摘要
目的:调查海口市冠心病患者出院后对药物医嘱的依从性现况及影响因素。方法:采用Morisky药物依从性量表及用药知-信-行评测问卷,对2011年1月至2018年4月海口市第四人民医院心血管内科1 682例老年冠心病患者出院后6个月药物医嘱依从性进行问卷调查,采用Logistic回归分析药物医嘱依从性的相关影响因素。结果:共发出1 682份调查问卷,最终回收合格问卷1 426份,问卷有效率为84.78%。1 426例合格问卷患者中,989例药物医嘱依从性好,占69.35%;437例药物医嘱依从性差,占30.65%。患者对药物医嘱的依从性与药物知识掌握程度、用药信念及居住情况有关。结论:老年冠心病患者出院后药物医嘱依从性尚可,但药物知识掌握程度、用药信念及居住情况可能对药物医嘱依从性产生影响,应引起医护人员足够重视。
OBJECTIVE: To investigate the compliance status and influencing factors of patients with coronary heart disease to medical advice after discharge from hospital in Haikou. METHODS: Morisky Drug Compliance Scale and Evaluation Questionnaire on Knowledge-Attitude-Belief of Medication were adopted to conduct investigation on comp-liance of medical orders in 1 682 elderly patients with coronary heart disease at 6 months after discharge from cardiovascular medicine department in the Fourth People’s Hospital of Haikou from Jan. 2011 to Apr. 2018, Logistic regression was used to analysis related factors affecting compliance of medical orders. RESULTS: A total of 1 682 question-naires were sent out, and 1 426 qualified questionnaires were finally collected, with the effective rate was 84.78%. Of the 1 426 qualified questionnaire, 989 cases were with good compliance, accounting for 69.35%;437 cases were with poor compliance, accounting for 30.65%. Patient’s compliance of medical orders was associated with the understanding of drug knowledge, medication belief and living conditions. CONCLUSIONS: Elderly patients with coronary heart disease after discharge have good compliance of medical orders, but the understanding of drug knowledge, medication belief and living conditions may effect drug compliance, which should be paid enough attention by medical staff.
作者
邓斌
高日扬
DENG Bin;GAO Riyang(Dept. of Cardiology, the Fourth People' s Hospital of Haikou, Hainan Haikou 571100, China)
出处
《中国医院用药评价与分析》
2019年第8期997-999,1004,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
海南省自然科学基金项目(No.817393)
关键词
冠心病
药物医嘱
依从性
影响因素
用药知识
用药信念
Coronary heart disease
Medical orders
Compliance
Influencing factors
Medication knowledge
Medication belief
