老年人睡眠障碍患者抑郁与服药依从性的关系

Relationship between depression and medication adherence among older patients with sleep disturbance

目的探讨老年人睡眠障碍患者抑郁与服药依从性的关系,以及自我效能感在两者之间的中介作用。方法 2017年6月至2017年12月选取赣州市260名老年人睡眠障碍患者为研究对象,进行老年人抑郁量表、自我效能感问卷和Morisky服药依从性量表调查。结果老年人睡眠障碍患者抑郁的平均分显著高于中等临界值(P<0.001),自我效能感平均分显著低于中等临界值(P<0.05),药物依从性的平均分处于药物依从性中等水平;抑郁、自我效能感与服药依从性三者存在显著相关(P<0.01);分层回归分析结果表明,老年人睡眠障碍患者抑郁和自我效能感均能显著预测其服药依从性,自我效能感在抑郁与服药依从性关系间起部分中介作用。结论老年人睡眠障碍患者抑郁水平可以直接影响其服药依从性,同时又通过自我效能感的中介作用对其服药依从性产生间接影响。

Objective To investigate the relationship of depression and medication adherence among older patients with sleep disturbance, including the mediating role of self-efficacy. Methods 260 older patients with sleep disturbance were investigated by GDS-15, GSES and Morisky Medication Adherence Scale in Ganzhou city from June 2017 to December 2017. Results The average of depression was significantly higher than medium critical value(P<0.001), the average of self-efficacy was lower than medium critical value, the average of medication adherence was at the middle level (P<0.05). There were significant correlations among depression, self-efficacy and medication adherence(P<0.01). The results of layered regression showed that depression and self-efficacy could significantly predict medication adherence. Conclusion The effect of depression can directly affect medication adherence of older patients with sleep disturbance, and also indirectly influence it through self-efficacy.