Subjective memory complaints and medication adherence among hypertensive Korean older adults with multimorbidity: mediating effect of depression and social support
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View abstract on PubMed
Summary
This summary is machine-generated.Subjective memory complaints in older adults are linked to lower medication adherence, with depression playing a mediating role. Interventions should address memory and depression to improve adherence in this population.
Area Of Science
- Gerontology
- Cognitive Science
- Public Health
Background
- Medication adherence (MA) is crucial for managing hypertension and preventing complications.
- Older adults may face challenges with MA due to cognitive decline, with subjective memory complaints (SMC) as potential early indicators.
- The interplay between SMC, MA, depression, and social support in older adults remains under-researched.
Purpose Of The Study
- To investigate the effect of subjective memory complaints (SMC) on medication adherence (MA) in community-dwelling hypertensive older adults.
- To examine the mediating roles of depression and social support in the relationship between SMC and MA.
Main Methods
- A descriptive cross-sectional study involving 195 hypertensive older adults with multimorbidity in South Korea.
- Data collected via face-to-face surveys from January to March 2018.
- Mediation analysis using PROCESS macro v4.2 to assess the influence of depression and social support on the SMC-MA relationship.
Main Results
- SMC positively correlated with depression; social support and MA showed negative correlations.
- Depression significantly mediated the relationship between SMC and MA.
- Social support did not significantly mediate the SMC-MA relationship, nor did the combined mediation of depression and social support.
Conclusions
- Healthcare for older adults with hypertension and multimorbidity necessitates a holistic assessment of factors impacting medication management.
- Interventions targeting memory enhancement and depression alleviation are recommended to improve medication adherence in this demographic.
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