Browse > Article
http://dx.doi.org/10.14400/JDC.2018.16.7.419

The Influence of Health Literacy and Social-Support on Medication Adherence in Eldery with Chronic Disease  

Jeong, Hyun-Ju (Dept. of Nursing Nambu University)
Bae, Jeong-Hee (Dept. of Hospital Information Management Gwangju Health University)
Publication Information
Journal of Digital Convergence / v.16, no.7, 2018 , pp. 419-428 More about this Journal
Abstract
Purpose: The study was done to investigate the correlation among health literacy, social support and medication adherence in elderly with chronic diseases. Method: Participants were 100 patients with chronic diseases in two small hospitals in J do H. A structured questionnaires was used to measure the study variables from July 14, 2017 to August 14, 2017. Data was analyzed using descriptive statistics, t-test, ANOVA, Spearman correlation coefficient, and Multiple regression by SPSS/WIN 18.0 program. Result: Medication adherence and health literacy were positively correlated(r=.398, p<.001), Medication adherence and social support were positively correlated (r=.453, p<.001) and health literacy and social support were positively correlated(r=.731, p<.001). The factors influencing on medication adherance are Experience of adverse drug effect. The explanation is that medication adherence is total 25.9%(F=3.91, p<.001). Conclusion: Thus this suggests that in order to enhance medication adherence of the elderly with chronic diseases, educational programs are needed for offering customized medical information considering unique characteristics of the area and objects.
Keywords
Chronic disease; Elderly; Health literacy; Social-support; Medication adherance;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Korea Institute for Health and Social Affairs. (2014). 2014 National survey results on the elderly life conditions and welfare need. Ministry of Health & Welfare. Seoul.
2 D. Schillinger et al. (2002). Association of health literacy with diabetes outcomes. Journal of the American Medical Association, 288(4), 475-482. DOI:10.1001/jama.288.4.475   DOI
3 D. W. Baker et al. (2003). Health literacy and risk use of out patient physician services by medicare managed care enrollees. Journal of General Internal Medicine, 19, 215-220. DOI:10.1111/j.1525-1497.2004.21130.x   DOI
4 T. C. Davis et al. (2006). Literacy and misunderstanding prescription drug labels. Annals of Internal Medicine. 145(12), 887-894. DOI:10.7326/0003-4819-145-12-200612190-00144   DOI
5 D. B. Friedman, L. Hoffman-Goetz & J. F. Arocho. (2006). Health literacy and the World Wide Web: Comparing the readability of leading incident cancer on the Internet. Medical Informatics and the Internet in Medicine, 31(1), 67-87. DOI: 10.1080/14639230600628427   DOI
6 S. A. Lee & M. H. Park. (2010). A study on health literacy, medication knowledge, and medication misuse of rural elderly. Journal of the Korean Gerontological Society, 30(2), 485-497. DOI:KINX2010082293
7 S. H. Kim & E. J. Lee. (2008). The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy of Nursing, 38(2), 195-203. http://uci.or.kr/G704-000229.2008.38.2.003   DOI
8 S. Kim & S. I. Nam. (2017). Assessment of relationship between social support, self-rated health status, life satisfaction among chronic disease in Elderly: A comparison with healthy elderlies through multi-group analysis. Journal of the Korean Gerontologcal Society, 37(3), 783-801. http://scholar.dkyobobook.co.kr/searchExtDownload.laf
9 S. W. Gwon. (2014). The influence of the social support on the symptoms and mecdication adherence in psychiatric patients. Unpublished master's thesis. Korea University. Seoul.
