The association between self-perceptions of aging and antihypertensive medication adherence in older Chinese adults
The association between self-perceptions of aging and antihypertensive medication adherence in older Chinese adults
复制标题
中国老年人对衰老的自我认知与降压药物依从性之间的关系
DOI：
10.1007/s40520-015-0516-z
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发表时间：
2016-12-01
影响因子：
4
通讯作者：
Wang, Xiaohua
中科院分区：
文献类型：
--
作者：
Hou, Yunying;Zhang, Dandan;Wang, Xiaohua
全世界约有10亿成年人患有高血压，大多数年龄在60岁或以上。药物治疗依从性差仍然是血压控制失败的主要原因之一。与年轻人相比，衰老感知可能是影响老年人接受预防性护理的主要因素。西方发达国家的一些研究调查了自我认知对一些预防性健康行为的影响，包括“遵循处方药的使用说明”。本研究采用横断面调查方法，对苏州市某大学附属医院病房、门诊和社区老年人的自我衰老认知与抗高血压药物依从性进行了研究。对585例正在服用至少一种抗高血压药物的老年人进行问卷调查，包括基本的社会人口学和临床信息、自我报告的服药依从性和自我对衰老的看法。Logistic回归分析显示，“周期性时间轴”评分较低的患者对降压药依从性好（p = 0.004）和“同一性”（p < 0.001）维度，“阳性对照”得分较高（p = 0.004）衰老感知维度：自我衰老感知与药物依从性显著相关，是为老年病人进行干预计划的一个重要起点。
Approximately one billion adults worldwide are hypertensive and most aged 60 or above. Poor adherence with medication treatment is still one of the main causes of failure in achieving blood pressure control. Compared to younger individuals, aging perception may be the main factor influencing elders receiving preventive care. Some studies have investigated the impact of self-perceptions of aging on some preventive health behaviors including "followed the directions for taking prescription medications" in developed countries in the West. However, there is a scarcity of studies evaluating the self-perceptions of aging and its association with antihypertensive adherence among Chinese older adults.This study aimed to identify the association between aging perceptions and antihypertensive drug adherence among Chinese older adults.A cross-sectional investigation was conducted in wards and outpatient clinic of a University Hospital and communities in Suzhou, China. Older adults who were taking at least one antihypertensive drug currently were invited to complete a self-administered questionnaire, including basic socio-demographic and clinical information, self-reported medication adherence and self-perceptions of aging.From 585 old patients, 34.2 % was determined to have good medication adherence. Logistic regression analysis demonstrated that good adherence to antihypertensive agents was more common among those with lower scores on "timeline cyclical" (p = 0.004) and "identity" (p < 0.001) dimensions, and higher scores on "control positive" (p = 0.004) dimension of aging perceptions.Self-perceptions of aging, being significantly associated with medication adherence, are an important starting point when conducting intervention programmes for elder patients.