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| Study on the relationship between medication adherence and family cohesion, adaptability of young and middle-aged patients with depression in Taizhou City |
| CHEN Lu1 LI Changsong2 CHEN Yigang1 XIA Youchun3 ＷEI Fanxin1 YANG Zhengguang1 |
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Abstract Technology School, Taizhou Polytechnic College, Jiangsu Province, Taizhou 225300, China; 2.Department of Anesthesiology, Taizhou People′s Hospital, Jiangsu Province, Taizhou 225300, China; 3.Department of Psychiatric, the Forth People′s Hospital of Taizhou City, Jiangsu Province, Taizhou 225300, China
[Abstract] Objective To explore the correlation between medication adherence and family cohesion, adaptability of young and middle-aged patients with depression in Taizhou City. Methods A total of 101 young and middle-aged patients with depression were recruited in the Psychiatric Outpatient of the Forth People′s Hospital of Taizhou City in Jiangsu Province from October 2016 to August 2017. They were investigated with Morisky medication adherence scale and FACESⅡ-CV. Spearman correlation coefficient was used to analyze the relationship between medication adherence and general data, multiple linear regression method was used to analyze the relationship between medication adherence and family cohesion, adaptability, degree of dissatisfaction. Results There were 101 valid questionnaires, with an effective rate of 95.3%. The actual family adaptability, ideal family cohesion and ideal family adaptability of the 101 patients with depression were all lower than the domestic norm (P < 0.01). The dissatisfaction degrees of cohesion and adaptability were higher than the domestic norm (P < 0.01). The scores of medication adherence were positively correlated with both marital status (r = 0.877, P < 0.01) and the times of taking medicine (r = 0.214, P < 0.05), while negatively correlated with educational level (r = -0.808, P < 0.01) and monthly income level (r = -0.212, P < 0.05). The ideal adaptability (t =-2.778, P < 0.01) and the degree of dissatisfaction of cohesion (t = 5.935, P < 0.01) in family model had significant effects on the compliance of taking medicine. Conclusion The education background, marital status, family cohesion and adaptability, the frequency of daily medication and the monthly income level of the young and middle-aged patients with depression in Taizhou City directly affect their medication compliance, so improving the family adaptability and cohesion of family members can increase the medication adherence, as well as enhance the efficacy of treatment.
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