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首页> 外文期刊>Patient Preference and Adherence >Exploring Medicines Burden Among Adults in New Zealand: A Cross-Sectional Survey
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Exploring Medicines Burden Among Adults in New Zealand: A Cross-Sectional Survey

机译：探索新西兰成人的药物负担：横断面调查

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Background: Using medicines regularly can be a burden for some people and can contribute to reduced adherence. In New Zealand, relatively few studies have examined people’s medicine-taking experiences and most involved older people, although medicine burden is also an issue for younger people. The UK-developed “Living with Medicines Questionnaire” (LMQ-3) is an instrument designed to quantify medicine burden. Objective: The objective was to quantify medicines burden among New Zealand adults, using the LMQ-3, to identify any sub-populations with high medicine burden and to identify specific issues that may need to be addressed. Setting: The study was set in New Zealand and included seven national patient support group websites, and five community pharmacies in Dunedin. Methods: The survey was distributed to adults ≥18 years using ≥ one medicine for ≥3 months. LMQ-3 scores and domain scores were compared by patient characteristics using descriptive statistics and statistical tests. Results: In total, 472 responses were analysed: 327/417 (78.4%) from patient support group websites and 145/360 (40.3%) from community pharmacies. Most commonly participants were female (295, 62.5%), ≥65 years (236, 50.0%), European (422, 89.4%), retired (232, 49.2%), university educated (203, 43.0%), used medicines independently (449, 95.1%), and paid for prescriptions (429, 90.9%).?Most used 10 medicines (415, 87.9%) and three times?daily (356, 75.4%). From LMQ scores, 30.5% had a high burden (≥111). Regression analysis?indicated that higher LMQ-3 scores were associated with those who were unemployed, aged?18–29 years, using ≥5 medicines, or using medicines 3 times a day (p0.01). Burden was?mainly driven by a perceived lack of autonomy over medicine regimens, or concerns about?medicines and side effects. Conclusion: Three quarters of New Zealand participants experienced moderate or high medicine burden. Being unemployed, aged 18–29 years, or using more (or more frequent) medicines, were associated with higher burden. These groups should become the target for interventions seeking to reduce medicine burden.
机译：背景：定期使用药物可能是一些人的负担，可以有助于减少遵守。在新西兰，相对较少的研究已经检查了人们的药物，养成的经验，最多的老年人，虽然医学负担也是年轻人的问题。英国开发的“用药品调查问卷”（LMQ-3）是一款旨在量化医药负担的仪器。目的：目的是使用LMQ-3量化新西兰成年人中的药物负担，以确定具有高药物负担的任何子人口，并确定可能需要解决的具体问题。环境：该研究设定在新西兰，包括七个国家患者支持小组网站，达尼丁的五个社区药房。方法：使用≥一种药物≥3个月，将调查分发给成年人≥18岁。使用描述性统计和统计测试，通过患者特征进行比较LMQ-3分数和域分数。结果：共分析472项反应：来自患者支持组网站的327/417（78.4％）和来自社区药房的145/360（40.3％）。最常见的参与者是女性（295,62.5％），≥65岁（236,50.0％），欧洲（422,89.4％），退休（232,49.2％），大学教育（203,43.0％），独立的药物（449,95.1％），并支付处方（429,90.9％）。？最多使用的<10药（415,87.9％）和<三次？每日（356,75.4％）。从LMQ评分中，30.5％的负担（≥111）。回归分析？表明，较高的LMQ-3分数与失业者的人有关，年龄在18-29岁，使用≥5种药物，或每天使用药物<3次（P <0.01）。负担是？主要由医学方案的缺乏自主权，或涉及？药物和副作用。结论：四季新西兰参与者经历了中度或高药负担。失业，18-29岁，或使用更多（或更频繁）的药物，与负担更高。这些群体应该成为寻求减少药物负担的干预措施的目标。

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