고혈압 노인의 효능자원을 이용한 복약순응증진 프로그램의 효과

서지정보

ㆍ발행기관 : 노인간호학회 ㆍ수록지정보 : 노인간호학회지 / 15권 / 2호
ㆍ저자명 : 김희진, 송미순

목차

서 론
연 구 방 법
연 구 결 과
논 의
결 론

한국어 초록

평균수명의 연장으로 노년기 만성질환 관리는 간호연구의
주요 관심영역이다. 대표적 노년기 만성질환인 고혈압 유병
률은 지속적으로 증가추세이며, 2011년 자료에 의하면, 60~
69세에서 55.3%, 70세 이상에서 65.2%로 노인 2명 중 1명은
고혈압 환자라 할 수 있다(Korea Centers for Disease Control
and Prevention [KCDC], 2012). 이러한 고혈압은 동맥
경화증, 심근경색증, 협심증, 울혈성 심부전증과 말초혈관질
환 및 뇌졸중과 같은 순환기계질환을 유발하는 주요 원인인데
노인의 이러한 합병증으로 인한 사망률은 뇌혈관질환이 2위,
심장질환이 3위를 차지하고 있다(Korea National Statistical
Office [KNSO], 2012).

영어 초록

Purpose: Purposes of this study were to develop a medication adherence improvement program for older adults
and to examine effects of the program for older adults with hypertension residing in the community. Methods: The
8-week program was developed utilizing self-efficacy memory resources for older adults with hypertension.
Efficacy of the program was evaluated with the study design as a three-group quasi-experimental study. Sixty-four
adults aged 65 or older were recruited from a community health center and allocated to the intervention group,
check group (checking for medication adherence and BP at week 5) or control group. Results: Elders in the intervention
group showed higher medication time adherence than other groups at posttest. Diastolic BP was lower
in the intervention group than control group at posttest. Both the intervention group and check group showed better
scores than the control group on medication dose, frequency adherence, and systolic BP at posttest. Conclusion:
Study results indicate that the intervention program has potential in enhancing medication time adherence. At
the same time, it also showed that checking on medication adherence and BP intermittently is as effective as complicated
interventions on medication adherence except for time adherence. Further study is needed to confirm
these results.

참고 자료

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