社區老人罹患高血壓服藥遵從性之相關因素探討

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社区老人罹患高血压服药遵从性之相关因素探讨

To explore the related factors of medication adherence in community-dwelling older adults with hypertension

吴玫容 , 硕士　　导师：黄芷苓　　

繁体中文

高血压；服药遵从性；老年人； Hypertension ； medication adherence ； the aged

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摘要 │ 参考文献 (64) │ 国际计量

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Background: Hypertension ranks 8th among the top 10 causes of death in Taiwan, 2015. Also poor control of blood pressure is a high risk factor that may lead to heart disease and cerebrovascular disease. Currently there has been few papers discussing the related factors of medication adherence.
Purpose: The aim of the study was to explore the factors associated with medication adherence of the community elderly with the hypertensive disorders in Taiwan. 
Method: The study was designed as a cross-sectional and correlational study conducted. In the southern Taiwan, The inclusive criterion was : (1) be aged 65 or over, (2) diagnosed with the hypertensive disorders, (3) has visited medical clinics and is currently taking drugs, (4)can communicate in Chinese or Taiwanese. The exclusion criteria was be: (1)be terminally ill (e.g. kidney failure or heart failure), (2) be mentally ill (e.g., schizophrenia or depression), (3) cannot communicate in Chinese or Taiwanese. The data was collected by one-to -one interview. A total of 215 participants were recruited. The structured questionnaire included medication adherence, perceived susceptibility to specific diseases, perceived susceptibility in general, beliefs about causes of hypertension, health perceptions of western medications, health perceptions of Chinese herbs, beneficial self-care behaviors, health-related social support and social support in general. The statistical method included descriptive statistics, the t-test, the Chi-square test and Pearson’s correlation using SPSS 20.0 statistic software.
Results: The results of this study showed that diet habits about favor edible pickled barbecue was associated with medication adherence (χ²=8.14, p< .01). The adherence was respectively associated with perceived susceptibility of specific diseases (t=3.74, p< .01), perceived susceptibility in general (t=3.46, p< .01), beneficial self-care behaviors (t=4.21, p< .01), and health-related social support (t=3.47, p< .01). 
Conclusion: The results did not meet our research hypothesis. Social expectations may result in participants’ estimation regarding their hypertension disease susceptibility, hypertension causes and Health Perceptions, knowledge, and changes in Health-Related Social Support.  Future research will be conducted in community centers to reduce the influence of social expectations.

参考文献 ( 64 ) 〈TOP〉

王文甫（2016）．三角习题－高血压，脑中风，失智症‧血管医学防治季刊，25，4-6。doi: 10.6527/PVM.2016.25.3
连结：
吴东昇、陈永煌、林易申、王锺庆、高东炜、张耀文（2014）．2014成人高血压治疗指引JNC 8简介‧中华职业医学杂志，21（2），59-72 。
连结：
江清狮（2003）．高血压汉方治疗‧中医药研究论丛， 6（1），44-46 。
连结：
李满梅（1994）．中部某地区老年高血压患者於居家照顾情形之探讨‧弘光医专学报，23，86-124 。
连结：
李仁豪、余民宁（2014）．台湾中老年人外向性及神经质人格、社会支持与主观幸福感关系之模型建构及其结构系数比较‧教育心理学报，45（4），455-474。doi: 10.6251/BEP.20130725
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。