Analysis of the Status and Influencing Factors of Medication Literacy Among Elderly Patients with Chronic Diseases in Urban Areas of Beijing:A Cross-sectional Survey
10.3870/j.issn.1004-0781.2024.12.009
- VernacularTitle:北京城镇地区老年慢性病患者药物素养现状及影响因素分析:一项横截面调查
- Author:
Wei JIN
1
;
Jingyue GUO
;
Boya ZHOU
;
Hongya ZHEN
;
Wei ZHANG
;
Mingfen WU
;
Zhigang ZHAO
Author Information
1. 北京市海淀区上庄镇社区卫生服务中心药剂科,北京 100094
- Keywords:
Medication literacy,Elderly;
chronic disease;
Influencing factors;
Questionnaire survey
- From:
Herald of Medicine
2024;43(12):1930-1936
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current state of medication literacy among elderly patients with chronic diseases in urban areas of Beijing,identify its key influencing factors,and propose targeted improvement measures.Methods From February 1 to June 30,2023,a questionnaire survey was conducted among elderly chronic disease patients in 193 communities across 15 districts of Beijing using a convenience sampling method.Data was collected through face-to-face interviews,with a total of 787 questionnaires distributed and 755 valid responses received.The logistic regression analysis model was employed to systematically identify and evaluate the factors affecting patients'medication literacy.Results Among the 755 valid questionnaires collected,53.25%(402 cases)of patients met the medication literacy criteria.Regression analysis results showed that multiple factors significantly influenced medication literacy among elderly patients with chronic diseases,including using rural cooperative medical care or self-payment methods(OR=1.669,P=0.039),retaining medication instructions(OR=0.519,P=0.038),checking medication instructions before use(OR=1.993,P<0.01),and possessing the ability to understand medication instructions(partial understanding OR=2.805,P=0.038;fully understanding OR=3.084,P=0.022)as positive influencing factors;whereas having 2 to 3 chronic diseases(OR=0.574,P=0.039),taking 3 to 5 medications(OR=1.845,P=0.015),and experiencing drug-related problems(OR=1.993,P<0.01)were identified as negative influencing factors.Conclusion Multiple factors influence medication literacy among elderly patients with chronic diseases.To ensure the safety and efficacy of their medication use,It is recommended to implement targeted measures.These include revising patient medication guidance leaflets tailored to age,enhancing patients'understanding of drug instructions,and strengthening medication guidance and social support systems.
