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만성 심부전 환자의 약물복용 이행 영향요인

Other Titles
 Factors Affecting Medication Adherence in Patients with Chronic Heart Failure 
 추상희  ;  고일선  ;  이원희  ;  유지수  ;  강석민  ;  정하윤  ;  김두리  ;  안지현  ;  이윤주 
 Journal of Korean Biological Nursing Science (기초간호자연과학회지), Vol.14(3) : 193-202, 2012 
Journal Title
 Journal of Korean Biological Nursing Science  (기초간호자연과학회지) 
Issue Date
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.
Appears in Collections:
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실)
Yonsei Authors
강석민(Kang, Seok Min) ; 고일선(Ko, Il Sun) ; 유지수(Yoo, Ji Soo) ; 이원희(Lee, Won Hee) ; 이윤주(Lee, Yoon Ju) ; 추상희(Choo, Sang Hui)
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