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고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석

Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension

  • 길은하 (대전과학기술대학교 간호학부)
  • Gil, Eun-Ha (Department of Nursing, Daejeon Institute of Science and Technology)
  • 투고 : 2020.01.23
  • 심사 : 2020.02.25
  • 발행 : 2020.02.28

초록

본 연구는 고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인을 파악하기 위하여 패널 데이터를 활용한 서술적, 2차 분석 조사연구이다. 연구대상자는 한국의료패널 2015년 데이터(β-version 1.0)를 활용하여 고혈압 진단 후 약물을 복용하고 있는 2,484명을 대상으로 하였다. 자료분석은 SPSS/win 22.0을 이용하여 Chi-Square, Scheffe's test, logistic regression으로 하였다. 연구결과 고혈압 환자의 약물 순응도 수준은 94.2%로 나타났으며 약물 순응도 영향요인은 인구학적 요인의 Model I에서는 성별, 나이로 나타났고 신체-사회적 요인을 추가한 Model II에서는 장애유무, 흡연, 음주여부로 나타났으며 약물복용 요인을 추가한 Model III에서는 음주여부, 약물복용 기간, 부작용 발생, 약물 만족도, 약제비 지불 부담으로 확인되었다. 본 연구결과를 바탕으로, 고혈압 환자가 라이프케어를 증진시켜 합병증이 발생하지 않도록 고혈압 진단 초기부터 개개인의 특성에 맞춰 약물복용의 중요성 및 부작용, 복용 방법 등에 대한 교육과 중재가 필요하겠다.

Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe's test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

키워드

과제정보

본 논문은 대전과학기술대학교의 2018학년도 교내연구비를 지원받음.

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