OMAS非特定疾病-37药物依从性量表的汉化及其在老年慢性病病人中的应用

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AbstractObjective：TotranslatetheOsloMetAdherence-to-MedicationSurveytolOMAS-37）intoChineseandtotestitsreliability andvalidity.Toinvestigatetestatusandiflueningfactorsofmdicatioadereceinlderlypatintsithhonicdiseasstos： Followingterisitrslatiomodel，thO7arslatedoughwardtraslatiocktrslatiouraltation andpilottestingtodevelptheChneseversionAtotalof442adultmedicationtakingpatientsfromagradeAtertiaryhospitaliWuhan citywassurveyedfromApriltJune2O23toevaluatethescale'seliabilityandvalidity.Aconveniencesampleof199elderlypatients withchronicdiseasefromthesamehospitalwassurveyedfromSeptembertoOctober2O23usinga GeneralInformationQuestionaire andtheChineseversionOMAS-37toinvestigateadherencestatusandtoanalyzeitsinfluencingfactors.Results：TheChinesevrsionof theOMAS-37comprised33itemsacross1Odimensions.TheCronbach'sαforthetotalsalewasO.849.Thesplit-halfreliabilitywas 0.835.Cronbach'scoefcientsfortheindivdualdimensioswereO824.934.Theite-levelcontentvaliditydex（I-CV）was0.60. Thescale-levelcontentvlditindexbasedonniversalagreement（S-CVI/UA）was0.818.Theaveragscale-levelcontetvaliditydex （S-CVI/Ave）wasO.818.Exploratoryfactoranalysisextracted1Ocommonfactors，withacumulativevariancecontributionateof 69.327% .Confirmatory factor analysis indicated good model fit indices.Among the199 elderly patients， 58（29.15% ）demonstrated good medicationaeeceRegressoalysisientifdgederndlivigaagemntwereifucinfctorsforeicaioece （P<0.05） .Conclusions：TheChineseversionof theOMAS-37demonstratesgoodreliabilityandvalidity.Age，gender，andliving arrangement are influencing factors for medication adherence in elderly patients with chronic diseases.

Keywordsmedication adherence; scale;reliability;validity; influencing factors

关键词药物依从性；量表；信度；效度；影响因素 doi：10.12102/j.issn.1009-6493.2025.24.012

研究表明，有效提升用药依从性带来的健康获益可能超过单纯依靠改进特定药物疗法所能达到的效果[1]。（剩余14043字）