Research in influencing factors of medication safety of elderly with chronic diseases in poor areas of Liaoning Province based on structural equation model / 中国实用护理杂志

ABSTRACT

Objective To analyze the recent condition on medication safety of the elderly with chronic diseases in poor areas of Liaoning Province, the structural equation model(SEM) was used to investigate the influencing factors of the medication safety in order to provide the scientific basis for medication safety and the rational use of drugs. Methods The 1 690 elderly with chronic diseases in poor areas of Liaoning Province were selected by the multi-stage random sampling and investigated with the self-designed questionnaire, the database was established on SPSS17.0, the model of structural equation modeling was built by AMOS17.0. Results The four common factors, which were the knowledge,attitude, practice and adherence of medication safety, were extracted by confirmation factor analysis, and the data of the four common factors was fitted, the fitting parameters were χ2/DF=2.254, GFI=0.913, NFI=0.909, CFI=0.925, AGFI=0.825, RMSEA=0.062, the model fitting was ideal. Conclusions The medication of the elderly with chronic diseases in poor areas of Liaoning Province exists potential security risks, the knowledge, attitude, practice and adherence of medication safety are the important factors which affect the medication safety, the health education about medication safety should be conducted in the elderly with chronic diseases in the poor areas, to develop the safety, effectiveness and economy of medication among the elderly.