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와파린 복용 환자의 항응고요법에 대한 인식과 약물복용 이행

Other Titles
 Perceptions of Anticoagulation Therapy and Medication Adherence among Patients taking Warfarin 
Authors
 강석민 ; 이윤주 ; 추상희 
Citation
 기초간호자연과학회지, Vol.14(1) : 66~75, 2012 
Journal Title
 기초간호자연과학회지 
ISSN
 1229-6155 
Issue Date
2012
Abstract
Purpose: This study was conducted to measure medication adherence and perceptions of anticoagulation therapy and its relationship to patients taking warfarin. Methods: In a cross-sectional survey, 150 patients taking warfarin who had visited an outpatient clinic of a cardiovascular center in Seoul were included as research subjects. Medication adherence was measured using a visual analogue rating scale (VAS). Barriers and attitudes toward adherence, and oral anticoagulation knowledge, were measured using a structured questionnaire. Participants’ medical records also were reviewed to identify clinical characteristics. Results: About one third of the participants (30.7%) reported medication adherence as 100%. The major barriers to adherence were identified as “Forgetting the time of medication” and “Not carrying their medication’’. Overall attitudes toward medication adherence were high, but oral anticoagulation therapy knowledge was low. To determine the relationship of medication adherence and perceptions of anticoagulation therapy, participants were stratified into three groups, based on their medication adherence levels (high adherence, moderate adherence, low adherence). Participants in the high adherent group more likely to be older (OR: 1.04, 95% CI: 1.005-1.071) and to have positive attitudes toward medication adherence (OR: 1.12, 95% CI:1.013-1.229) compared to the other two groups. Conclusion: The results show that age and attitude exerts significant influence on medication adherence in patients taking warfarin.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92186
Appears in Collections:
1. 연구논문 > 3. College of Nursing > Dept. of Nursing Environment Systems
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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