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KMID : 1001120150120010060
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Perspectives in Nursing Science
2015 Volume.12 No. 1 p.60 ~ p.70
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Factors Influencing Medication Adherence in Hemodialysis Patients: Focusing on Primary and Secondary Medical Care
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서연희:Seo Yon-Hee
임순옥:Lim Sun-Og/현은희:Hyeon Eun-Hee/김혜원:Kim Hae-Won/엄미란:Eom Mi-Ran
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Abstract
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Purpose: The purpose of this study was to identify the factors influencing medication adherence in hemodialysis patients among primary medical care and secondary medical care.
Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 280 hemodialysis patients who had taken prescribed medication regularly as a result of chronic renal failure at primary and secondary medical care in Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression.
Results: There were statistically significant differences in medication adherence according to living area (p=.002), health condition (p<.001), amount of medication (p=.004), inconvenience for taking medication (p<.001), and depression level (p=.001). The mean of medication adherence was 3.72 points. Medication adherence was explained by perceived barrier related to medication taking (β=.338), attitude (β=.250), and depression (β=.132).
Conclusion: This study strongly recommended that nursing intervention program to improve medication adherence should be developed and a match control study in improvement of medication adherence for hemodialysis patients needs to be done.
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KEYWORD
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Renal dialysis, Medication Adherence
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