山东省农村老年慢性病患者服药依从性及其影响因素分析  

Medication compliance and its associates among rural elderly with noncommunicable chronic diseases in Shandong province

作　　者：高兆溶 秦文哲 张娇 胡芳芳[1,2,3] 洪壮 徐凌忠 GAO Zhao-rong;QIN Wen-zhe;ZHANG Jiao(School of Public Health,Cheeloo College of Medicine,Shandong University,Ji'nan,Shandong Province 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院,山东济南250012 [2]山东大学卫生经济实验与公共政策研究中心 [3]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学)

出　　处：《中国公共卫生》2022年第4期410-413,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(71673169,71974118)。

摘　　要：目的了解山东省农村老年慢性非传染性疾病(慢性病)患者服药依从性及其影响因素,为有效提高老年慢性病患者的服药依从性提供参考依据。方法于2017年8—9月采用多阶段分层整群随机抽样方法在山东省威海、潍坊、菏泽3个地级市抽取7070名≥60周岁老年人进行问卷调查,对其中3456例农村老年慢性病患者的服药依从性及其影响因素进行分析。结果山东省3456例农村老年慢性病患者中,服药依从者1229例,服药依从率为37.6%;多因素非条件logistic回归分析结果显示,年龄≥70周岁、无业、自评健康状况较差、患2种慢性病、自我效能中和高的山东省农村老年慢性病患者服药依从性较好,小学和初中文化程度、三餐不规律、调查前1年未住院、心理健康状况一般和较差的山东省农村老年慢性病患者服药依从性较差。结论山东省农村老年慢性病患者服药依从性较差,年龄、文化程度、就业状况、三餐是否规律、自评健康状况、患慢性病种数、调查前1年是否住院、心理健康状况和自我效能是该地区农村老年慢性病患者服药依从性的主要影响因素。Objective To examine the prevalence and influencing factors of medication compliance among elderly noncommunicable chronic diseases(NCDs)patients in rural Shandong province and to provide a reference for effectively improving medication compliance of the patients.Methods Using stratified multistage random cluster sampling,we conducted a questionnaire survey among 7088 rural residents aged 60 years and above in three prefectures of Shandong province during August-September,2017.Then,the residents diagnosed with NCDs(including hypertension,diabetes,cardiovascular diseases,and tumor)were identified and their medication compliance and its influencing factors were analyzed.Results Among 7070 participants with complete information,3456 were NCDs patients;of the patients,37.6%(1229)were assessed being compliant to their medication.The results of unconditional multivariate logistic regression analysis revealed that the patients aged≥70 years,not being employed,having a poor self-rated health condition,suffering from two NCDs,and with a moderate or high self-efficacy score were more likely to have medication compliance;whereas,the patients with the education of junior high school and below,without regular daily diet,without hospitalization during past one year,and with a fair or poor mental health situation were less likely to have medication compliance.Conclusion The medication compliance is poor and influenced by multiple factors including age,education,employment,daily diet regularity,self-rated health,disease comorbidity,hospitalization during previous one year,mental health,and self-efficacy among rural elderly residents with non-communicable chronic diseases in Shandong province.

关 键 词：服药依从性 影响因素 老年慢性病患者 农村 

分 类 号：R592[医药卫生—老年医学]