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居家慢性病老年人自我感受负担在家庭关怀度与服药依从性间的中介效应OA

Mediating effects of self-perceived burden between family care degree and medication compliance in elderly with chronic diseases at home

中文摘要英文摘要

目的:探究居家慢性病老年人家庭关怀度对服药依从性的影响,并探讨自我感受负担在家庭关怀度与服药依从性之间的中介作用,为老年人服药依从性的干预提供理论依据.方法:采用一般资料调查问卷、家庭关怀度指数问卷、自我感受负担和 Morisky服药依从性量表(MMAS-8)对 398 名 60 岁及以上的老年人进行调查.结果:居家慢性病老年人的家庭关怀度与服药依从性呈正相关(r=0.488,P<0.05);自我感受负担与服药依从性呈负相关(r=-0.587,P<0.05);家庭关怀度与自我感受负担呈负相关(r=-0.454,P<0.05);自我感受负担在服药依从性与家庭关怀度之间存在部分中介作用(P<0.05).结论:自我感受负担在服药依从性与家庭关怀度之间存在部分中介作用,通过降低老年人的自我感受负担感,使因患病而产生的焦虑、自责等不良情绪得到减轻,利于促进服药依从性的改善.

Objective:To explore the influence of family care degree on medication compliance of the elderly with chronic diseases at home,and explore the mediating role of self-perceived burden between family care degree and medication compliance,so as to provide theoretical basis for intervention of medication compliance of the elderly.Methods:A total of 398 elderly people aged 60 and above were investigated by general information questionnaire,Family APGAR Index,Self-Perceived Burden Scale and Morisky Medication Adherence Scale(MMAS-8).Results:The family care degree of the elderly with chronic diseases at home was positively correlated with their medication compliance(r=0.488,P<0.05).Self-perceived burden was negatively correlated with medication compliance(r=-0.587,P<0.05).The family care degree was negatively correlated with self-perceived burden(r=-0.454,P<0.05).Self-perceived burden had a partial mediating effect between medication compliance and family care degree(P<0.05).Conclusions:Self-perceived burden has a partial mediating effect between medication compliance and family care degree.By reducing the self-perceived burden of the elderly,bad emotions such as anxiety and self-blame caused by illness can be alleviated,which is conducive to improving medication compliance.

曾瑜婷;李红玉;张健;赵瑞

121001,锦州医科大学

居家慢性病老年人家庭关怀度自我感受负担服药依从性

homechronic diseasesthe elderlyfamily careself-perceived burdenmedication compliance

《全科护理》 2024 (006)

1002-1006 / 5

中国老年学和老年医学学会"老年健康促进行动(2021-2025年)"第一批筛选立项项目,编号:2021-04-01.

10.12104/j.issn.1674-4748.2024.06.003

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