主动脉夹层术后患者服药依从性潜在类别特征及其影响因素研究  

Latent category characters of patients with aortic dissection after surgery and its related factors

作　　者：韩亚茹 徐嘉仪 李如如 王珏[2] 王苗 张丽青[3] HAN Yaru;XU Jiayi;LI Ruru;WANG Jue;WANG Miao;ZHANG Liqing(School of Nursing,Wenzhou Medical University,Wenzhou,Zhejiang province,325035,China)

机构地区：[1]温州医科大学护理学院,浙江省温州市325035 [2]温州医科大学附属第一医院心脏外科 [3]温州医科大学附属第一医院护理部

出　　处：《中国护理管理》2023年第5期676-680,共5页Chinese Nursing Management

基　　金：2022年度温州市科技局项目(Y20210077)。

摘　　要：目的:对主动脉夹层术后患者的服药依从性进行特征分类并探索其影响因素,随访不同类别人群生理指标控制水平,为制订有针对性的用药管理方案提供参考。方法:选取2021年7月至2022年9月就诊于浙江省某三级甲等医院心脏外科随访门诊的主动脉夹层术后患者作为研究对象进行横断面调查。采用潜在剖面分析对其服药依从性进行特征分类,并用单因素分析、二元Logistic回归等对人群特征差异进行检验。结果:患者可分为服药依从性低下型(59.1%)和服药依从性良好型(40.9%)两个潜在类别;二元Logistic回归显示,年收入≥50000元(OR=2.185)和自我效能感(OR=1.173)是患者服药依从性的促进因素。服药依从性良好型人群血压控制水平更佳。结论:主动脉夹层术后患者的服药依从性存在两个潜在类别,医护人员应依据不同类型患者的潜在特征,采取有针对性的干预措施,以提高血压控制水平。Objective:We classified medication adherence characteristics of aortic dissection patients after surgery and explored related factors.To formulate targeted management programs,the physiological indexes were followed in different categories of population.Methods:This was a cross-sectional study.A total of 306 patients with aortic dissection who were admitted to the follow-up clinic of Cardiac Surgery in a hospital in Zhejiang province from July 2021 to September 2022 were selected as the research objects.Latent profile analysis was used to characterize their medication adherence.To assess the differences between subgroup characteristics and related factors,single factor analysis and binary Logistic regression were performed.Results:Patients could be divided into two potential categories of low medication compliance(59.1%)and good medication compliance(40.9%).Binary Logistic regression showed that annual income≥50,000 yuan(OR=2.185)and self-efficacy(OR=1.173)were protective factors for patients'medication adherence.Blood pressure was better controlled in people who adhered to their medications.Conclusions:There are two potential categories of medication adherence in patients after aortic dissection.The medical staff should take targeted interventions according to individual patient's characteristics and problems.

关 键 词：主动脉夹层 服药依从性 潜在剖面分析 

分 类 号：R473.6[医药卫生—护理学] R197[医药卫生—临床医学]