Status and influencing factors of medication adherence among the elderly with polypharmacy in the community of Hangzhou
10.3760/cma.j.cn115682-20211219-05708
- VernacularTitle:杭州市社区多重用药老年人用药依从性现况调查及其影响因素分析
- Author:
Hongting ZHOU
1
;
Liebin HUANG
;
Xin'an WANG
;
Xinyi ZHANG
;
Yingjie SUN
;
Xuejiao ZHU
Author Information
1. 杭州师范大学护理学院，杭州 310000
- Keywords:
Aged;
Community;
Polypharmacy;
Medication adherence;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(30):4173-4179
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of medication adherence among the elderly with polypharmacy in the community, analyze its influencing factors, so as to provide a reference for improving the medication adherence of the elderly on polypharmacy in the community.Methods:From July to September 2021, 600 elderly people with polypharmacy in the community were selected by convenience sampling in Hangzhou as the research object. The General Information Questionnaire, the Medication Knowledge and Medication Belief Questionnaire, and the Chinese version of the 8-item Morisky Medication Adherence Scale (MMAS-8) were used to investigate the elderly. A total of 600 questionnaires were distributed, 510 valid questionnaires were recovered, and the valid recovery rate was 85.0%.Results:Among the 510 elderly patients with polypharmacy in the community, 191 elderly patients (37.5%) had good adherence, 187 elderly patients (36.7%) had moderate adherence, and 132 elderly patients (25.9%) had poor adherence. The results of univariate analysis showed that there were statistical differences in age, gender, educational level, family monthly income, type of medication, medication belief and medication knowledge ( P<0.05) . Logistic regression analysis showed that educational level, medication knowledge, and medication belief were the independent influencing factors of medication adherence among the elderly with polypharmacy, and the difference was statistical difference ( P<0.05) . Conclusions:Medication adherence among the elderly with polypharmacy in the community of Hangzhou is poor, and medication knowledge and medication belief need to be improved. Medical and nursing staff should strengthen medication guidance, and use comprehensive interventions to conduct regular follow-up and health guidance, so as to improve medication adherence of elderly patients with polypharmacy.
