急性心肌梗死患者出院后服药依从性与服药信念的相关性研究  

The Relationships of Medication Adherence and Beliefs about Medicines in Acute Myocardial Infarction Patients after Discharge

作　　者：邵君丽 黄艺仪[1] 林春喜[1] 黄燕梅[1] 许薇[1] 

机构地区：[1]中山大学附属第一医院,广州510080

出　　处：《当代护士（中旬刊）》2015年第10期1-4,共4页Modern Nurse

摘　　要：目的研究急性心肌梗死患者出院后的服药依从性与服药信念现状,探讨服药依从性与服药信念的相关性及服药依从性的影响因素。方法采用便利取样调查广州市某三级甲等综合医院151例AMI患者。通过问卷调查的方法进行横断面调查,分析纳入患者的服药依从性和服药信念现状,并探讨服药依从性与服药信念的相关性及服药依从性的影响因素。结果 AMI患者出院后的服药依从性处于中等水平,平均得分为(7.34±0.85)分;患者对服药必要性信念的总体感知水平高于顾虑信念;服药依从性与必要性信念呈正相关(r=0.165,P<0.05),与顾虑信念呈负相关(r=-0.479,P<0.01)。结论急性心肌梗死患者出院后的服药依从性和服药信念尚不令人满意,服药信念、家庭经济、是否接受相关宣教是服药依从性的主要影响因素。医务人员可动态评估患者的服药信念,向患者充分说明长期服药的必要性,消除患者的服药顾虑,帮助患者树立积极的服药信念,以提高服药依从性。Objective To explore the relationships of medication adherence and beliefs about medicines in AMI patients after discharge. Methods A total of 151 patients were recruited from one tertiary hospital in Guangzhou by convenience sampling method. They were investi- gated by using MMAS and BMQ - Specific to describe medication adherence and beliefs about medicines. Results The average score of MMAS was 7.34 ± 0. 85, which was at the middle level. Necessity scores were higher than concern scores for 80.8% of patients. Patients＇ medication adherence was positively associated with necessity beliefs（ r = 0. 165, P 〈 0.05 ）, while was negatively associated with concern be- liefs （ r = - 0. 479,P 〈 0.01 ）. Conclusion The current status of medication adherence and beliefs about medicines in AMI patients after dis- charge was not satisfied. Beliefs about medicines, economic situation and whether received discharge instructions or not were factors that influ- enced medication adherence.

关 键 词：急性心肌梗死 服药信念 服药依从性 

分 类 号：R473.5[医药卫生—护理学]