Gang Wu, Ping Liu, Jing Zhang, Dan Li, Ju Yang, Jiai Yan, Yiran Liu, Jing Sun, Yingyu Wang, Yanping Xia, Feng Zhang
{"title":"患有 H 型高血压的老年人的认知功能与服药依从性：元记忆的中介效应","authors":"Gang Wu, Ping Liu, Jing Zhang, Dan Li, Ju Yang, Jiai Yan, Yiran Liu, Jing Sun, Yingyu Wang, Yanping Xia, Feng Zhang","doi":"10.3928/00989134-20240503-03","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Medication adherence in adults with H-type hypertension plays a crucial role in lowering blood pressure and treating complications. Cognitive function has been identified as a significant influencing factor for medication adherence, whereas excessive levels of homocysteine can impair cognitive function. Metamemory, which is influenced by cognitive function, also affects medication adherence. However, the complex relationship among these factors remains poorly understood among adults with H-type hypertension. Therefore, we hypothesize that metamemory serves as a mediator for the impact of cognitive function on medication adherence.</p><p><strong>Method: </strong>A total of 232 adults with H-type hypertension were enrolled to provide cognitive function scores, metamemory scores, and medication adherence rates.</p><p><strong>Results: </strong>A pairwise correlation exists among cognitive function, metamemory, and medication adherence. Metamemory partially mediates (57.5%) the relationship between cognitive function and medication adherence.</p><p><strong>Conclusion: </strong>Our findings suggest that interventions targeting improvements in metamemory may enhance medication adherence among individuals with H-type hypertension. [<i>Journal of Gerontological Nursing, 50</i>(6), 44-52.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"44-52"},"PeriodicalIF":1.1000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cognitive Function and Medication Adherence in Older Adults With H-Type Hypertension: The Mediating Effect of Metamemory.\",\"authors\":\"Gang Wu, Ping Liu, Jing Zhang, Dan Li, Ju Yang, Jiai Yan, Yiran Liu, Jing Sun, Yingyu Wang, Yanping Xia, Feng Zhang\",\"doi\":\"10.3928/00989134-20240503-03\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Medication adherence in adults with H-type hypertension plays a crucial role in lowering blood pressure and treating complications. Cognitive function has been identified as a significant influencing factor for medication adherence, whereas excessive levels of homocysteine can impair cognitive function. Metamemory, which is influenced by cognitive function, also affects medication adherence. However, the complex relationship among these factors remains poorly understood among adults with H-type hypertension. Therefore, we hypothesize that metamemory serves as a mediator for the impact of cognitive function on medication adherence.</p><p><strong>Method: </strong>A total of 232 adults with H-type hypertension were enrolled to provide cognitive function scores, metamemory scores, and medication adherence rates.</p><p><strong>Results: </strong>A pairwise correlation exists among cognitive function, metamemory, and medication adherence. Metamemory partially mediates (57.5%) the relationship between cognitive function and medication adherence.</p><p><strong>Conclusion: </strong>Our findings suggest that interventions targeting improvements in metamemory may enhance medication adherence among individuals with H-type hypertension. [<i>Journal of Gerontological Nursing, 50</i>(6), 44-52.].</p>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\"50 6\",\"pages\":\"44-52\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20240503-03\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240503-03","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：成人 H 型高血压患者坚持服药对降低血压和治疗并发症起着至关重要的作用。认知功能被认为是影响服药依从性的重要因素，而过高的同型半胱氨酸水平会损害认知功能。受认知功能影响的元记忆也会影响服药依从性。然而，对于 H 型高血压成人患者来说，这些因素之间的复杂关系仍然知之甚少。因此，我们假设元记忆是认知功能影响服药依从性的中介因素：方法：共招募了 232 名成人 H 型高血压患者，提供认知功能评分、元记忆评分和服药依从率：结果：认知功能、元记忆和服药依从性之间存在成对相关性。元记忆部分（57.5%）介导了认知功能与服药依从性之间的关系：我们的研究结果表明，以改善元记忆为目标的干预措施可提高 H 型高血压患者的服药依从性。[老年护理学杂志》，50（6），44-52]。
Cognitive Function and Medication Adherence in Older Adults With H-Type Hypertension: The Mediating Effect of Metamemory.
Purpose: Medication adherence in adults with H-type hypertension plays a crucial role in lowering blood pressure and treating complications. Cognitive function has been identified as a significant influencing factor for medication adherence, whereas excessive levels of homocysteine can impair cognitive function. Metamemory, which is influenced by cognitive function, also affects medication adherence. However, the complex relationship among these factors remains poorly understood among adults with H-type hypertension. Therefore, we hypothesize that metamemory serves as a mediator for the impact of cognitive function on medication adherence.
Method: A total of 232 adults with H-type hypertension were enrolled to provide cognitive function scores, metamemory scores, and medication adherence rates.
Results: A pairwise correlation exists among cognitive function, metamemory, and medication adherence. Metamemory partially mediates (57.5%) the relationship between cognitive function and medication adherence.
Conclusion: Our findings suggest that interventions targeting improvements in metamemory may enhance medication adherence among individuals with H-type hypertension. [Journal of Gerontological Nursing, 50(6), 44-52.].
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
