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首页> 外文期刊>Patient Preference and Adherence >The mediatory role of medication adherence in improving patients’ medication experience through patient–physician communication among older hypertensive patients
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The mediatory role of medication adherence in improving patients’ medication experience through patient–physician communication among older hypertensive patients

机译：老年高血压患者之间通过医患沟通，药物依从性在改善患者用药经验中的中介作用

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Background: Understanding how patient–physician communication affects patients’ medication experience would help hypertensive patients maintain their regular long-term medication therapy. This study aimed to examine whether patient–physician communication (information and interpersonal treatment) affects patients’ medication experience directly or indirectly through changing medication adherence for each of the two communication domains. Methods: A self-administered cross-sectional survey was conducted for older patients who had visited a community senior center as a member. Two communication domains were assessed using two subscales of the Primary Care Assessment Survey. Medication adherence and experience were measured using the Morisky Medication Adherence Scale and a five-point Likert scale, respectively. Mediatory effects were assessed via Baron and Kenny’s procedure and a Sobel test. Results: Patient–physician communication had a positive prediction on patients’ medication experience (β=0.25, P =0.03), and this was fully mediated by medication adherence ( z =3.62, P <0.001). Of the two components of patient–physician communication, only informative communication showed a mediatory effect ( z =2.21, P =0.03). Conclusion: Patient–physician communication, specifically informative communication, had the potential to improve patients’ medication experience via changes in medication adherence. This finding can inform health care stakeholders of the mediatory role of medication adherence in ensuring favorable medication experience for older hypertensive patients by fostering informative patient–physician communication.
机译：背景：了解医患沟通如何影响患者的用药经验，将有助于高血压患者维持常规的长期药物治疗。这项研究旨在检查医患之间的沟通（信息和人际交往）是否通过改变两个沟通领域中的每一个领域的服药依从性直接或间接影响患者的用药经历。方法：对参加社区高级中心的老年患者进行了自我管理的横断面调查。使用初级保健评估调查的两个分量表评估了两个交流领域。药物依从性和经验分别使用Morisky药物依从性量表和五点李克特量表进行测量。通过Baron和Kenny的手术以及Sobel检验评估了药物的治疗效果。结果：医患沟通对患者的用药经历有积极的预测（β= 0.25，P = 0.03），而这完全由药物依从性介导（z = 3.62，P <0.001）。在医患沟通的两个组成部分中，只有信息沟通表现出中介作用（z = 2.21，P = 0.03）。结论：医患沟通，特别是信息交流，有可能通过改变药物依从性来改善患者的用药经验。这一发现可以通过促进患者与医师之间的信息交流，告知医疗保健利益相关者药物依从性在确保老年高血压患者获得良好药物体验方面的中介作用。

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