摘要
目的探讨西安市社区老年冠心病患者二级预防依从性及其影响因素。方法采用随机分层抽样法抽取2022年10月-2023年10月期间西安市社区老年冠心病患者980例,分为依从性良好组与依从性不佳组,分析患者二级预防依从性的影响因素。结果依从性良好组578例(58.98%),依从性不佳组402例(41.02%)。经单因素与多因素Logistic回归分析显示,学历(OR=2.563)、经济收入(OR=2.821)、费用支付方式(OR=3.083)、二级预防了解程度(OR=4.923)、是否自主了解疾病知识(OR=3.216)、用药种类(OR=2.179)、药物不良反应(OR=3.916)是影响患者依从性的独立因素(P<0.05)。结论西安市社区老年冠心病患者二级预防依从率偏低,学历、是否有经济收入、对冠心病了解程度、自主获取知识、用药种类、药物不良反应是其影响因素,应针对性采取预防策略提高患者二级预防依从性。
Objective To study the compliance with secondary prevention and related factors of elderly patients with coronary heart disease in communities in Xi'an.Methods Using the random stratified sampling method,980 elderly patients with coronary heart disease from communities in Xi'an were selected as the research subjects from October 2022 to October 2023 and were divided into good compliance group and poor compliance group.The influencing factors of patients'compliance with secondary prevention were analyzed.Results There were 578 patients(58.98%)with good compliance and 402 patients(41.02%)with poor compliance.Univariate and multivariate Logistic regression analysis found that education level(OR=2.563),economic income(OR=2.821),payment method for treatment expenses(OR=3.083),understanding of secondary prevention(OR=4.923),independent understanding of disease-related knowledge(OR=3.216),types of drugs used(OR=2.179),and adverse drug reactions(OR=3.916)were independent factors influencing patient compliance(P<0.05).Conclusion Compliance with secondary prevention among elderly patients with coronary heart disease in communities in Xi'an is relatively low.Education level,economic income,understanding of coronary heart disease,self-acquired knowledge,types of drugs used and adverse drug reactions are influencing factors.Targeted prevention strategies should be adopted to improve patients'compliance with secondary prevention.
作者
延琼
贾金鑫
问芳芳
吕璐仪
蔡春青
刘莎莎
刘艳
缑艳霞
YAN Qiong;JIA Jinxin;WEN Fangfang;LV Luyi;CAI Chunqing;LIU Shasha;LIU Yan;GOU Yanxia(The Second Affiliated Hospital of Air Force Military Medical University,Xi'an,710038,China;不详)
出处
《中国社会医学杂志》
2024年第5期575-579,共5页
Chinese Journal of Social Medicine
基金
国家自然科学基金项目(82270366)。
关键词
冠心病
老年人
二级预防依从性
预防策略
影响因素
Coronary heart disease
Elderly
Compliance with secondary prevention
Prevention strategy
Influencing factor
