Medication Adherence Is Associated with Having a Caregiver Among Cardiac Patients
Medication Adherence Is Associated with Having a Caregiver Among Cardiac Patients
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DOI：
10.1007/s12160-013-9492-8
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发表时间：
2013-10-01
影响因子：
3.8
通讯作者：
Mosca, Lori
中科院分区：
文献类型：
--
作者：
Aggarwal, Brooke;Liao, Ming;Mosca, Lori
不服药是血压和血脂控制不佳的一个重要因素。这项研究确定了心血管疾病住院患者中，有偿和/或家庭照顾者是否与服药依从性有关。在一所大学医学中心，连续入院的患者完成了关于服药依从性和照顾者(有偿/专业人员或家人/朋友)的标准化问卷调查(N=1,432；63%白人；63%男性)。在心脏病患者中，39%的人报告被开了千分之七的不同药物的处方，四分之一的人报告不遵守药物治疗(S)。报告有/计划有付费照顾者的参与者与他们的同龄人相比，不遵守药物治疗的可能性低40%。在调整了人口统计混杂因素和并存情况后，这种相关性仍然显著(OR=0.49；95%CI=0.29-0.82)。有付费照顾者的心脏病患者不坚持药物治疗的可能性是没有照顾者的一半。
Medication non-adherence is a significant contributor to suboptimal control of blood pressure and lipids.This study determined if having a paid and/or family caregiver was associated with medication adherence in patients hospitalized for cardiovascular disease.Consecutive patients admitted to the cardiovascular service at a university medical center who completed a standardized questionnaire about medication adherence and caregiving (paid/professional or family member/friend) were included in this analysis (N = 1,432; 63 % white; 63%male).Among cardiac patients, 39 % reported being prescribed a parts per thousand yen7 different medications, and one in four reported being non-adherent to their medication(s). Participants who reported having/planning to have a paid caregiver were 40 % less likely to be non-adherent to their medications compared to their counterparts. The association remained significant after adjustment for demographic confounders and comorbid conditions (OR = 0.49; 95 %CI = 0.29-0.82).Cardiac patients with a paid caregiver were half as likely to be non-adherent to medications as those without caregivers.