Review of Studies about Medication Adherence in Korea

Yu, Seung Hee; Kang, Jeong-Hee

doi:10.5932/jkphn.2015.29.2.285

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Most studies of psychological resistance in patients with chronic disease have focused on improving drug compliance since the beginning of drug therapy [29]. The significance of this study was to explore psychological resistance and to start drug therapy, and to present a new direction to reduce psychological resistance at the start of treatment so that drug therapy could begin at the appropriate time.…”

Section: Discussionmentioning

confidence: 99%

Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis

Kang

Jeong²

2020

Korean J Adult Nurs

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Purpose: To explore the nature of psychological resistance to the initiation of antihypertensive medication. Methods: Participants were 13 adults with hypertension who were refusing or had refused to take antihypertensive drugs from July 2016 to October 2016. The data were collected through face-to-face in-depth interviews, and analyzed according to Braun and Clarke's 6 steps of thematic analysis. Results: Analysis of the psychological resistance experience to drug therapy in hypertensive patients resulted in 5 themes and 10 sub-themes from a total of 42 free codes. Participants were "holding out as much as possible without medication" without taking antihypertensive drugs due to "psychological opposition to starting treatment" and "situational barriers related to medication". However, they were "coming to grips with reality" that they were not taking medication but would take it someday, and they gained "momentum for change" to start taking it. Conclusion: The 5 themes derived from the data analysis of the experiences of 13 participants are interrelated and suggest the direction of intervention to lower psychological resistance. In particular, we propose the development of an intervention to assist patients in self-decision regarding taking antihypertensive medication. Additional research into the role of medical staff in lowering the psychological resistance of young hypertensive patients is needed.

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Section: Discussionmentioning

confidence: 99%

Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis

Kang

Jeong²

2020

Korean J Adult Nurs

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Predictors Influencing of Medication Adherence in Hemodialysis Patients

Kim

2019

Korean J Adult Nurs

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The aim of this study was to investigate factors affecting medication adherence in hemodialysis patients. Methods: A convenience sample of 140 patients receiving hemodialysis was selected. Data were collected from December. 1. 2016 to January. 15. 2017 using a self-reported questionnaires including the eight-item Morisky's Medication Adherence Scale Korean version (K-MMAS-8). The collected data were analyzed with a descriptive test, independent t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 23.0. Results: The patients showed a low level of medication adherence (M±SD=5.75±1.65). There were significant differences in medication adherence according to subjective health status (F=6.88, p=.001) and discomfort in taking medication (t=-4.59, p<.001). Expectation of medication (r=.42, p<.001) and disgust of medication (r=-.36, p<.001) were the significant factors related to medication adherence. It was explained by expectation of medication (β=.30, p<001), disgust of medication (β=-.21, p=.007), discomfort in taking medication (β=.20, p=.010) and subjective health status (β=-.18, p=.016). Conclusion: It is necessary not only to regularly monitor patients' medication behavior but also develop and implement an individualized nursing intervention that reflects expectation and disgust of medication.

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Review of Studies about Medication Adherence in Korea

Cited by 2 publications

References 11 publications

Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis

Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis

Predictors Influencing of Medication Adherence in Hemodialysis Patients

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