳의 중소병원을 내원한 만성질환노인 100명이며, 자료수집은 2017년 7월 14일부터 2017년 8월 14일까지 구조화된 설문지를 사용하여 일대일 면접방법으로 실시하였다. 수집된 자료는 SPSS/WIN 18.0프로그램을 이용하여 분석하였다. 약물복용이행은 건강정보이해능력(r=.398, p<.001)과 사회적지지(r=.453, p<.001)에 모두 유의미한 정적 상관관계를 보였고 건강정보이해능력과 사회적지지도 유의한 정적 상관관계(r=.731, p<.001)를 나타냈다. 약물복용이행에 영향을 미치는 요인은 약물부작용경험 유무였으며 약물복용이행을 25.9%로 설명하는 것으로 나타났다(F=3.91, p<.001). 이상의 연구결과에서 만성질환노인에게 건강정보이해능력과 사회적지지가 높을수록, 약물부작용경험이 없을수록 약물복용이행이 높은 것으로 파악되었다. 만성질환노인의 약물복용이행을 증진시키기 위해서는 보건의료인의 사회적 지지와 정확한 약물복용방법 등이 포함된 맞춤형 의료정보 교육 프로그램이 필요하다.

Keywords

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