消化性溃疡患者服药依从性状况及个体因素的影响调查  

Medication compliance of patients with peptic ulcer and its individual influencing factors

作　　者：彭冬梅[1] 卢小红[1] 陈秋丽[1] 杨静华[1] 叶彩翠 Peng Dongmei;Lu Xiaohong;Chen Qiuli;Yang Jinghua;Ye Caicui(Department of Gastroenterology,Zhanjiang Central People's Hospital,Zhanjiang 524033,China)

机构地区：[1]广东省湛江中心人民医院消化内科,524033

出　　处：《国际医药卫生导报》2021年第19期3101-3104,共4页International Medicine and Health Guidance News

摘　　要：目的了解消化性溃疡患者的服药依从性状况,以及探讨个体因素对其影响,以指导临床护理实践并帮助提高患者健康管理水平。方法采用便利抽样法,选取2019年4月1日至2020年5月20日期间在湛江中心人民医院诊断为消化性溃疡的患者96例,其中男59例,女37例,<45岁患者68例,≥45岁患者28例。采用《患者个体资料调查表》和《Morisky用药依从性问卷表》对患者进行调查,所得数据用SPSS 23.0统计学软件进行分析,了解患者的服药依从性状况以及个体因素对其影响。结果患者服药依从性状况好、中等、差人数所占比例分别为37.50%(36/96)、40.63%(39/96)、21.87%(21/96),中等水平占比例最高,服药依从性总分为(6.50±1.40)分,处于中等水平;年龄、性别、职业、文化程度、居住地域、家庭收入、病程、婚姻状态个体因素均对服药依从性有影响(均P<0.001)。结论消化性溃疡患者的治疗依从性水平有待提高,尤其是年轻、女性、体力劳动者、文化程度较低、居住在农村、病程较长、单身群体,对不同个体患者应采取灵活的健康教育方法,帮助患者提高用药知识,以提高其治疗依从性和生命质量水平。Objective To investigate the medication compliance of patients with peptic ulcer,to explore the individual influencing factors,and to guide clinical nursing practice and improve the level of patient health management.Methods Convenience sampling was used to select 96 patients diagnosed with peptic ulcer at Zhanjiang Central People's Hospital from April 1,2019 to May 20,2020,including 59males,37 females;amongwhom,68 caseswere less than 45 years old,and 28 cases≥45.The patients were investigated by Individual Data Questionnaire and Morisky Medication Adherence Score.The data were analyzed by SPSS 23.0 to understand the patients'medication compliance and the individual influencing factors.Results Among the 96 patients,36(37.50%)had good medication compliance,39(40.63%)medium compliance,and 21(21.87%)poor compliance,and the medium level accounted for the highest proportion.The total score of medication compliance was(6.50±1.40),on a medium level.Age,gender,occupation,education level,living area,disease course,marital status and other individual factors had influence on the patients'medication compliance(all P<0.001).Conclusions The treatment compliance of patients with peptic ulcer needs to be improved,especially the young,females,manual workers,the ones with a low educational level,the ones living in rural areas,the ones with a long disease course,and single people.Flexible health education methods should be adopted for different patients,so as to improve their medication knowledge,treatment compliance,and quality of life.

关 键 词：消化性溃疡 服药依从性 个体 影响因素 

分 类 号：R473.5[医药卫生—护理学]