J Korean Acad Psychiatr Ment Health Nurs.  2021 Mar;30(1):9-18. 10.12934/jkpmhn.2021.30.1.9.

Influence of Health Literacy and Insight on Medication Adherence in Mental Illness

Affiliations
  • 1Professor, College of Nursing, Chungnam National University, Daejeon, Korea
  • 2Assistant Professor, Department of Nursing, Songwon University, Gwangju, Korea
  • 3The Head of Department Nurse, Chungnam National University Hospital, Daejeon, Korea

Abstract

Purpose
The purpose of this study was to identify the influence of health literacy and insight on medication adherence in mental illness.

Methods
A cross-sectional, descriptive correlational study design was used. Participants were 135 adults diagnosed with mental disorders and living in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical multiple regression with SPSS 26.0.

Results
On multiple regression analysis, clinical insight (β=.32, p<.001) and reading response (β=.23, p=008) were statistically significant factors for medication adherence and showed a total explanatory power of 20%.

Conclusion
In order to enhance medication adherence, strategies and programs are needed to improve the insight and health literacy among patients with severe mental illness.

Keyword

Mental disorders; Health literacy; Medication adherence; 정신질환자; 건강정보이해력; 병식; 약물복용이행
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