Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Factors Affecting Medication Adherence in Patients with Chronic Heart Failure

만성 심부전 환자의 약물복용 이행 영향요인

  • Chu, Sang Hui (Department of Clinical Nursing Science, Yonsei University College of Nursing, Nursing Policy Research Institute) ;
  • Ko, Il Sun (Department of Clinical Nursing Science, Yonsei University College of Nursing, Nursing Policy Research Institute) ;
  • Lee, Won Hee (Yonsei University College of Nursing) ;
  • Yoo, Ji Su (Yonsei University College of Nursing) ;
  • Kang, Seok-Min (Division of Cardiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Jung, Ha Yoon (Graduate school, Yonsei University) ;
  • Kim, Doo Ree (Graduate school, Yonsei University) ;
  • Ahn, Ji Hyeon (Department of Neurosurgery, Severance Hospital) ;
  • Lee, Yoon Ju (Department of Clinical Nursing Science, Yonsei University College of Nursing)
  • 추상희 (연세대학교 간호대학 임상간호과학과.간호정책연구소) ;
  • 고일선 (연세대학교 간호대학 임상간호과학과.간호정책연구소) ;
  • 이원희 (연세대학교 간호대학) ;
  • 유지수 (연세대학교 간호대학) ;
  • 강석민 (연세대학교 의과대학 심장내과) ;
  • 정하윤 (연세대학교 대학원 간호학과) ;
  • 김두리 (연세대학교 대학원 간호학과) ;
  • 안지현 (세브란스병원 신경외과) ;
  • 이윤주 (연세대학교 간호대학 임상간호과학과)
  • Received : 2012.09.27
  • Accepted : 2012.11.07
  • Published : 2012.11.30
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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.

Keywords

References

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