慢性疾病患者药物依从行为及药物信念的调查  

Investigation on the medication adherence behaviors and medication convictions of the patients suffering from chronic diseases

作　　者：李如蓝 夏仲[2] 戎伟[3] LI Ru-lan;XIA Zhong;RONG Wei(School of Graduate,Wannan Medical College,Anhui Province,Wuhu241002,China;Department of Sleep Medicine,the Fourth People′s Hospital of Wuhu,Anhui Province,Wuhu241002,China;Department of Clinical Psychology,Wuhu Second People′s Hospital,Anhui Province,Wuhu241001,China)

机构地区：[1]皖南医学院研究生院,安徽芜湖241002 [2]安徽省芜湖市第四人民医院睡眠医学科,安徽芜湖241002 [3]安徽省芜湖市第二人民医院心理科,安徽芜湖241001

出　　处：《中国当代医药》2021年第24期199-201,205,共4页China Modern Medicine

基　　金：国家社科重大招标项目(17ZDA327)。

摘　　要：目的了解慢性疾病患者的药物依从性现状,分析其与药物信念的关系,为改善慢性疾病患者的药物依从性水平提供路径。方法随机抽取2019年10月7日—13日于芜湖市某三甲医院慢病门诊就诊的220例罹患高血压、糖尿病、冠心病等慢性疾病患者,采用药物依从性量表(MARS-5)和药物信念量表(BMQ-G)对患者进行调查,并对调查所得数据进行统计分析。结果慢性疾病患者药物依从性水平较差,得分为(14.25±3.15)分。药物依从性与性别、年龄、学历有关(P<0.05),而药物依从性与疾病的种类无关(P>0.05)。药物信念的三个维度(过度使用、有益信念和危害信念)与药物依从性之间均存在相关性(P<0.01)。有益信念和过度使用可以对药物依从性进行预测(P<0.01)。结论慢性疾病患者药物依从性水平较差,存在性别、年龄及文化程度差异;慢性疾病患者药物信念中有益信念正向预测药物依从性,过度使用负向预测药物依从性。Objective To understand the current medication adherence of the patients suffering from chronic diseases,analyze its relationship with medication convictions and provide a path to improve the medication adherence level of the patients suffering from chronic diseases.Methods A total of 220 patients suffering from hypertension,diabetes,coronary heart disease and other chronic diseases who were admitted to the Chronic Disease Clinic of a grade-A and first-class hospital in Wuhu from October 7 to 13,2019 were randomly selected.The medication adherence report scale(MARS-5)and beliefs about medical questionnaire(BMQ-G)were used to investigate the patients,and the data obtained from the survey were statistically analyzed.Results The patients suffering chronic diseases were poor in medication adherence,with the score of(14.25±3.15)points.Medication adherence was related to gender,age,and educational background(P<0.05),while it was not related to the type of diseases(P>0.05).There was a correlation between the three dimensions of medication convictions(excessive application,beneficial convictions and harmful convictions)and medication adherence(P<0.01).Beneficial convictions and excessive application could exert a significant prediction effect on medication adherence(P<0.01).Conclusion Patients suffering from chronic diseases have a low medication adherence level,and there are obvious differences in gender,age and education;among the medication convictions of the patients suffering from chronic diseases,beneficial conviction predicts medication adherence positively,and excessive application negatively predicts medication adherence.

关 键 词：慢性疾病 药物依从性 药物信念 

分 类 号：R197[医药卫生—卫生事业管理]