胃肠外科患者用药依从性现状及影响因素分析  

Analysis on the Status Quo and Influencing Factors of Drug Compliance in Patients with Gastrointestinal Surgery

作　　者：蒋凤霞 刘艳军 任荣华 楚亚丽[1] Jiang Fengxia;Liu Yanjun;Ren Ronghua(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)

机构地区：[1]山东大学齐鲁医院、山东大学护理理论与实践创新研究中心,山东济南250012

出　　处：《齐鲁护理杂志》2023年第12期9-11,共3页Journal of Qilu Nursing

摘　　要：目的:分析胃肠外科患者用药依从性现状及影响因素。方法:采用便利抽样法纳入自2021年3月1日~2022年8月1日于山东省某三甲医院就诊的胃肠外科患者104例,收集患者性别、年龄、病程等一般资料,使用用药依从性量表评估患者用药依从性,采用自我效能量表评估患者自我效能,筛选对患者自我效能影响效应具有统计学意义的单因素,并纳入以自我效能为因变量的线性回归分析建立回归模型。结果:不同水平自我效能间用药依从性得分差异有统计学意义(P<0.05),其中得分由高到低分别为自信心较高患者(6.90±0.68)分、自信心非常高患者(6.17±0.33)分、自信心偏低患者(5.05±0.11)分。不同等级用药依从性中,性别、受教育程度、自我效能等级分布差异有统计学意义(P<0.05)。用药依从性与年龄(r=0.631)、病程(r=0.614)、自我效能(r=0.389)总分均呈正相关(P<0.05)。结论:胃肠外科患者用药依从性与患者性别、受教育程度、自我效能、年龄、病程具有显著相关性,临床护理工作中应针对患者自身特点进行针对性护理,以提高患者用药依从性从而改善患者治疗效果。Objective:To analyze the status quo of drug compliance and its influencing factors in patients with gastrointestinal surgery.Methods:A total of 104 patients with gastrointestinal surgery admitted in a tertiary A hospital in Shandong province from March 1,2021 to August 1,2022 were enrolled by the convenience sampling method.The general data of patients′gender,age,course of disease,etc.were collected.The drug compliance scale was used to assess patients′drug compliance,and the self-efficacy scale was used to assess patients′self-efficacy.The single factor with statistical significance on the effect of self-efficacy was selected and included in the linear regression analysis with self-efficacy as the dependent variable to establish a regression model.Results:There was a significant difference in the scores of drug taking compliance between different levels of self-efficacy(P<0.05).The scores from high to low were(6.90±0.68)for patients with high self-confidence,(6.17±0.33)for patients with very high self-confidence,and(5.05±0.11)for patients with low self-confidence.Among different levels of drug compliance,gender,education background and self-efficacy were statistically significant(P<0.05).Compliance was positively correlated with age(r=0.631),course of disease(r=0.614),and total scores of self-efficacy(r=0.389)(P<0.05).Conclusion:The compliance of patients with gastrointestinal surgery is significantly related to their gender,educational background,self-efficacy,age and course of disease.In clinical nursing work,targeted nursing intervention should be carried out according to their own characteristics to improve the compliance of patients with gastrointestinal surgery and improve the therapeutic effect of patients.

关 键 词：胃肠疾病 自我效能 用药依从性 影响效应 

分 类 号：R473.6[医药卫生—护理学]