罹患慢性病老人服藥遵從行爲及其相關因素之探討

An Exploration of the Drug Compliant Behaviors and Associated Factors of Elderly People with Chronic Disease

劉淑娟(Shwu-Jiuan Liu)

《護理研究》 7卷6期 (1999/12) Pp. 581-593

https://doi.org/10.7081/NR.199912.0581

摘要

本研究在了解罹患慢性病老人的服藥遵從行爲及其相關因素。來自五所綜合醫院65歲以上，並經醫師診斷有兩年以上慢性病的老人，共631位爲研究樣本，透過老人填答或訪員代填研究者所自行修訂的結構式問卷來收集資料，以相關係數及多元回歸等進行資料分析。結果顯示：(1)罹患慢性病老人服藥超過5年以上的達38.4%，服藥的種類以1-2種佔最多，高達47.7%，每天服藥次數以一次的略多，佔31.7%，每次服藥顆數以1-2顆佔最多，達46.4%。(2)罹患慢性病老人“教育程度”“自覺經濟狀況”“生命態度”“社會支持”“健康信念”與“服藥遵從行爲”呈顯著正相關，“服藥年數”服藥種類“”服藥次數“服藥顆粒數”與“服藥遵從行爲”呈顯著負相關。(3)“生命態度”“服藥次數”“自覺經濟狀況”“健康信念”“教育程度”“社會支持”可解釋服藥遵從行爲的總變異量爲31.0%。經階層多元回歸分析，獲得生命態度單項之預測力爲11.7%，健康信念、祔支持單荋　不具顯著預測力。研究建議應及早規劃與安排老年生活，協助老人功能，改善醫療服務，尊重老人爲自己的健康及生活做抉擇，配合老人的教育程度，確保老人生命財産安全。

關鍵字

罹患慢性病老人 ； 服藥遵從行爲 ； 生命態度 ； 健康信念 ； 社會支持

並列摘要

The purpose of this study was to explore drug compliant behavior and associated factors in elderly people with chronic disease. People over 65 years old who were outpatients in one of five general hospitals, who had been suffering from chronic disease for more than two years and were taking medications, were selected as research subjects by convenient sampling. A self-administered questionnaire and SPSSJPC software were the tools used for data collection and data analysis during the research process. The results showed: (1) 38.4% of subjects had been taking medication for over five years; 47.7% took 1-2 kinds of drugs; 3 1.7% took medication once a day; 46.4% took 1-2 pills each time. (2) There was significantly positive correlation between drug compliant behavior and education, self-perceived economic status, life attitude, social support, health beliefs; there was significantly negative correlation between drug compliant behavior and years of taking medication, kinds of drugs taken, times per day of taking drugs, number of pills taken each time. (3) Life attitudes, frequency of taking drugs, self-perceived economic status, health beliefs, education and social support explained 31.0% of total variance in subjects’ drugs compliant behavior. By hierarchical multiple regression, life attitudes explained 11.7% of total variances in subjects' drug compliant behavior, and health beliefs and social support were not significantly predictive of subjects’drug compliant behavior. It is suggested that plan- fling for old age should begin as early as possible, to help the elderly establish the meaning and purpose of life. Emphasizing the management of drugs, providing recognition of disease, and helping caregivers to take care of the elderly were important for elderly people with chronic disease. It is also necessary to promote medical services, respect the health and life decisions of the elderly, consider the education level of the elderly, and ensure the personal safety and financial security for the elderly with chronic disease.

並列關鍵字

the elderly with chronic disease ； drug compliant behavior ； life attitudes ； health beliefs ； social support