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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Medication knowledge, adherence and predictors among people with heart failure and chronic obstructive pulmonary disease
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Medication knowledge, adherence and predictors among people with heart failure and chronic obstructive pulmonary disease

机译：心力衰竭和慢性阻塞性肺疾病患者的用药知识，依从性和预测因素

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Medication knowledge, adherence and predictors among people with heart failure and chronic obstructive pulmonary disease Background. Although medicines are a key component in the self-management of chronic illness, lack of adherence is a common problem. Aim. To describe medication adherence and predictors in relation to the Multidimensional Adherence Model among older adults with chronic illness. Method. During a home interview, we collected data from 118 patients with chronic illnesses (chronic obstructive pulmonary disease and heart failure), following a recent illness exacerbation, to determine self-reported medication adherence, medication knowledge and capacity for self-management of their illness. We used the Medication Adherence Model as an organising framework and performed multivariate analyses to determine the independent predictors. We conducted the study between April 2005-June 2006. Results. Participants had an average age of 75.54 years (SD 8.38), with marginally more men (56-8%) than women, and were prescribed an average 4.68 (SD 2.11) medications for their primary diagnosis of either chronic obstructive pulmonary disease or heart failure. Most participants (75-2%) were adherent to their prescribed medicines; however, medication knowledge was low [mean score 47-61 (SD 18-73) out of a potential 100]. Predictors of better adherence to medicines were patient-related: female gender and higher self-management capacity, and condition-related: heart failure diagnosis. Socioeconomic and treatment-related factors were not identified as independent predictors of medication adherence. Predictors of better medication knowledge were higher capacity for self-management, more concurrent conditions, younger age and taking fewer medicines. Conclusion. Assessment of self-management capacity, targeting interventions towards patients with chronic obstructive pulmonary disease and men, rather than relying solely on increasing medication knowledge, is essential to impro...
机译：心力衰竭和慢性阻塞性肺疾病患者的用药知识，依从性和预测因素背景。尽管药物是慢性病自我管理的关键组成部分，但缺乏依从性是一个普遍的问题。目标。描述与患有慢性疾病的老年人有关的多维依从性模型的药物依从性和预测因素。方法。在一次家庭访谈中，我们收集了118位患有慢性疾病（慢性阻塞性肺疾病和心力衰竭）的患者的数据，这些患者在近期病情加重之后，确定了自我报告的药物依从性，药物知识以及自我管理疾病的能力。我们使用药物依从性模型作为组织框架，并进行了多变量分析以确定独立的预测因子。我们在2005年4月至2006年6月之间进行了研究。结果。参与者的平均年龄为75.54岁（SD 8.38），男性（56-8％）略多于女性，并被处方为平均4.68（SD 2.11）的药物，以初步诊断慢性阻塞性肺疾病或心力衰竭。大多数参与者（75-2％）坚持服药。但是，药物知识很低[平均得分47-61（SD 18-73），潜在值为100]。对药物依从性更好的预测指标与患者有关：女性和自我管理能力较高;与状况有关：心力衰竭诊断。社会经济和与治疗相关的因素未被确定为药物依从性的独立预测因子。更好的药物知识的预测者是自我管理的能力更高，并发的条件更多，年龄更年轻并且用药更少。结论。评估自我管理能力，针对慢性阻塞性肺疾病患者和男性的干预措施，而不是仅仅依靠增加的药物知识，对改善自我管理能力至关重要。

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