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http://dx.doi.org/10.7586/jkbns.2013.15.3.107

Impact of Cognitive Function and Self-efficacy on Medication Adherence of Elderly Patients with Chronic Disease  

Ryu, Kyung-Hee (Cheonan Medical Center)
Son, Youn-Jung (Department of Nursing, College of Medicine, Soonchunhyang University)
Publication Information
Journal of Korean Biological Nursing Science / v.15, no.3, 2013 , pp. 107-114 More about this Journal
Abstract
Purpose: This study was aimed to describe the level of medication adherence and to identify the impact of cognitive function and self-efficacy on medication adherence of elderly patients with chronic disease. Methods: The descriptive study included 303 patients over 65 years with chronic diseases from two medical centers in Cheonan city. Data were collected from July to November 2011. A questionnaire including questions on the Korean version of mini-mental state examination (MMSE-K), self-efficacy and medication adherence were completed by the subjects. Data were analyzed using the SPSS/WIN 20.0 program. Results: The mean score of medication adherence was $1.4{\pm}1.6$. In univariate analysis, exercise (t=2.85, p=.005), type of disease (F=3.91, p=.001) and self-efficacy (r=-.57, p<.001) were the significant factors related to medication adherence. Linear regression analysis demonstrated that self-efficacy (${\beta}$=-.57, p<.001) was a significantly associated factor with medication adherence. Self-efficacy explained about 33% of the total variance of the medication adherence in elderly patients. Conclusion: The results suggest that self-efficacy to medication can be a facilitator to medication adherence in elderly patients. However, these results indicate that there remains much work to be done in identifying other predictors of medication adherence of elderly patients with chronic diseases.
Keywords
Aged; Chronic disease; Cognition; Self-efficacy; Medication adherence;
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1 Vlasnik, J. J., Aliotta, S. L., & Delor, B. (2005). Medication adherence: Factors influencing compliance with prescribed medication plans. The Case Manager, 16(2), 47-51. http://dx.doi.org/10.1016/j.casemgr.2005.01.009   DOI   ScienceOn
2 Wertheimer, A. I., Chaney, N. M., & Santella, T. (2003). Counterfeit pharmaceuticals current status and future projections. Journal of the American Pharmacists Association, 43, 710-719. http://dx.doi.org/10.1331/154434503322642642   DOI
3 Willams, C. M. (2002). Using medication appropriately in older adult. American Family Physician, 66, 1917-1924.
4 Ministry for Health, Welfare and Family Affairs. (2009). 2009 Elderly health and welfare guidelines. Seoul: Ministry for Health, Welfare and Family Affairs.
5 Morisky, D. E., Krousel-Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10, 348-354. http://dx.doi.org/10.1111/j.1751-7176.2008.07572.x   DOI   ScienceOn
6 Okuno, J., Yanagi, H., & Tomura, S. (2001). Is cognitive impairment a risk factor for poor compliance among Japanese elderly in the community? European Journal of Clinical Pharmacology, 57, 589-594. http://dx.doi.org/10.1007/s002280100347   DOI   ScienceOn
7 Ownby, R. L., Hertzog, C., Crocco, E., & Duara, R. (2006). Factors related to medication adherence in memory disorder clinic patients. Aging & Mental Health, 10, 378-385. http://dx.doi.org/10.1080/13607860500410011   DOI   ScienceOn
8 Park, K. A., Kim, J. G., Kim, S., Kim, K. Y., Ha, S. W., Hyun, S. T., et al. (2010). Factors that affect medication adherence in elderly patients with diabetes mellitus. Korean Diabetes Journal, 34(1), 55-65. http://dx.doi.org/10.4093/kdj.2010.34.1.55   과학기술학회마을   DOI   ScienceOn
9 Park, M. S. (2008). Drug use in the elderly. Journal of Korean Academy of Fundamentals of Nursing, 15, 195-205.   과학기술학회마을
10 Risser, J., Jacobson, T. A., & Kripalani, S. (2007). Development and psychometric evaluation of the self-efficacy for appropriate medication use scale (SEAMS) in low-literacy patients with chronic disease. Journal of Nursing Measurement, 15, 203-219. http://dx.doi.org/10.1891/106137407783095757   DOI   ScienceOn
11 Song, M. R. (2007). A study on health promotion behavior in elderly people. Journal of Korean Academy of Fundamentals of Nursing, 14, 493-499.   과학기술학회마을
12 Song, M. S., Gu, M. O., Ryu, S. A., & Kim, M. S. (2002). Effect of self-care program promoting self-efficacy for community elders with diabetes. Journal of Korean Gerontological Nursing, 4(1), 27-37.
