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Factors related to Medication Adherence in Patients with Heart Failure
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심부전 환자의 약물복용이행 영향요인

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Type
Academic journal
Author
So, Nina (충남대학교) Kim, Hyunli (충남대학교)
Journal
Korean Society of Adult Nursing Korean Journal of Adult Nursing Vol.33 No.3 KCI Candidated Journals SCOPUS
Published
2021.6
Pages
203 - 211 (9page)

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Factors related to Medication Adherence in Patients with Heart Failure
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Purpose: The purpose of this study was to determine the levels of medication adherence in patients with heart failure and explore the factors related to it. Methods: Cross-sectional and descriptive surveys were conducted in 107 patients with heart failure who visited C Hospital in D City. Data were collected from patients using self-report questionnaires between May 2015 and November 2016, and their medical records were identified. Data were analyzed using independent t-test, one-way ANOVA, and correlation and hierarchical multiple regression analyses using SPSS. Results: The mean score of medication adherence was 10.23±2.70. Patients with long-term adverse effects showed worse medication adherence than those without long-term adverse effects (t=2.55, p=.012). Medication adherence positively correlated with depression (r=.34, p=.001) and barriers (r=.48, p=.001) but negatively correlated with attitude (r=-.39, p=.001). The hierarchical multiple regression analysis showed that the model with two independent variables of long-term adverse effects (β=-.23, p=.008) and barriers (β=.37, p<.001) explained the 29.6% in medication adherence (F=11.93, p<.001). Conclusion: To improve medication adherence, a nursing strategy to reduce long-term adverse effects and barriers accompanied by continuous monitoring is required.
#Medication adherence #Side effect #Depression #Attitude #Barriers #약물복용이행 #약물 부작용 #우울 #태도 #장애요인

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REFERENCES

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The Korean of Heart Failure / 2007 / The manual of heart failure / MMK communications :11~36 google schola Kim JD / 2014 / 2013 National health insurance statistical yearbook google schola Kim YI / 2020 / 2019 National health insurance statistical yearbook google schola Heart Failure Society of America / ACC/AHA/HFSA Guideline for management of heart failure update google schola Yancy CW / 2016 / 2016 ACC/AHA/HFSA Focused update on new pharmacological therapy for heart failure : an update of the 2013 ACCF/AHA guideline for of heart failure : a report of the American college of cardiology/American heart the management association task force on clinical practice guidelines and the heart failure society of America / Circulation 134(13):e282~e293 Crossref

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