10 Y. J. Choi et al. (2002). Family support and life quality in elderly diabetic patients. Journal of Korean Diabetes, 3, 270-279. http://210.101.116.17/kiss8/viewer.asp
11 Statistics Korea. (2012). http://kostat.go.kr
12 W. F. Gellad, J. L. Gernard & Z. A. Marcum. (2011). A Systematic Review of Barriers to medication adherence in the Elderly: Looking Beyond Cost and Regimen Complexity. The American Journal of Geriatric Pharmacotherapy, 9(1), 11-23. DOI: 10.1016/j.amjopharm.2011.02.004   DOI
13 S. A. Doggrell. (2010). Adherence to medicines in the older aged with chronic conditions: Does intervention by an allied health prpfessional help?. Drugs and Aging, 27(3), 239-254. DOI: 10.2165/11532870-000000000-00000   DOI
14 J. Y. Hwang & H. M. Chen. (2014). Concept analysis of medication adherence in patients with chronic disease. The Journal of Nursing, 61(3), 112-118. DOI : 10.6224/JN.61.3.112   DOI
15 S. G. Bae, H. J. Jeon, H. S. Yang, B. K. Kim & G. S. Park. (2015). Medication adherence and its predictors in community elderly patients with hypertension. Korean Journal of Health Promotion, 15(3), 121-128. https://doi.org/10.15384/kjhp.2015.15.3.121   DOI
16 M. S. Park. (2008). Drug Use in the Elderly. Journal of Korean Academy of Fundamentals of Nursing, 15(2), 195-205. http://viewer.nl.go.kr:8080/main.wviewer
17 I. Baral, F. Andreasen, & E.M. Damsgaard. (2001). Drug therapy in the elderly: what doctors believe and patients actually do. British Journal of clinical pharmacology, 51(6), 615-622. DOI:10.1046/j.0306-5251.2001.01401.x   DOI
18 G. D. Zimet, N. W. Dahlem, S. G. Zimet & G. K. Farley. (1988). The multidimensional Scale of perceived social support. Journal of personality assessment, 52(1), 30-41. DOI:10.1207/s15327752jpa5201_2   DOI
19 S. M. Park & Y. H. Kang. (2017). Symptom experience, self-efficancy, depression, and medication adherence in patients with chronic obstructive pulmonary disease. Journal of Korean Clinical Research, 23(2), 170-078. https://doi.org/10.22650/JKCNR.2017.23.2.170   DOI
20 J. Y. Park. (2010). Influencing factors on functional health literacy among the rural eldery. Unpublished master's thesis. Soonchunhyang University. Seoul.
21 J. S. Sin & Y. B. Lee. (1999). The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare, 37, 241-269. http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=JAKO199903749521496
22 D. E. Morisky, M. Krousel­Wood & H. J. Ward. (2008). Predictive Validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension, 10(5), 348­354. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2562622/
23 S. H. Min & J. I. Kim. (2012). Construction of explanatory model for medication adherence in older people with chronic disease. J Korean Academy of Fundmenatals Nursing, 19(4), 463-472. http://dx.doi.org/10.7739/jkafn.2012.19.4.463   DOI
24 H. J. Park & S. K. Hwang. (2014). Longituistic and functional health literacy among community-dwelling old adult. Global Health and Nursing, 4(2), 49-58. http://uwcms.pusan.ac.kr/user/708600/download/4-2-49.pdf
25 S. J. Yoon. (2017). The relationships of health literacy, medication adherence and self-care performance of Diabetes Millitus patients. Health & Nursing, 29(1), 27-39. http://210.101.116.16/kiss6/v
26 Y. S. Kim & E. A. Kang. (2017). Factors influencing on health literacy of the elderly living alone and the elderly living with family or others. Health and Science, 46, 85-110. DOI :10.21489/hass.2017.12.46.85   DOI
27 T. H. Lee & S. J. Kang. (2008). Health literacy in the Korean eldery and influencing factors. Journal of the Korean Gerontological Society, 28(4), 847-863. http://ir.ymlib.yonsei.ac.kr/bitstream/22282913/108038/1/T200803115.pdf
28 M. A. Seo & S. K. Min. (2005). Factors influencing medication compliance in persons with schizophrenia in community. Journal of Korean Psycho Mental Health Nursing, 14(1), 23-32. http://210.101.116.16/kiss61/viewer.asp
29 K. Makey, M. L. Parchman, L. K. Leykum, H. J. Lanham, P. H. Noel & J. E. Zeber. (2012). Impact of the Chronic Care Model on medication adherence when Patients perceive cost as a barrier. Primary core diabetes, 6(2), 137-142. DOI: 10.1016/j.pcd.2011.12.004   DOI
30 K H. Ryu., & Y. J. Son. (2013). Impact of Cognitive Function and Self-efficacy on Medication Adherence of Elderly Patients with Chronic Disease. Journal of Korean biological nursing science, 15(3), 107-114. DOI : http://dx.doi.org/10.7586/jkbns.2013.15.3.107   DOI
31 L. C. Hutchison, S. K. Jones , D. S. West & J. Y. Wei (2006). Assessment of medicaton management bycommunity living elderly persons with two standardizedassessment tools: A crosssectional study. The AmericanJournal of Geriatric Pharmacotherapy, 4(2), 144-153.DOI: 10.1016/j.amjopharm.2006.06.009   DOI