脊柱结核患者应对方式与服药依从性的相关性研究  

Study on the relationship between coping styles and medication compliance of patients with spinal tuberculosis

作　　者：蒋海兰[1] 曹敏[2] 焦卫红[2] 刘海容[1] 刘冰[1] 

机构地区：[1]解放军第309医院骨科,北京市100091 [2]解放军第309医院护理部,北京市100091

出　　处：《护理管理杂志》2010年第8期538-540,共3页Journal of Nursing Administration

摘　　要：目的了解脊柱结核患者的服药依从性,分析应对方式与服药依从性的相关性。方法应用患者一般情况调查表、医学应对方式问卷、服药依从性调查表对196例脊柱结核患者进行问卷调查。结果脊柱结核患者的回避、屈服应对方式得分高于常模(P<0.01),而面对方式得分与常模差异无统计学意义(P>0.05);服药依从性得分较低,遵医嘱服药占42.86%;多元回归分析显示,服药依从性与年龄、文化程度、面对、回避与屈服应对方式有关(R2=0.327,F=5.714,P=0.017)。结论护理人员应根据患者服药依从性的影响因素及服药依从性与应对方式的关系采取有效措施提高服药依从性,进而提高治疗效果。Objective To investigate the medication compliance of patients with spinal tuberculosis, and analyze the relationship between coping styles and medication compliance. Methods A total of 196 spinal tuberculosis patients were investigated with the basic information questionnaire, the medical coping mode questionnaire, and the medication compliance questionnaire. Results The average scores of avoidance and surrender coping modes were higher than the norm （P 〈 0.01 ）. But the average score of confront coping mode was as the same as the norm （P 〉 0.05 ）. The average score of medication compliance was in a lower level,and the rate of complete compliance with prescribed medication was 42.86%. Multiple linear regression analysis showed that the medication compliance had a statistical relationship with age, education levels, the scores of confront, avoidance, and surrender coping modes （ R2 = 0. 327, F = 5.714, P = 0. 017 ）. Conclusion To raise the medication compliance and enhance the treatment results, nurses should take effective measures according to the relationship between coping styles and medication compliance, and its other influencing factors.

关 键 词：脊柱结核 应对方式 服药依从性 

分 类 号：R47[医药卫生—护理学]