维持性血液透析患者口服醋酸钙依从性调查及其相关因素分析  

Study on medication adherence and influencing factors of oral calcium acetate in patients with maintenance hemodialysis

作　　者：郝桂华[1] 黄梅娟[2] 黄洁[1] 陈章 陆伟[1] 阮洪[3] 

机构地区：[1]上海交通大学医学院附属第九人民医院血透室,上海200011 [2]上海交通大学医学院附属第九人民医院心内科,上海200011 [3]上海交通大学医学院附属第九人民医院护理教研室,上海200011

出　　处：《中华现代护理杂志》2017年第26期3416-3419,共4页Chinese Journal of Modern Nursing

基　　金：2014年度上海交通大学医学院附属第九人民医院护理院级基金项目（JYHL20151705）

摘　　要：目的 调查维持性血液透析患者服用醋酸钙的依从性状况并探讨其影响因素.方法 采用便利抽样法,选取2016年6—12月在上海市某三级甲等医院血透室进行维持性血液透析治疗的患者.采用一般资料调查表、简化服药依从性问卷、社会支持评定量表对其服药依从性进行调查,并对其相关因素进行分析.结果 共调查99例患者,其中37例（37.4%）服用醋酸钙依从性良好,62例（62.6%）患者依从性差.服药依从性良好和依从性差的患者之间在年龄、职业状态、婚姻状况、血磷、甲状旁腺激素水平方面差异具有统计学意义（P〈0.05）.Logistic回归分析显示,年龄、婚姻、职业状态是服药依从性的影响因素（P〈0.05）.结论 维持性血液透析患者醋酸钙服药依从性不容乐观,应针对患者的年龄、婚姻及职业状态采取相应的措施,以提高其服药依从性.Objective To investigate the characteristics of the medication adherence and analyze their influencing factors in hemodialysis patients. Methods Hemodialysis patients who were treated in a class Ⅲgrade A hospital of Shanghai from June to December 2016 were selected as the research object by convenience sampling. The patients were investigated by general information questionnaire,simplified medication compliance questionnaire and social support rating scale,and the relevant influencing factors of medication adherence were analyzed. Results A total of 99 patients were surveyed,37 patients of them（37.4%）had good adherence to calcium acetate,and 62 patients（62.6%）had poor compliance. There were significant differences in age, occupation,marital status,serum phosphorus and parathyroid hormone levels between patients with good compliance and poor compliance（P 〈 0.05）. Logistic regression analysis showed that age,marital status and occupation were the influencing factors of medication compliance（P 〈 0.05）. Conclusions The compliance of calcium acetate in maintenance hemodialysis patients is not optimistic. It is important to further improve the adherence by establishing accessible education programs according to their age,marital status and occupational status.

关 键 词：肾透析 药物治疗依从性 醋酸钙 相关因素 

分 类 号：R473.5[医药卫生—护理学]