Reliability of a medication adherence measure in an outpatient setting
Reliability of a medication adherence measure in an outpatient setting
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DOI：
10.1097/00000441-200509000-00006
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发表时间：
2005-09-01
影响因子：
3.1
通讯作者：
Re, RN
中科院分区：
文献类型：
--
作者：
Krousel-Wood, M;Muntner, P;Re, RN
背景：目前还没有可靠的方法来测量门诊患者的抗高血压药物依从性。本研究的目的是确定Hill-Bone依从性量表在老年高血压患者中的可靠性。方法：我们对在内科门诊高血压科就诊的社区居民进行了横断面调查。参与者（n = 239）完成了一份自我管理的问卷，包括人口统计问题和Hill-Bone高血压治疗依从性量表，其中包括9个项目的药物依从性子量表。结果：调查对象平均年龄69岁；51%的患者是男性，73%是白人，86%至少受过高中教育，61%已婚。服药依从性分量表的Cronbach alpha值为0.68。药物依从性量表的所有9个项目与其各自的分量表总数保持较高的相关性，而与盐摄入量和预约遵守分量表总数保持较高的相关性。在调整其他人口统计学变量后，65岁及以上受试者与65岁以下受试者的完全服药依从性的比值比（95%置信区间）为1.71(0.95-3.07)，白人与非白人受试者的比值比为2.53(1.37-4.66)，男性与女性的比值比为1.27(0.73-2.20)，已婚与未婚受试者的比值比为1.30（0.73-2.29）。受过高中以上教育的人与受教育程度较低的人的差距为1.63（0.74-3.62）。结论：Hill-Bone依从性量表的用药依从性分量表是可靠的，也可用于门诊诊断不依从性患者。
Background: Reliable approaches for measuring anti hypertensive medication compliance in the Outpatient setting are not readily available. The objective of the current study was to determine the reliability of the Hill-Bone Compliance Scale among elderly hypertensive patients. Methods: We conducted a crosssectional survey of community-dwelling patients attending the hypertension section of the Internal Medicine Clinic in a large multispecialty group practice. Participants (n = 239) completed a self-administered questionnaire consisting of demographic questions and the Hill-Bone Compliance to High Blood Pressure Therapy Scale, which includes a nine-item medication compliance subscale. Results: The mean age of respondents was 69 years; 51% of patients were men, 73% were white, 86% had at least a high school education, and 61% were married. The Cronbach alpha was 0.68 for the medication compliance subscale. All nine items of the medication compliance subscale maintained higher correlations with their own subscale total than with the salt intake and appointment keeping subscale totals. After adjusting for other demographic variables, the odds ratio (95% confidence interval) of perfect medication compliance as reported on the medication compliance subscale was 1.71 (0.95-3.07) for participants 65 years of age and older versus those younger than 65 years of age, 2.53 (1.37-4.66) for whites versus non-whites, 1.27 (0.73-2.20) for males versus females, 1.30 (0.73-2.29) for married versus unmarried participants, and 1.63 (0.74-3.62) for those with at least a high school education versus those with less education. Conclusion: The medication compliance subscale of the Hill-Bone Compliance Scale appears reliable and may be a useful too[ for detecting noncompliant patients in Outpatient settings.