老年多重用药患者用药依从性现状及其影响因素的研究  

The current status and associated factors of medication compliance in the elderly undergoing polypharmacy

作　　者：赖小星[1] 朱宏伟[1] 霍晓鹏[1] 安奇志[1] 李峥[2] LAI Xiaoxing ZHU Hongwei HUO Xiaopeng AN Qizhi LI Zheng(Department of Health Care, Peking Union Medical College Hospital, Beijing, 100730 China)

机构地区：[1]北京协和医院保健医疗部,100730 [2]北京协和医学院护理学院

出　　处：《中国护理管理》2016年第12期1638-1642,共5页Chinese Nursing Management

基　　金：中国医学科学院北京协和医院院级科研基金项目(XHHLKY201417)

摘　　要：目的 :分析老年多重用药患者的用药依从性现状及其影响因素。方法 :便利抽取北京市某三级甲等医院的老年多重用药患者178例。采用自设的一般资料问卷、用药知识问卷、评价用药依从性的Morisky问卷进行调查,收集资料。结果:老年多重用药患者的用药依从率为25.8%。多因素分析显示,年龄(β=-1.061)和药物种类(β=-0.169)是用药依从性的危险因素,而用药知识水平(β=0.059)是保护因素。结论 :老年多重用药患者的用药依从性现状不容乐观,提示今后应加强用药指导,通过临床药师与医护人员组成治疗团队加强药物随访,从而减少患者药物种类,以提高老年多重用药患者的用药依从性。Objectives： To investigate the current status and associated factors of medication compliance in the elderly with polypharmacy. Methods： Convenient sampling was used to recruit 178 elderly patients with polypharmacy who were hospitalized in a tertiary hospital. Using self-developed general information questionnaire, self-developed medication knowledge questionnaire, and Morisky questionnaire to evaluate medication compliance. Results： The rate of medication compliance in the elderly with polyphamacy was 25.8%. Multivariate analysis showed that age （β=-1.061） and types of drugs （β=-0.169） had negative effects on the drug compliance, and the knowledge level of the drug （β=0.059） had positive effects on the compliance of the drug. Conclusion： The study showed that the medication compliance of elder was lower. To improve the medication compliance of elder with polyphamacy, medical staff should strengthen medication guidance, drug treatment follow-up by a team of clinical doctors, nurses and pharmacists and reduce the types of drugs.

关 键 词：老年人 多重用药 用药依从性 影响因素 

分 类 号：R47[医药卫生—护理学]