The Influence on Medication Adherence of the Elderly with Chronic Diseases in Rural Area
Jeong-hee Bae1, Hyun-Ju Jeong2
1Jeong-hee Bae, Department of Hospital Information Management, Gwangju Health University, Postal Bungmun Dae-ro, Gwangsan-gu Gwangju, Republic of Korea.
2Hyun-Ju Jeong, Department of Nursing Science, Nambu University, Postal Chumdan Jungang-ro, Gwangsan-gu, Gwangju, Republic of Korea.
Manuscript received on 01 January 2019 | Revised Manuscript received on 06 January 2019 | Manuscript Published on 07 April 2019 | PP: 501-509 | Volume-8 Issue- 3C January 2019 | Retrieval Number: C11020183C19/2019©BEIESP
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open-access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: The purpose of this study was to investigate the effects of Health Literacy, Social-Support, and Self-Efficacy on Medication Adherence of the Elderly with Chronic Diseases in Rural. Methods/Statistical analysis: The subjects were 239 elderly people aged 65 years or older who wanted to attend two small hospitals in J do H, and data collection was conducted from July 14, 2017 to August 14, 2017 using structured questionnaires one on one interviews were conducted. The instruments of the research included the Korean Functional Health Literacy Test(KHLT), Social-Support is used MPSS(The Multidimensional Scale of Social-Support) and Self-Efficacy Scale, Medication Adherence is used Medication Adherence Scale(MMAS-8).The data were analyzed using SPSS/WIN 23.0, as Correlation among Health Literacy, Social-Support, Self-Efficacy and medication in Adherence of objects, Pearson’s correlation coefficient was used. Factors Affecting Medication adherence of the Elderly with Chronic Diseases were analyzed with Multiple regression. Findings: The results of the study were as follows. The higher the level self-efficacy, the higher the health literacy(r=.80, p＜.001). The higher the level self-efficacy, the higher the level of social-support(r=.77, p＜.001). The factors influencing medication adherence are daily frequency of medication(p=.005), and self-efficacy (p=.010). The explanation is that medication adherence is total 22.9%(F=8.56, p<.001). Improvements/ Applications: In conclusion, this study showed that medication adherence had a positive correlation among health literacy, self-efficacy, and social and social-support. Thus this suggests that in order to enhance medication adherence of the elderly with chronic diseases in rural Area, programs which up step self-efficacy have to be provided first of all.
Keywords: Chronic Disease Elderly, Health Literacy, Social-Support, Self-Efficacy, Medication Adherence.
Scope of the Article: Simulation Optimization and Risk Management