Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Factors Influencing Medication Adherence and Status of Medication Use of the Elderly with Chronic Disease Taking Non-opioid Analgesics

만성질환 관련 비마약성 진통제 처방 노인의 약물사용 실태 및 약물복용이행에 영향을 미치는 요인

  • Jeon, Hae Ok (Department of Nursing, College of Health Science, Cheongju University) ;
  • Kim, Bockryun (Department of Nursing, Cheong-Ju St. Mary's Hospital) ;
  • Kim, Haesook (Department of Nursing, College of Health Science, Cheongju University) ;
  • Chae, Myung-Ock (Department of Nursing, College of Health Science, Cheongju University) ;
  • Kim, Myeong Ae (Department of Nursing, Cheong-Ju St. Mary's Hospital) ;
  • Kim, Ahrin (Department of Nursing, College of Health Science, Cheongju University)
  • 전해옥 (청주대학교 보건의료대학 간호학과) ;
  • 김복연 (청주성모병원) ;
  • 김혜숙 (청주대학교 보건의료대학 간호학과) ;
  • 채명옥 (청주대학교 보건의료대학 간호학과) ;
  • 김명애 (청주성모병원) ;
  • 김아린 (청주대학교 보건의료대학 간호학과)
  • Received : 2016.12.23
  • Accepted : 2017.01.31
  • Published : 2017.02.28
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Abstract

Purpose: This study investigates the status of medication use of the elderly with chronic disease taking non-opioid analgesics and attempts to identify factors influencing medication adherence. Methods: Data were collected from September 1 to October 19, 2016. A structured questionnaire was used for face-to-face interview with a convenience sample of 161, elderly people with chronic disease taking non-opioid analgesics. The survey included questions about status of medication use, medication adherence, symptom experience, depression and family function. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with IBM SPSS 23.0 program. Results: The mean score of medication adherence of the elderly with chronic disease was $4.48{\pm}2.35$. Experiences of side effects (${\beta}=.31$, p< .001), use of over-the-counter pain medication (${\beta}=.19$, p= .009), and family function (${\beta}=.16$, p= .031) were identified as significant predictors. The final model explained 18.0% of the variation of medication adherence of the elderly with chronic disease taking non-opioid analgesics (F= 12.30, p< .001). Conclusion: Therefore, as a strategy to improve medication adherence of the elderly with chronic disease, therapeutic intervention should be developed to improve family function and to manage with personalized plans considering experiences of side effects and use of over-the-counter pain medication.

Keywords

References

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