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만성 심부전 환자의 약물복용 이행 영향요인

Other Titles
 Factors Affecting Medication Adherence in Patients with Chronic Heart Failure 
Authors
 추상희  ;  고일선  ;  이원희  ;  유지수  ;  강석민  ;  정하윤  ;  김두리  ;  안지현  ;  이윤주 
Citation
 Journal of Korean Biological Nursing Science (기초간호자연과학회지), Vol.14(3) : 193-202, 2012 
Journal Title
 Journal of Korean Biological Nursing Science (기초간호자연과학회지) 
ISSN
 1229-6155 
Issue Date
2012
Keywords
Heart failure ; Medication adherence ; Barrier ; Attitude ; Depression
Abstract
Purpose: The purpose of this study was to explore socio-demographic, clinical and psychological factors associated with medication adherence among patients with chronic heart failure (CHF). Methods: In a cross-sectional survey, 133 patients with CHF who had visited a clinic located in Seoul participated. Medication adherence (MA) was measured using a single item visual analogue rating scale (VAS). Barriers and attitudes toward adherence, and depression were measured using a structured questionnaire. Medical records were reviewed to identify their clinical characteristics. Multivariate logistic regression was performed identify factors affecting medication adherence. Results: About one third of participants (31.1%) reported their MA as 100%. Overall attitudes on MA were highly positive and 49 (36.8%) of participants were depressive. MA was associated with significantly barriers (p<.001), attitudes (p<.001), age (p<.001), and duration of disease (p<.001). The high adherent group had significantly less barriers than other groups (OR=.389, p=0.02). Conclusion: This study indicates that barriers and attitudes toward MA were the most important factors affecting their adherence to HF medication. To improve MA for patient with CHF, the nursing strategies which can lead poor adherent patients to their optimal level should be developed.
Files in This Item:
T201205062.pdf Download
DOI
10.7586/jkbns.2012.14.3.193
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Ko, Il Sun(고일선) ORCID logo https://orcid.org/0000-0003-3671-4833
Yoo, Ji Soo(유지수)
Lee, Won Hee(이원희)
Lee, Yoon Ju(이윤주)
Chu, Sang Hui(추상희) ORCID logo https://orcid.org/0000-0001-6877-5599
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92188
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