北京市门诊患者中药汤剂服用依从性影响因素研究  

Study on Influencing Factors of TCM Decoction Taking Compliance in Outpatients in Beijing

作　　者：任嘉宁 王文妍 戴力辉[1] 张亦雯 韩征 邓迪 REN Jianing;WANG Wenyan;DAI Lihui;ZHANG Yiwen;HAN Zheng;DENG Di(School of Management,Beijing University of Chinese Medicine,Beijing 102488,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China;School of Acupuncture and Massage,Beijing University of Chinese Medicine,Beijing 102488,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学管理学院,北京102488 [2]北京中医药大学护理学院,北京102488 [3]北京中医药大学针灸推拿学院,北京102488 [4]北京中医药大学中医学院,北京102488

出　　处：《中国中医药信息杂志》2021年第2期127-131,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：北京中医药大学国家级大学生创新创业训练项目(201910026120);北京中医药大学科研发展基金(2017-ZXFZJJ-014)。

摘　　要：目的了解北京市门诊患者中药汤剂服用依从性现状及其影响因素,探讨改善患者中药汤剂服用依从性的措施。方法采用方便抽样方法,于2019年5-10月在北京市8家医院中医门诊进行问卷调查,采用自填式问卷调查法,通过课题组编制的问卷对患者中药汤剂服用依从性进行评分。结果共调查有汤剂服用经历或正在服用汤剂的患者296例。中药汤剂服用依从性平均得分(20.46±3.25)分,161例(54.4%)患者有良好的依从性。多元逐步回归分析显示,康复信念、坚持信心、亲友支持、就诊方便程度、交流中医药频率是中药汤剂服用依从性的影响因素(P<0.05)。结论北京市门诊患者服用中药汤剂依从性较好,但有待提高。增强患者服药和康复的信念可作为探索中医药健康教育干预的方向,构建有效的社会支持系统可成为中医药政策制订的重点内容。Objective To investigate the status quo and influencing factors of TCM decoction taking compliance in outpatients in Beijing;To explore the measures of improving TCM decoction taking compliance. Methods The convenient sampling method was adopted to conduct a questionnaire survey in TCM outpatient clinics of eight hospitals in Beijing from May 2019 to October 2019. Self-administered questionnaires were conducted. TCM decoction taking compliance was scored through the questionnaires prepared by the research group. Results A total of 296 patients who had been or were taking decoction were investigated. The mean score of TCM decoction taking compliance was(20.46±3.25), and 161 cases(54.4%) of the patients had good compliance. Multivariate stepwise regression analysis showed that belief in rehabilitation, confidence in persistence, support of relatives and friends, convenience of visiting doctors, and frequency of communicating TCM were influencing factors of TCM decoction taking compliance(P<0.05). Conclusion TCM decoction taking compliance in outpatients of Beijing is good but needs to be improved. Strengthening the patients’ belief in medication and rehabilitation can serve as a direction to explore health education interventions in TCM, and building an effective social support system can become a key content of TCM policy formulation.

关 键 词：服药依从性 中药汤剂 门诊患者 北京市 

分 类 号：R288[医药卫生—中药学]