黑龙江省农村主要慢性病患者服药依从性影响因素分析  

Analysis of influencing factors for medication compliance of patients with chronic diseases in rural area of Heilongjiang province

作　　者：韩晓楠[1] 郝艳华[1] 宁宁[1] 梁立波[1] 崔宇[1] 刘加卓 许伟岚[1] 房鑫[1] 赵希彦[1] 胡曼[1] 于益[1] 

机构地区：[1]哈尔滨医科大学卫生管理学院社会医学教研室,黑龙江省哈尔滨150086 [2]黑龙江卫生计生委项目监管中心

出　　处：《中国慢性病预防与控制》2015年第12期884-887,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：黑龙江省世行贷款卫十一项目(WB20130301)

摘　　要：目的分析农村主要慢性病患者服药依从性影响因素,探讨基层医生对慢性病患者服药依从性的作用,为提高慢性病患者服药依从性提供参考。方法随机抽取黑龙江省4个县的农村居民1 064人,对其进行问卷调查,对其中181例慢性病患者运用χ2检验、一般描述性分析、多因素logistic回归进行服药依从性影响因素分析。结果具有良好服药依从性的患者68例,占慢病患者的37.6%,建立健康档案、村医督促服药、定期测量血压、村医给予饮食与运动指导、健康信念、慢性病知识影响服药依从性,差异均有统计学意义（P〈0.05）;多因素logistic回归结果显示,慢性病患者服药依从性的影响因素为基层卫生服务利用（OR=3.574,95%CI：1.360~9.391）与健康信念（OR=2.884,95%CI：1.015~8.196）。结论农村慢性病患者总体服药依从性不高,基层卫生服务利用、健康信念是患者服药依从性的保护因素,应加强基层卫生服务人员对慢性病患者的服务管理,强化患者健康信念,普及慢性病知识以有效提高患者服药依从性。Objective To analyze the intluencing factors for medication compliance of rural patients with chronic diseases, to explore the role of primary doctors in medication compliance of patients and to provide the reference for improving the medication compliance of patients. Methods From four counties of Heilongjiang prevince, 1 064 rural residents were selected as the subjects. The investigation was performed by questionnaire, 181 patients with chronic disease were included in general descriptive analysis with chi-square test and the logistic regression analysis was used to analyze the influencing factors for medication cnmpllance. Results The proportion of patients with good medication compliance was 37.6% （68 cases）. The health files, urging to take medicine of primary doctors, regular measure of blood pressure, diet and exercise guidance of primary doctors, personal health belief and the knowledge of chronic diseases significantly aftected the medication compliance （P〈0.05）. Logistic regression results showed that the influence factors for medication compfiance of patients with chronic disease were the utilization of primary health services （ oR=3.574,95%CI： 1.360-9.391 ） and personal health belief （OR=2.884,95%C1： L. 015-8.196）. Conclusion The level of medication compliance of rural patients is not high, and the utilization of primary health services and personal health belief are the protective factors for the medication compliance. Therefore, the improving of the chronic diseases management of primary health service, the personal health belief and education of chronic diseases can increase the medication compliance.

关 键 词：慢性病 服药依从性 基层卫生服务 

分 类 号：R181.3[医药卫生—流行病学]