老年高血压病人服药依从性与服药信念的相关性研究  

Study on correlation between medication compliance and belief of elderly hypertension patients

作　　者：颜文[1] 王淑琼[1] 薛琴[1] 吴婷[1] 沈萍[1] 

机构地区：[1]四川省医学科学院.四川省人民医院

出　　处：《护理研究（中旬版）》2015年第4期1312-1314,共3页Chinese Nursing Researsh

基　　金：四川省干部保健专项资金科研课题;编号:2012-204

摘　　要：[目的]探讨老年高血压病人的服药依从性与服药信念的相关性。[方法]采用Morisky服药依从性问卷和服药信念量表对108例老年高血压病人进行调查。[结果]病人服药依从性得分为(4.95±2.07)分,66.6%的病人服药依从性差,20.4%的病人服药依从性中等,13.0%的病人服药依从好;服药必要性维度得分高于服药顾虑维度得分;病人服药依从性与服药信念呈负相关(P<0.01),病人服药依从性与服药必要性呈正相关(P<0.01),与服药顾虑呈负相关(P<0.01)。[结论]老年高血压病人的服药依从性与服药信念相关,医护人员可通过评估病人的服药信念,及时识别病人的不良认知并有效引导病人及其家属树立正确的服药信念,从而提高其服药依从性。Objective：To probe into the correlation between medication compliance and belief of elderly hyperten- sion patients. Methods：A total of 108 elderly hypertension patients received survey by using the Morisky medi- cation compliance questionnaire and medication belief scale. Results：The score of patients＇ medication compli- ance was （4.95±2.07） ,the 66.6% of patients had poor medication compliance,20.4% of patients had medium level of medication compliance, 13.0 % of patients had good medication compliance;the score of patients＇ medi- cation necessary dimension was higher than that of drug concerns dimension; the patients＇ medication compli- ance was negatively related to the medication belief（P〈0.01） ,it was positively related to the medication neces- sity belief （P〈0.01）, and negatively related to medication concerns belief（P〈0.01）. Conclusion： The medica- tion compliance of elderly hypertension patients has correlation with the medication belief. Through assessing the patients＇ medication belief, the medical and nursing personnel can identify the patients＇ poor cognition in time and guide the patients and their families to establish the correct medication belief effectively, so as to im- prove their medication compliance.

关 键 词：老年人 高血压病 服药信念 服药依从性 

分 类 号：R473.54[医药卫生—护理学]