The Study on the Relationship between Health Literacy, Physician Patient Relationship and Medication Adherence among Patients with Pre-ESRD of CKD.

• Main Authors: Yi-Shan Tsai, 蔡宜珊
• Other Authors: Chao Sung Chang
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/5s4qn9

碩士 === 高雄醫學大學 === 醫務管理暨醫療資訊學系碩士班 === 102 === Background Limited Heatlh Literacy is common problem among people with chronic kidney disease. Patient Trust is a foundation of chronic care are associated with better medication adherence. Objective The relationship between Health Literacy, Physician Patient Relations, and self-reported Medication Adherence are examined. Methods This study is a cross-sectional study using a well-designed, structured questionnaire containing the instruments of Kidney Disease Knowledge Survey (KiKS), Wake Forest Trust Scale (WFT), and Morisky Medication Adherence Scale (MMAS-8) to survey the relationship between health literacy, physician-patient relationship and medication adherence in pre-ESRD patients. A total of 104 adults pre-ESRD patients from outpatient service of 4 different clinics were enrolled for study. Data were recorded for statistical analysis using SPSS 19.0 software. Results Mean patient age was 64.73 years, 58.7% were male.The pre-ESRD patients’ health literacy score under <60. Health literacy was not associated with medication adherence. Positive Health beliefs and Physician Patient Relations were associated with better medication adherence. Conclusion These findings indicate that Physician–patient relations and health-related beliefs of patients contribute to patient adherence.