妊娠合并甲减患者的服药依从性影响因素及护理对策  

Influencing Factors and Nursing Countermeasures of Medication Compliance in Pregnant Patients with Hypothyroidism

作　　者：钱隽[1] 张姝萍[1] 冉丽娜[1] 笪雅婧 QIAN Juan;ZHANG Shuping;RAN Lina;DA Yajing(Department of Obstetrics and Gynecology,People's Hospital of Jurong City,Jiangsu Province,Jurong,Jiangsu Province,212400 China)

机构地区：[1]江苏省句容市人民医院妇产科,江苏句容212400

出　　处：《中外医疗》2021年第29期160-164,共5页China & Foreign Medical Treatment

摘　　要：目的探讨妊娠合并甲减患者的服药依从性影响因素及护理对策。方法随机选取2016年6月—2019年12月期间该院收治的120例妊娠合并甲减患者为研究对象,在每例患者即将出院前发放“妊娠合并甲减患者服药依从性评定问卷调查表”,对于评定为依从性差的患者,再作“影响用药依从性原因调查”,结合患者甲状腺激素水平及妊娠结局,总结当地妊娠合并甲减患者服用优甲乐药物的依从性现状及其影响因素。结果当地妊娠合并甲减患者服用优甲乐依从性总体较差,其中患者缺乏对疾病和药物的认知[(12.75±2.32)分vs(13.68±2.13)分]、家庭的参与[(13.75±2.22)分vs(12.68±2.09)分]、自身接受教育程度[(13.08±2.16)分vs(14.51±2.18)分vs(15.85±2.19)分]、家庭人均收入[(12.67±2.02)分vs(13.85±2.22)分vs(15.61±2.46)分]是影响患者服药依从性的主要因素,差异有统计学意义(t=2.272、2.718,F=4.237、8.356,P<0.05)。结论缺乏对疾病和药物的认知、家庭的参与、自身接受教育程度、家庭人均收入是影响患者服药依从性的主要因素。为此,必须采取针对性的有效护理措施,以此改善患者服药依从性。Objective To explore the influencing factors and nursing countermeasures of medication compliance in pregnant patients with hypothyroidism.Methods Random selected 120 cases of patients with hypothyroidism of pregnancy who were admitted to the hospital from June 2016 to December 2019 were taken as the research objects.Before each patient was discharged from the hospital,the"Questionnaire for Medication Compliance Assessment of Patients with Hypothyroidism of Pregnancy"was issued.For patients assessed as poor compliance,a"survey on the causes of medication compliance"was conducted again,combined with the patient's thyroid hormone levels and pregnancy outcome,to summarize the current status of compliance of local pregnant patients with hypothyroidism and their influencing factors.Results The compliance of local pregnant patients with hypothyroidism was poor overall.The patients lacked knowledge of diseases and drugs[(12.75±2.32)points vs(13.68±2.13)points]and family involvement[(13.75±2.22)points vs(12.68±2.09)points],one’s own education level[(13.08±2.16)points vs(14.51±2.18)points vs(15.85±2.19)points],family income per capita[(12.67±2.02)points vs(13.85±2.22)points vs(15.61±2.46)points]were the main factors affecting patient compliance with medication,and the difference was statistically significant(t=2.272,2.718,F=4.237,8.356,P<0.05).Conclusion Lack of knowledge of diseases and medications,family involvement,self-acceptance of education,and family income per capita are the main factors affecting patient compliance with medications.For this reason,targeted and effective nursing measures must be taken to improve patient compliance with medication.

关 键 词：妊娠 甲状腺功能减退症 服药依从性 影响因素 护理对策 

分 类 号：R969[医药卫生—药理学]