Medication Adherence and Barriers Among Persons with Chronic Rhinosinusitis, the First Affiliated Hospital of Kunming Medical University
Keywords:
Chronic rhinosinusitis, Medication adherence, Barriers to medication adherenceAbstract
Medication adherence is vital for controlling symptoms and preventing complications of chronic rhinosinusitis (CRS). The purpose of this descriptive study was to investigate medication adherence and barriers to medication adherence among persons with CRS. Purposive sampling was used to select 259 participants who were treated at the First Affiliated Hospital of Kunming Medical University, the People’s Republic of China. The research instruments included the demographic data form developed by the researchers, the 12-item Medication Adherence Scale (MAS) developed by Ueno et al., and the Adherence Barriers Questionnaire (ABQ) developed by Müller et al. The MAS and the ABQ were translated into Chinese by the researcher, and were tested for their reliability, yielding Cronbach’s alphas of 0.78 and 0.82, respectively.Descriptive statistics were used to analyze data.
The results revealed:
1. Participants had high medication adherence (M = 48.97, SD = 5.25); and
2. Intentional adherence barriers among the participants in this study included the belief that all medications were poisons (M = 3.33, SD = 0.75), being unsure of the need for medication (M = 3.26, SD = 0.68), and access to healthcare barriers (M = 3.15, SD = 0.66). Unintentional adherence barriers were feeling discouraged or depressed (M = 3.23, SD = 0.70), forgetfulness (M = 3.12, SD = 0.73), and not receiving required help (M = 2.59, SD = 0.94). Additionally, medication-related barriers included stopping or decreasing medications due to side effects (M = 3.23, SD = 0.59), being afraid of side effects (M = 3.22, SD = 0.66), and problems with taking medications (M = 3.19, SD = 0.68). A healthcare system barrier was participants’ co-payments (M = 3.25, SD = 0.69).
The results of this study provide valuable insights into medication adherence and its barriers among Chinese individuals with CRS. Healthcare providers can employ these findings to develop targeted strategies, such as education programs to address negative beliefs about medication, simplified medication schedules to combat forgetfulness, and financial assistance programs to reduce financial burden.
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