Wenru Wang1, Ying Lau2, Aloysius Loo3, Aloysius Chow3, David R Thompson4. 1. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurww@nus.edu.sg. 2. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurly@nus.edu.sg. 3. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. 4. Cardiovascular Research Centre, Australian Catholic University, Melbourne, Australia; Department of Psychiatry, University of Melbourne, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Abstract
OBJECTIVE: To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension. METHODS: A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants. RESULTS: Participants older than 65 years (β = .118, p = .017), with a low level of education (β = .128, p = .01), who had more than one other common disease (β = .120, p = .015), were on long-term medication (β = .221, p < .001) and who reported higher self-care (β = .188, p = .001), had better medication adherence. CONCLUSIONS: Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.
OBJECTIVE: To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension. METHODS: A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants. RESULTS:Participants older than 65 years (β = .118, p = .017), with a low level of education (β = .128, p = .01), who had more than one other common disease (β = .120, p = .015), were on long-term medication (β = .221, p < .001) and who reported higher self-care (β = .188, p = .001), had better medication adherence. CONCLUSIONS: Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.
Authors: J Alfredo Zavala-Loayza; Catherine Pastorius Benziger; María Kathia Cárdenas; Rodrigo M Carrillo-Larco; Antonio Bernabé-Ortiz; Robert H Gilman; William Checkley; J Jaime Miranda Journal: Glob Heart Date: 2016-03