계명대학교 의학도서관 Repository

Patients' beliefs and attitudes about their treatment for inflammatory bowel disease in Korea

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Author(s)
Sung Bum KimKyeong Ok KimByung Ik JangEun Soo KimKwang Bum ChoKyung Sik ParkMin Kyu ChungSeong Woo JeonDaegu-Gyeongbuk Gastrointestinal Study Group (DGSG)
Keimyung Author(s)
Kim, Eun SooCho, Kwang BumPark, Kyung Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Gastroenterology
Issued Date
2016
Volume
31
Issue
3
Keyword
AdherenceAttitudeInflammatory bowel diseaseMedication
Abstract
Background and Aims: Adherence to medication during the treatment of inflammatory
bowel disease (IBD) is important in terms of maintaining remission. According to studies
on adherence to medication in other chronic diseases, non-adherence is associated with
negative attitudes to treatment. The aims of this study were to assess adherence rates and
IBD patients’ beliefs and attitudes regarding medication using a questionnaire based ap-
proach.
Methods: Two hundred and eighty seven patients from three tertiary hospitals were en-
rolled and completed a questionnaire that addressed adherence (Medication Adherence Re-
port Scale, MARS), beliefs, and attitudes to medication (Beliefs about Medications
Questionnaire, BMQ).
Results: Using a cutoff score of 16/20 for MARS, 64 (22.3%) patients did not adhere to
medication. According to attitude analysis conducted using the BMQ, 41.8% of the 287
study subjects felt high necessity but low concern for the medication (“accepting”) and
34.8% felt high necessity and concern (“ambivalent”). Multivariate analysis showed signif-
icantly lower adherence to medication among younger patients, patients with experience of
adverse effects to medication, patients with demanding jobs, and for those with an “indif-
ferent” or “skeptical” attitude regarding the benefits of medication. On the other hand, IBD
patients with “accepting” attitude adhered to medication.
Conclusion: Twenty-two percent of IBD patients were non-adherent to medical treatment,
and belief of the need for medication was found to significantly enhance adherence. Inter-
ventions, such as education about the ef ficacy and safety of medications, should be consid-
ered to facilitate adherence to medical treatment among IBD patients.
Keimyung Author(s)(Kor)
김은수
조광범
박경식
Publisher
School of Medicine
Citation
Sung Bum Kim et al. (2016). Patients’ beliefs and attitudes about their treatment for inflammatory bowel disease in Korea. Gastroenterology, 31(3), 575–580. doi: 10.1111/jgh.13155
Type
Article
ISSN
0016-5085
Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/jgh.13155
DOI
10.1111/jgh.13155
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33253
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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