门诊患者药物素养对药物依从性影响的研究  

Effects of medication literacy on medication adherence in outpatients

作　　者：法天锷[1] 梁宝凤 班俊坤 李淑娟[1] Fa Tian＇e;Liang Baofeng;Ban Junkun;Li Shujuan(Department of Nursing,Tianjin Chest Hospital,Tianjin 300222,China)

机构地区：[1]天津市胸科医院护理部,300222

出　　处：《中国实用护理杂志》2018年第31期2450-2453,共4页Chinese Journal of Practical Nursing

基　　金：天津市医院协会医院管理研究项目（2017zch14）

摘　　要：目的探讨门诊患者药物素养现状及其对药物依从性的影响。方法2017年8月采用药物素养评估量表及药物依从性量表对天津市胸科医院、天津市环湖医院和天津医科大学第二医院3家医院门诊患者进行横断面调查。结果200例门诊患者药物素养得分为（7．60±2．98）分。不同年龄（F=9．444）、文化程度（辟26．682）的门诊患者药物素养得分差异有统计学意义（P〈0．05）。Logistie回归分析显示，门诊患者药物素养对药物依从性有影响（P〈0．05），药物素养高的门诊患者的药物依从性分别是药物素养中等、差的患者的2．336倍、18．529倍；药物素养中等的门诊患者的药物依从性是药物素养差的7．925倍。结论门诊患者药物素养处于中等水平，多数患者药物依从性差。患者药物素养水平越高，药物依从性越好；药物素养水平越低，药物依从性越差。医护人员可以通过提升门诊患者的药物素养水平提升其药物依从性，保障患者健康。Objective To assess medication literacy status of outpatients and analyze the effect of medication literacy on medication adherence. Methods Outpatients were investigated with Medication Literacy Assessment scale and Medication Adherence Scale in Tianjin Chest Hospital, Tianjin Huanhu Hospital and the Second Hospital of Tianjin Medical University in August 2017. Results The average score of Medication literacy scale of 200 outpatients was 7.60±2.98. There were significant differences among the scores of Medication Literacy Assessment scale of different ages （F=9.444, P 〈 0.05） and education levels（F=26.682, P 〈 0.05）. Logistic regression analysis showed that medication literacy had an impact on medication adherence in outpatients （P 〈 0.05）. The medication compliance of outpatients with high medication literacy was 2.336 times as high as who with medium medication literacy and 18.529 times as high as who with low medication literacy, and the medication compliance of outpatients with medium medication literacy was 7.925 times as high as who with low medication literacy. Conclusion The medication literacy of outpatients was at the middle level, and most of the outpatients were poor in adherence. The higher the medication literacy level was, the better the medication adherence was; the lower medication literacy level was, the poorer medication adherence was. The medical staff could improve the medication adherence by improving the medication literacy to ensure the health of outpatients.

关 键 词：门诊患者 药物素养 药物依从性 

分 类 号：R472[医药卫生—护理学]