合并颈动脉斑块形成的中老年心脑血管疾病患者服药依从性及影响因素的Logistic回归分析  

INFLUENTIAL FACTORS FOR MEDICATION COMPLIANCE OF MIDDLE-AGED AND ELDERLY PATIENTS WITH CAROTID ATHEROSCLEROSIS PLAGUE:A LOGISTIC REGRESSION ANALYSIS

作　　者：王瑞[1] 黄竹航[2] 由天辉[1] 赵新华[2] 

机构地区：[1]广东药学院护理学院,广东广州510310 [2]广东药学院公共卫生学院,广东广州510310

出　　处：《现代医院》2014年第8期143-146,共4页Modern Hospitals

基　　金：广东省科技计划项目(编号:2009B030801314);广东省医学科研基金(编号:A2012306)

摘　　要：目的：调查分析伴颈动脉斑块形成的中老年心脑血管疾病患者服药依从性及影响因素，为临床及社区的药物治疗干预提供理论参考。方法采用便利抽样法选取2011年4月～7月期间，在广州市三所三甲医院神经内科住院并经B超确诊有颈动脉斑块形成的中老年心脑血管疾病患者107例，进行服药依从性问卷调查，并分析人口学资料、病程、健康状况、疾病认知等因素对服药依从性的影响。结果患者的服药依从性得分均值为（2．2±0．4），处于中等水平。文化程度、病程、健康状况、工作强度及疾病认知水平是影响服药依从性的主要因素。结论中老年心脑血管疾病患者的服药依从性有待进一步提高，医护人员应加强药物治疗的干预，采取针对性措施提高患者服药依从性。Objective Investigate the medication compliance and the main risk factors of middle -aged and elderly patients with atherosclerosis, in order to provide theoretic basis for clinical and community medication intervention .Methods From April 2011 to July 2011, a questionnaire survey of medication compliance was conducted among 107 middle-aged and elderly patients, which from three hospitals of Guangzhou and with carotid atherosclerosis plaque in cardiovascular and cerebrovascular disease by the examination of color doppler ultrasound.And then we analyse the influence of demographic da-ta, medication compliance、health condition and disease congnition medication compliance.Results The patients compliance score mean was （2.2 ±0.4）,which was in the medium level.And the cultural level, course of disease, health status, work intensity and the cognitive level of disease were the main factors influencing the compliance, （p﹤0.05）.Conclusion The medication compliance in middleaged and elderly patients with cardiovascular and cerebrovascular disease needs to be further improved.And the drug treatment intervention will be strengthen, and measures should be taken to improve the compliance.

关 键 词：服药依从性 颈动脉粥样硬化 

分 类 号：R592[医药卫生—老年医学]