pISSN : 2383-6415   eISSN : 2383-6423

Factors Influencing Medication Adherence and Status of Medication Use of the Elderly with Chronic Disease Taking Non-opioid Analgesics


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AUTHOR :
Hae Ok Jeon 
Bockryun Kim 
Haesook Kim 
Myung-Ock Chae 
Myeong Ae Kim 
Ahrin Kim 

INFORMATION : page. 18~29 / 2017 Vol.19 No.1


ABSTRACT

통계청에 따르면 한국의 2015년 65세 이상 고령인구는 656만 명으로 전체 인구의 13.2%를 차지하고 있으며, 2005년 9.3%에 비해 급속하게 그 비율이 증가되는 것으로 나타났다[1,2]. 2014년 보건복지부 노인실태조사 결과에서는 65세 이상 노인인구 전체 응답자의 89.2%가 1개 이상의 만성질환을 앓고 있는 것으로 보고하고 있어[3], 증가하는 고령인구 비율만큼 만성질환을 가진 고령인구 또한 빠르게 늘어나고 있는 실정이다.

Purpose: This study investigates the status of medication use of the elderly with chronic disease taking non-opioid analgesics and attempts to identify factors influencing medication adherence. Methods: Data were collected from September 1 to October 19, 2016. A structured questionnaire was used for face-to-face interview with a convenience sample of 161, elderly people with chronic disease taking non-opioid analgesics. The survey included questions about status of medication use, medication adherence, symptom experience, depression and family function. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression with IBM SPSS 23.0 program. Results: The mean score of medication adherence of the elderly with chronic disease was 4.48±2.35. Experiences of side effects (β=.31, p<.001), use of over-the-counter pain medication (β=.19, p=.009), and family function (β=.16, p=.031) were identified as significant predictors. The final model explained 18.0% of the variation of medication adherence of the elderly with chronic disease taking non-opioid analgesics (F=12.30, p<.001). Conclusion: Therefore, as a strategy to improve medication adherence of the elderly with chronic disease, therapeutic intervention should be developed to improve family function and to manage with personalized plans considering experiences of side effects and use of over-the-counter pain medication.

Keyword :

노인,만성통증,약물복용이행


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