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The effects of medication adherence and health literacy on health-related quality of life in older people with hypertension

Authors
Park, NH | Song, MS  | Shin, SY | Jeong, JH | Lee, HY
Citation
International journal of older people nursing, 13(3). : e12196-e12196, 2018
Journal Title
International journal of older people nursing
ISSN
1748-37351748-3743
Abstract
AIM AND OBJECTIVE: This study investigated the effects of medication adherence and health literacy on health-related quality of life in vulnerable older people with hypertension.
BACKGROUND: Health literacy is particularly critical for providing accurate information regarding correct medication intake to improve medication adherence. Additionally, health-related quality of life is directly related to impairment from chronic disease.
DESIGN: A descriptive, cross-sectional study design was used. The participants were 160 low-income older people with hypertension registered in 16 public health centres in Busan, South Korea. They had received "visiting nursing services" for at least 6 months until the latest date and had belonged to the priority group of visiting nursing services.
METHODS: The Morisky Medication Adherence Scale, the Newest Vital Signs and EuroQol-5 Dimensions were used to assess medication adherence, health literacy and health-related quality of life, respectively.
RESULTS: Medication adherence and health literacy were significantly associated with health-related quality of life in vulnerable older people with hypertension, although exercise and subjective health were more significant factors affecting health-related quality of life than medical adherence and health literacy. Level of education, monthly income and employment status were not associated with health-related quality of life.
CONCLUSIONS: To effectively promote health-related quality of life in this population, medication adherence and health literacy of patients should be considered when developing health interventions, including subjective health and exercise.
IMPLICATIONS FOR PRACTICE: To effectively promote health-related quality of life in vulnerable older people, medication adherence and health literacy of patients should be assessed, and patient-centred intervention strategies that consider their individual differences should be developed.
Keywords

MeSH

DOI
10.1111/opn.12196
PMID
29665241
Appears in Collections:
Journal Papers > College of Nursing Science / Graduate School of Nursing Sciences > Nursing Science
Ajou Authors
송, 미숙
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