|Budget Amount *help
¥2,100,000 (Direct Cost : ¥2,100,000)
Fiscal Year 1998 : ¥900,000 (Direct Cost : ¥900,000)
Fiscal Year 1997 : ¥1,200,000 (Direct Cost : ¥1,200,000)
This study was undertaken to determine the factors related to medication compliance in the old receiving drug therapy on an out patient clinics.
We formed our questionnaire, based on the Health Belief Model, by using the outline developed by investigators of 1995-1996 general research C.For the measurement, the self-reported compliance score and the visual analog scale were used to evaluate the subjects' compliant behaviors in the last two weeks.
The total number of the subjects was 399, with the age range from 65-99 (73.86.1), and the self-reported medication compliance rate was 91.414.4%.
On the other hand, the rate reported by those who claimed no medication effects or no trust in their physicians appeared much lower (t-test, each p=0.OO1, p=0.004). However, there was no connection found between the self-reported compliance scores and either sex, dosage, anxieties in the medication or disease and medication cost.
When compared with non-side-effects or non-allergic patients, patients with any medical allergies or any side effects in the past had more anxieties about their current medications (x2-test, each p<O.OQ1). As the result of this study, we considered patients less than 91% of the compliance score as poor compliance group. ft was pointed out that poor compliant group significantly had poor eyesight, several physicians, engagement to work, and satisfaction of their medication guidance (Xs^2 test, each p=O.004, p=O.002, p=O.041, p=O.041).
5. 自己申告値91%未満150人(37.6%)をpoor compliance群と判定し、91%以上249人(62.4%)との2群比較検定を実施した結果、視力が不自由である者、複数の医師より処方を受けている者のcompliance scoreが有意に低かった(χ^2検定,各々p=0.004,p=0.002)。また、仕事に従事している者及び服薬指導を理解したと答えた者ではscoreは有意に低かった(χ^2検定,各々p=0.041)。