13 Krousel-Wood, M., Joyce, C., Holt, E., Muntner, P., Webber, L. S., Morisky, D. E., et al. (2011). Predictors of decline in medication adherence result from the cohort study of medication adherence among older adults. Hypertension, 58, 804-810. http://dx.doi.org/10.1161/HYPERTENSIONAHA.111.176859   DOI   ScienceOn
14 Kim, M. O., Kim, J. H., Kim, J. E., Park, B. R., Lee, J. W., Park, H. G., et al. (2008). Degree of compliance with polypharmacy and its influential factors in rural elderly patients with chronic diseases in South Korea. Journal Korean Academy of Family Medicine, 29, 604-611.   과학기술학회마을
15 Kim, M. Y. (2009). Depression and self-efficacy according to medication adherence in patients with coronary artery disease. Unpublished master's thesis, Soonchunhyang University, Cheonan.
16 Kim, J. S. (2006). Experiences of being tied with drugs in the elderly women in community. Journal of Korean Academy of Nursing, 36, 1215-1223.   과학기술학회마을
17 Kwon, Y. C., & Park, J. H. (1989). Development of the test for the elderly=Korean version of Mini-Mental State Examination (MMSE-K). Journal Neuropsychiatric Association, 28(1), 125-135.
18 Lee, D. Y. (2002). Development and evaluation of education program for medication misuse of the community dwelling elderly. Unpublished doctoral dissertation. Yonsei university, Seoul.
19 Lee, E. K., & Park, J. Y. (2002). Analysis of factors affecting medication compliance of outpatients. Journal of Korean Society of Quality Assurance in Health Care, 9(2), 164-175.   과학기술학회마을
20 Mann, D. M., Ponieman, D., Levental, H., & Halm, E. (2009). Predictors of adherence to diabetes medication: The role of disease and medication beliefs. Journal of Behavioral Medicine, 32, 278-284. http://dx.doi.org/10.1007/s10865-009-9202-y   DOI   ScienceOn
21 Flammiger, A., & Maibach, H. (2006). Drug dosage in the elderly. Drugs & Aging, 23, 203-215. http://dx.doi.org/10.2165/00002512-200623030-00003   DOI   ScienceOn
22 Min, H. S. (2007). Cognitive function among the elderly and its correlated factors. Korean Journal of Adult Nursing, 19(1), 78-88.
23 Brownie, S. (2006). Predictors of dietary and health supplement use in older Australians. The Australian Journal of Advanced Nursing, 23(3), 26-32.
24 Chen, H. F., Tsai, Y. F., Lin, Y. P., Shih, M. S., & Chen, J. C. (2010). The relationships among medicine symptom distress, self-efficacy, patient-provider relationships, and medication compliance in patients with epilepsy. Epilepsy & Behavior, 19(1), 43-49. http://dx.doi.org/10.1016/j.yebeh.2010.06.007   DOI   ScienceOn
25 Folstein, M. M., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state." a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric Research, 12, 189-198. http://dx.doi.org/10.1016/0022-3956(75)90026-6   DOI   ScienceOn
26 Gazmararian, J. A., Kripalani, S., Miller, M. J., Ecth, K. V., Ren, J., & Rask, K. (2006). Factors associated with medication refill adherence in cardiovascular-related disease: A focus on health literacy. Journal of General Internal Medicine, 21, 1215-1221. http://dx.doi.org/10.1111/j.1525-1497.2006.00591.x   DOI   ScienceOn
27 Gellad, W. F., Gernard, J. L., & Marcum, Z. A. (2011). A systematic review of barriers to medication adherence in the elderly: Looking beyond cost and regimen. The American Journal of Geriatric Pharmacotherapy, 9(1), 11-23. http://dx.doi.org/10.1016/j.amjopharm.2011.02.004   DOI   ScienceOn
28 Han, J. H. (2007). The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people. Unpublished master's thesis, Ewha Womans University, Seoul.
29 Suh, S. R., & Lee, E. H. (2011). A path model predicting medication adherence and self-care of low-income older adults with hypertension. Korean Journal of Adult Nursing, 23, 374-385.   과학기술학회마을
30 Hwang, R. I., Lim, J. Y., & Lee, Y. W. (2009). A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing, 39, 622-631. http://dx.doi.org/10.4040/jkan.2009.39.5.622   과학기술학회마을   DOI   ScienceOn