Insights into medication adherence among Jordanian patients with dyslipidemia: evaluating health literacy, well-being, and doctor-patient communication.

IF 3.3 Q1 HEALTH POLICY & SERVICES
Journal of Pharmaceutical Policy and Practice Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.1080/20523211.2024.2410199
Muna Barakat, Samar Thiab, Shaymaa B Abdulrazzaq, Marah Al-Jamal, Fotoh AlHariri, Rakan Bassam Ammari, Sara Mansour, Sami El Khatib, Souheil Hallit, Basile Hosseini, Diana Malaeb, Hassan Hosseini
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Abstract

Background: This study aimed to assess medication adherence among Jordanian patients with dyslipidemia and evaluate the impact of health literacy, well-being, and doctor-patient communication on adherence in this population. Dyslipidemia is a prevalent condition that significantly increases the risk of cardiovascular diseases, and understanding the factors influencing medication adherence is crucial for improving patient outcomes.

Methods: An observational cross-sectional study was conducted from March to July 2023. A convenience sample of adult Jordanians diagnosed with dyslipidemia was surveyed in a tertiary hospital using validated scales: the Lebanese Medication Adherence Scale-14 (LMAS-14), the Doctor-Patient Communication Scale (DPC), the WHO well-being index, and the health literacy scale. Bivariate analysis and linear regression models were employed to analyze associations.

Results: Among 410 participants (mean age 58.62 ± 12.11 years), the mean scores were LMAS-14 (35.10), DPC (55.77), WHO well-being (47.53), and health literacy (38.96). Higher medication adherence was associated with older age (B = 0.093, p = 0.049), university education (B = 2.872, p = 0.017), prior surgery (B = 2.317, p = 0.021), medium income level (B = 3.605, p = 0.006), and better doctor-patient communication (B = 0.166, p = 0.003). Conversely, cigarette smoking (B = -3.854, p = 0.001) and health insurance (B = -2.146, p = 0.039) were linked to lower adherence.

Conclusion: The findings underscore the substantial interplay of socio-demographic and clinical factors affecting medication adherence. Enhanced public health interventions focusing on improving health literacy, communication quality, and addressing socio-economic conditions are vital for better adherence and patient outcomes in Jordan.

约旦血脂异常患者坚持用药的启示:评估健康素养、幸福感和医患沟通。
研究背景本研究旨在评估约旦血脂异常患者的服药依从性,并评估健康素养、幸福感和医患沟通对该人群服药依从性的影响。血脂异常是一种普遍存在的疾病,会显著增加心血管疾病的风险,了解影响服药依从性的因素对于改善患者的治疗效果至关重要:方法:2023 年 3 月至 7 月进行了一项横断面观察研究。在一家三甲医院对确诊患有血脂异常的约旦成年人进行了方便抽样调查,调查中使用了经过验证的量表:黎巴嫩服药依从性量表-14(LMAS-14)、医患沟通量表(DPC)、世界卫生组织幸福指数和健康素养量表。采用双变量分析和线性回归模型分析相关性:在 410 名参与者(平均年龄为 58.62 ± 12.11 岁)中,平均得分分别为 LMAS-14 (35.10)、DPC (55.77)、WHO 幸福指数 (47.53) 和健康素养 (38.96)。较高的服药依从性与年龄较大(B = 0.093,p = 0.049)、大学教育程度(B = 2.872,p = 0.017)、曾接受过手术(B = 2.317,p = 0.021)、中等收入水平(B = 3.605,p = 0.006)和较好的医患沟通(B = 0.166,p = 0.003)有关。相反,吸烟(B = -3.854,p = 0.001)和医疗保险(B = -2.146,p = 0.039)与较低的依从性有关:结论:研究结果表明,社会人口和临床因素对坚持用药的影响很大。在约旦,加强公共卫生干预,重点提高健康素养、沟通质量和解决社会经济条件问题,对于改善患者的用药依从性和疗效至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pharmaceutical Policy and Practice
Journal of Pharmaceutical Policy and Practice Health Professions-Pharmacy
CiteScore
4.70
自引率
9.50%
发文量
81
审稿时长
14 weeks
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