慢性肾脏病患者降压药用药知识水平现状及影响因素  

Status quo and influencing factors of knowledge level of antihypertensive drugs in patients with chronic kidney disease

作　　者：杨聪 杨孟琴 夏嘉一 付波 刘猛 龚妮容[2] 艾军[2] 苏建萍 YANG Cong;YANG Mengqin;XIA Jiayi;FU Bo;LIU Meng;GONG Nirong;AI Jun;SU Jianping(School of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830017,China;Depertment of Nephrology,Nanfang Hospital,Southern Medical University,Gruangdong Province,Guangzhou510515,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830017 [2]南方医科大学南方医院肾内科,广东广州510515

出　　处：《中国医药导报》2022年第24期52-55,共4页China Medical Herald

基　　金：国家自然科学基金面上项目(81770765);新疆维吾尔自治区研究生教育教学改革项目(XJ2020JY22)。

摘　　要：目的调查慢性肾脏病(CKD)患者降压药用药知识水平现状,分析其影响因素,以期为今后的干预措施提供依据。方法选取2021年2月至5月在广州市某三级甲等医院肾内科住院的311例慢性肾脏病患者为研究对象。采用一般资料问卷、用药知识量表、合理用药自我效能量表、领悟家庭支持量表进行调查。结果用药知识得分为(20.9±6.2)分。不同年龄、文化程度、职业状态、家庭人均月收入、接受降压药相关知识健康宣教及阅读药物说明书CKD患者用药知识得分比较,差异有统计学意义(P<0.05)。经Spearman秩相关分析显示,CKD患者用药知识与合理用药自我效能(r=0.470)、家庭支持(r=0.349)呈正相关(P<0.05)。回归分析结果显示,文化程度、接受降压药相关知识健康宣教、合理用药自我效能、领悟家庭支持、阅读药物说明书是患者用药知识水平的影响因素(P<0.05),可共同解释用药知识总变异的35.0%。结论医护人员可以结合用药知识水平的各项影响因素,有针对性地进行健康教育,以提高用药知识水平。Objective To investigate the status quo of knowledge level of blood pressure medication use in patients with chronic kidney disease(CKD),to analyze its influencing factors,and in the hope of providing a basis for future interventions.Methods A total of 311 patients with CKD who were hospitalized in the Department of Nephrology in a tertiary hospital in Guangzhou from February to May 2021 were selected as the research subjects.The general information questionnaire,medication knowledge scale,rational drug use self-efficacy scale,and perception family support scale were used to investigate.Results The score of drug knowledge in this survey was(20.9±6.2)points.There were significant differences in the scores of medication knowledge among CKD patients with different age,education level,occupational status,per capita monthly income of the family,received antihypertensive drug-related knowledge health education,and read the drug instructions(P<0.05).Spearman rank correlation analysis showed that medication knowledge in CKD patients was positively correlated with rational medication self-efficacy(r=0.470)and family support(r=0.349)(P<0.05).The results of regression analysis showed that five variables,including education level,received of antihypertensive drug-related knowledge and health education,rational drug use self-efficacy,understanding of family support,and read drug instructions were the influencing factors in knowledge level of patient medication equation(P<0.05).They could jointly explain 35.0%of the total variation in medication knowledge.Conclusion Medical staff can carry out health education in a targeted manner in combination with various influencing factors of drug knowledge level,so as to improve the level of drug use knowledge.

关 键 词：慢性肾脏病 降压药 用药知识 影响因素 

分 类 号：R54[医药卫生—心血管疾病]