Risk factors of medication no-adherence in elderly patients with hypertension:a Meta-analysis
10.3969/j.issn.1671-8283.2024.07.009
- VernacularTitle:老年高血压患者用药偏差影响因素的Meta分析
- Author:
Shiyi WEI
1
;
Lang WANG
;
Zhen ZHANG
;
Junheng HUANG
;
Chunmei LI
;
Yanzhen TIAN
Author Information
1. 吉首大学,湖南吉首,416000
- Keywords:
elderly patients;
hypertension;
medication non-adherence;
risk factor;
Meta-analysis
- From:
Modern Clinical Nursing
2024;23(7):63-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate risk factors of medication non-adherence in elderly patients with hypertension through Meta-analysis.Methods Literatures on medication non-adherence in elderly patients with hypertension were systematically reviewed across various databases,from inception to September 1st 2023,including CNKI,VIP,Wangfong Database,SinoMed,PubMed,Web of Science,Cochrane Library、EMbase.Meta-analysis was conducted using RevMan 5.4.Results A total of 19 articles were included,comprising a total of 18 220 patients in sample size.Meta analysis identified 10 risk factors,showed significant association(P<0.05)with:age[OR=1.36,95%CI=(1.00,1.86)],place of residence[OR=1.91,95%CI=(1.33,2.75)],method of payment for medical expenses[OR=1.60,95%CI=(1.38,1.86)],income level[OR=1.68,95%CI=(1.45,1.95)],occupational status[OR=1.79,95%CI=(1.37,2.36)],social support[OR=1.43,95%CI=(1.27,1.60)],comorbidity[CI=0.33,95%(0.19,0.58)],frequency of blood pressure measurement[CI=1.53,95%(1.14,2.05)],disease awareness[OR=1.70,95%CI=(1.44,2.00)]and dedication frequency[OR=1.44,95%CI=(1.16,1.79)].In addition,the number of influencing factors such as gender,marital status,depression,cognitive impairment,and complications was included in<3 articles,and only descriptive analysis was conducted.Conclusion Healthcare providers should focus on the identification and management of the risk factors associated with medication non-adherence in elderly patients with hypertension,therefore to reduce the incidence of medication non-adherence.
