老年缺血性卒中患者抗血小板药物依从性的现状及影响因素分析  

Investigation and analysis of antiplatelet drug compliance in elderly patients with ischemic stroke and its influencing factors

作　　者：刘华江[1] 余巍 王磊[1] 王浩[1] 张真[1] 付洪伟[1] 周成[1] LIU Huajiang;YU Wei;WANG Lei(Department of Neurology,The First People’s Hospital of Zaoyang City,Hubei,Zaoyang 441200,China)

机构地区：[1]湖北省枣阳市第一人民医院神经内科,441200

出　　处：《河北医药》2021年第20期3180-3183,共4页Hebei Medical Journal

基　　金：湖北省卫健委科研项目(编号:WJ2019F144)。

摘　　要：目的对老年缺血性卒中(AIS)患者抗血小板药物依从性的现状进行调查,探讨药物依从性的相关影响因素,以指导对重点人群和重点行为的干预。方法选取2016年10月至2019年12月收治的AIS患者260例作为研究对象,采用一般资料调查表、服药依从性调查量表对纳入患者服药依从性进行评估,通过多因素Logistic回归分析影响老年AIS患者抗血小板药物依从性的危险因素。结果纳入的260例AIS患者中,抗血小板药物依从性良好的患者占64.62%(168/260),依从性差的患者占35.38%(92/260)。经多因素Logistic回归分析显示,高龄、文化程度、医疗支付方式、疾病认知程度、合并慢性病为影响老年AIS患者抗血小板药物依从性的危险因素(P<0.05)。结论AIS患者抗血小板药物依从性现状不容乐观,高龄、文化程度低、自费医疗、未合并慢性疾病为影响其用药依从性的危险因素。临床护理工作中,医护人员应加强用药指导,遵循个体化原则,培养患者形成良好的服药习惯,提高患者的服药依从性。Objective To investigate the current situation of antiplatelet drug compliance in elderly patients with ischemic stroke(AIS),and to explore the related factors so as to perform intervention for the key population and key behaviors.Methods A total of 260 AIS patients who were treated in our hospital from October 2016 to December 2019 were enrolled in the study.The compliance of the patients with AIS was assessed by general data questionnaire and compliance questionnaire.Multivariate logistic regression was used to analyze the risk factors influencing the antiplatelet drug compliance of elderly AIS patients.Results Of the 260 AIS patients,the patients who had good/excellent or poor antiplatelet drug compliance accounted for 64.62%(168/260)and 35.38%(92/260),respectively.Logistic regression analysis showed that senility,education levels,payment mode,cognitive level and combined chronic diseases were the risk factors for the compliance of antiplatelet drugs in the elderly patients with AIS.Conclusion The situation of antiplatelet drug compliance in AIS patients is not optimistic.The senility,education level,payment method,cognitive level and combined chronic diseases are the risk factors.Medical staff should strengthen medication guidance and the principle of individualization,to help the patients to develop a good medication habit so as to improve their compliance.

关 键 词：缺血性脑卒中 老年人 抗血小板药物 依从性 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]