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Impact of Depression and Social Support on Medication Adherence in Older Adults with Multimorbidity

복합만성질환을 가진 노인의 우울, 사회적지지가 약물복용이행에 미치는 영향

  • Kim, Ji Eun (Daejeon Veterans Hospital, Daejeon.Ajou University College of Nursing) ;
  • Park, Jin-Hee (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • You, Mi Ae (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • Seo, Eun Ji (College of Nursing.Research Institute of Nursing Science, Ajou University)
  • 김지은 (대전보훈병원.아주대학교 간호대학) ;
  • 박진희 (아주대학교 간호대학.간호과학연구소) ;
  • 유미애 (아주대학교 간호대학.간호과학연구소) ;
  • 서은지 (아주대학교 간호대학.간호과학연구소)
  • Received : 2022.08.05
  • Accepted : 2022.08.29
  • Published : 2022.08.31

Abstract

Purpose: Medication adherence in older adults with multimorbidity is critical for self-care. The purpose of this cross-sectional study was to identify the factors that influence medication adherence in older adults with multimorbidity. Methods: The patients were 116 adults 65 or older with three or more chronic diseases. The data were collected from December 2020 to April 2022 in outpatient clinics at a hospital in Daejeon. Results: The mean scores of depression, social support, and medication adherence were 16.18± 6.74 (of 30), 41.06± 6.56 (of 60), and 4.69± 1.85 (of 8) points, respectively. Patients with low adherence comprised the most with 75 patients (64.7%). Influencing factors on medication adherence were depression (β= -.35, p= .007) and family support among social support (β= .29, p= .006). Conclusion: Among older adults with multimorbidity, lower depression as well as higher family support, results in higher medication adherence. It is necessary to develop a practical strategy toward improving medication adherence, by sensitively managing the degree of depression, as well as strengthening family support.

Keywords

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