门诊患者的药物素养现状调查  

Medication literacy status of outpatients and influencing factors

作　　者：郑凤[1] 丁四清[2] 沈志莹 段应龙 胡漫辉[1] 钟竹青[2] 

机构地区：[1]中南大学湘雅三医院心内科,湖南长沙410013 [2]中南大学湘雅三医院护理部,湖南长沙410013 [3]中南大学湘雅护理学院

出　　处：《护理学杂志》2017年第11期26-29,共4页Journal of Nursing Science

基　　金：国家自然科学基金青年基金资助项目(71603290)

摘　　要：目的对门诊患者的药物素养进行调查,分析影响药物素养的因素。方法抽取446例在长沙市6所医院门诊就诊患者,采用中文版药物素养评估量表进行问卷调查。结果门诊患者药物素养得分7.49±3.47,12.1%药物素养差,57.4%中等,30.5%好。不同性别、年龄、职业、文化程度、婚姻状况、月平均收入、疾病总数、服药数量的门诊患者的药物素养得分比较,差异有统计学意义(均P<0.01)。多元逐步回归分析显示,年龄、文化程度、婚姻状况、职业是影响门诊非住院患者药物素养水平的主要因素(R^2=0.446)。结论门诊患者的药物素养处于中等水平,其中高龄、低文化程度、非在职及无配偶患者药物素养相对较差,应采取针对性措施提高该类人群的药物素养水平,促进安全用药。Objective To investigate medication literacy status of outpatients and to examine the influencing factors of medication literacy. Methods Totally, 446 outpatients were recruited from outpatient departments of 6 hospitals in Changsha, Hunan, and were surveyed by using the Chinese version of Medication Literacy Assessment. Results Medication literacy averaged 7.49 ± 3.47, with 12.1%of the participants at poor, 57.4% at moderate, and 30.5% at good level. There were significant differences in the medication literacy score among participants of different genders, ages, occupations, education levels, marital status, monthly in- come, number of diseases and number of medicines （P〈0.05 for all）. Stepwise regression analysis indicated that, participants＇ a ges, education levels, marital status, and occupations could predicted medication literacy（R2=0. 446）. Conclusion Outpatients＇ medication literacy was grossly at medium level. Those who had advanced ages, lower education levels, who were non-workers, or had no spouses, were disposed to poorer medication literacy. Measures should be taken to enhance medication literacy of this popu- lation and promote safe medication.

关 键 词：门诊 患者 药物素养 影响因素 调查研究 

分 类 号：R473.5[医药卫生—护理学]