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Journal of Korean Academy of Fundamentals of Nursing 2012;19(4): 463
만성질환을 가진 노인의 약물복용이행 설명모형 구축
민신홍1, 김종임2
1백석대학교 보건학부
2충남대학교 간호대학
Construction of Explanatory Model for Medication Adherence in Older People with Chronic disease
Shin Hong Min1, Jong Im Kim2
1Baekseok University, Division of Health Science
2Chungnam National University, College of Nursing
Abstract
Purpose: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease.
Method: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program.
Results: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression.
Conclusion: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.
Key words: Aged | Chronic disease | Medication Adherence | Self Efficacy
주요어: 노인 | 만성질환 | 약물복용이행 | 자기효능감
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