Medication, adherence and its associated factors among Chinese community-dwelling older adults with hypertension

被引：44
作者：
Wang, Wenru [1 ]
Lau, Ying [1 ]
Loo, Aloysius [1 ]
Chow, Aloysius [1 ]
Thompson, David R. [2 ,3 ,4 ]
机构：
[1] Natl Univ Singapore, Yong Loo Lin Sch Med, Alice Lee Ctr Nursing Studies, Singapore 117595, Singapore
[2] Australian Catholic Univ, Cardiovasc Res Ctr, Melbourne, Vic, Australia
[3] Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia
[4] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia
来源：
HEART & LUNG | 2014年 / 43卷 / 04期
关键词：
Older adults; Community-dwelling; Chinese; Hypertension; Medication adherence; BLOOD-PRESSURE CONTROL; ANTIHYPERTENSIVE MEDICATION; DRUG-THERAPY; PERSISTENCE; PATIENT; HEALTH; NONADHERENCE; OUTCOMES; LIFE;
D O I：
10.1016/j.hrtlng.2014.05.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Objective: To investigate the factors that influence medication adherence in Chinese community-dwelling Older adults with hypertension. Methods: A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants. Results: Participants older than 65 years (beta = .118, p = .017), with a low level of education (beta = .128, p = .01), who had more than one other common disease (beta = .120, p = .015), were on long-term medication (beta = .221, p < .001) and who reported higher self-care (beta = .188, p = .001), had better medication adherence. Conclusions: Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：278 / 283
页数：6
相关论文
共 40 条
[1]   ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly [J].
Aronow, Wilbert S. ;
Fleg, Jerome L. ;
Pepine, Carl J. ;
Artinian, Nancy T. ;
Bakris, George ;
Brown, Alan S. ;
Ferdinand, Keith C. ;
Forciea, Mary Ann ;
Frishman, William H. ;
Jaigobin, Cheryl ;
Kostis, John B. ;
Mancia, Giuseppi ;
Oparil, Suzanne ;
Ortiz, Eduardo ;
Reisin, Efrain ;
Rich, Michael W. ;
Schocken, Douglas D. ;
Weber, Michael A. ;
Wesley, Deborah J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (20) :2037-2114
[2]   The relationship between drug therapy noncompliance and patient characteristics, health-related quality of life, and health care costs [J].
Billups, SJ ;
Malone, DC ;
Carter, BL .
PHARMACOTHERAPY, 2000, 20 (08) :941-949
[3]   Baseline characteristics and early blood pressure control in the CONVINCE trial [J].
Black, HR ;
Elliott, WJ ;
Neaton, JD ;
Grandits, G ;
Grambsch, P ;
Grimm, RH ;
Hansson, L ;
Lacoucière, Y ;
Muller, J ;
Sleight, P ;
Weber, MA ;
White, WB ;
Williams, G ;
Wittes, J ;
Zanchetti, A ;
Fakouhi, TD ;
Anders, RJ .
HYPERTENSION, 2001, 37 (01) :12-18
[4]   Medication adherence and persistence as the cornerstone of effective anti hypertensive therapy [J].
Burnier, Michel .
AMERICAN JOURNAL OF HYPERTENSION, 2006, 19 (11) :1190-1196
[5]   Chinese values, health and nursing [J].
Chen, YC .
JOURNAL OF ADVANCED NURSING, 2001, 36 (02) :270-273
[6]  
Cohen J., 1988, Statistical Power Analysis for the Behavioral Sciences
[7]  
Cushman William C, 2002, J Clin Hypertens (Greenwich), V4, P393
[8]   Long-term persistence with anti hypertensive drugs in new patients [J].
Esposti, ED ;
Sturani, A ;
Di Martino, M ;
Falasca, P ;
Novi, MV ;
Baio, G ;
Buda, S ;
Volpe, M .
JOURNAL OF HUMAN HYPERTENSION, 2002, 16 (06) :439-444
[9]   Adherence to antihypertensive medications and health outcomes among newly treated hypertensive patients [J].
Esposti, Luca Degli ;
Saragoni, Stefania ;
Benemei, Silvia ;
Batacchi, Paolo ;
Geppetti, Pierangelo ;
Di Bari, Mauro ;
Marchionni, Niccolo ;
Sturani, Alessandra ;
Buda, Stefano ;
Esposti, Ezio Degli .
CLINICOECONOMICS AND OUTCOMES RESEARCH, 2011, 3 :47-54
[10]   Antihypertensive Drug Persistence and Compliance Among Newly Treated Elderly Hypertensives in Ontario [J].
Friedman, Oded ;
McAlister, Finlay A. ;
Yun, Lingsong ;
Campbell, Norman R. C. ;
Tu, Karen .
AMERICAN JOURNAL OF MEDICINE, 2010, 123 (02) :173-181
1234