老年冠心病患者二级预防用药依从性及其相关因素分析  

The compliance of secondary prevention drug therapy and related factors in elderly patients with coronary heart disease

作　　者：刘小伟[1] 王江挺 杜常青[1] 林森娜 徐晨凯[1] 唐礼江[1] LIU Xiaowei;WANG Jiangting;DU Changqing;LIN Senna;XU Chenkai;TANG Lijiang(Department of Cardiology,Zhejiang Hospital,Hangzhou 310013,China)

机构地区：[1]浙江医院心内科,杭州310013 [2]浙江中医药大学第一临床医学院

出　　处：《心电与循环》2020年第5期438-441,共4页Journal of Electrocardiology and Circulation

基　　金：浙江省医药卫生重大科技计划项目(2015128660)。

摘　　要：目的调查老年冠心病患者二级预防用药依从性的现状及影响因素。方法回顾分析2015年6月至2017年6月浙江医院老年冠心病患者临床资料,应用单因素及多因素logistic回归模型分析影响老年冠心病患者二级预防药物依从性的相关因素。结果共有1150例患者,其中男770例,女380例,年龄65~96岁。二级预防用药依从性好者仅142例(12.35%)。分析显示医疗费用医保支付、冠心病病程<3年、服药种类少者、高收入者、教育程度高者依从性较高(均P<0.05)。结论老年冠心病患者二级预防用药依从性较低,提高医保支付比例及选用单片复方制剂可提高服药依从性。Objective To survey the current status of medication compliance on secondary prevention and related influencing factors in patients with coronary heart disease(CHD).Methods The clinical data of elderly patients with CHD were collected from June 2015 to June 2017 in our hospital.The univariate and multiple factors logistic regression model was used to analyze the factors affecting the compliance of secondary prevention drug therapy in elderly CHD patients.Results A total of 1150 CHD patients(770 males,380 females,aged from 65 to 96 years)were enrolled.of them,142 cases(12.35%)showed good medication compliance.The regression analysis showed that health insurance pay,disease course<3years,less drug number,high income and higher education level were related to better medication compliance.Conclusion The medication compliance of elderly patients with CHD in secondary prevention is poor.Increasing the national health insurance ratio and single-pill combination therapy may improve medical compliance of elderly patients with CHD.

关 键 词：老年人 冠心病 二级预防 依从性 

分 类 号：R541.4[医药卫生—心血管疾病]