老年慢性病住院患者服药依从性现状及影响因素研究  

Current status and influencing factors of medication compliance in elderly inpatients with chronic diseases

作　　者：迟晨汝 周志庆[2] 刘欢[2] 费小芸[2] 童小梨 杨玉辉 匡霞[2] CHI Chenru;ZHOU Zhiqing;LIU Huan;FEI Xiaoyun;TONG Xiaoli;YANG Yuhui;KUANG Xia(Graduate School of Wannan Medical College,Wuhu 241002,China;Yijishan Hospital,the First Affiliated Hospital of Wannan Medical College)

机构地区：[1]皖南医学院研究生学院,安徽芜湖241002 [2]皖南医学院第一附属弋矶山医院

出　　处：《包头医学院学报》2024年第3期60-64,共5页Journal of Baotou Medical College

基　　金：2022年皖医弋矶山医院管理与服务创新项目(CX2022013);2020年安徽省高等学校省级质量工程(No.2020xsxxkc457)。

摘　　要：目的:调查老年慢性病住院患者服药依从性现状并分析其影响因素,为提高老年慢性病患者的服药依从性提供参考。方法:采用一般资料问卷、服药依从性量表及电子健康素养量表,对随机选取的某三甲医院500例住院患者进行问卷调查。采用单因素分析、Pearson相关性分析和多因素Logistic回归分析老年慢性病住院患者服药依从性的影响因素。结果:500例老年慢性病住院患者中,服药依从性好者213例(42.6%),287例(57.4%)患者服药依从性较差。Pearson相关性分析结果显示老年慢性病住院患者服药依从性总分与电子健康素养总分呈正相关(r=0.319,P=0.008)。经多因素Logistic回归分析,文化程度、居住地、经济水平、年龄、当前工作状态及电子健康素养是老年慢性病住院患者服药依从性的主要影响因素(P<0.05)。结论:老年慢性病住院患者服药依从性普遍较低,应继续加强慢性病患者健康宣传教育,提高其对慢性病危害的认知程度、慢性病防治能力及服药依从性,帮助患者降低慢性病并发症发病风险,减轻患者疾病负担。Objective:To investigate the current status of medication compliance of elderly inpatients with chronic diseases and analyze its influencing factors,with the purpose of providing references for improving medication compliance of elderly patients with chronic diseases.Methods::General information questionnaire,medication adherence report scale(MARS)and the eHealth literacy scale(eHEALS)were designed to investigate 500 inpatients who were randomly selected from an AAA hospital.Univariate analysis,Pearson correlation analysis and multivariate logistic regression analysis were used to analyze the influencing factors of medication compliance in elderly hospitalized patients with chronic diseases.Results::Among 500 elderly inpatients with chronic diseases,213(42.6%)had good medication compliance,287(57.4%)had poor medication compliance.Pearson correlation analysis results showed that the total score of medication compliance of elderly inpatients with chronic diseases was positively correlated with the total score of eHEALS(r=0.319,P=0.008).Multivariate logistic regression analysis results showed that education level,residence,economic level,age,current working status and e-health literacy were the main influencing factors of medication compliance of elderly hospitalized patients with chronic diseases(P<0.05).Conclusion::The level of medication compliance in elderly hospitalized patients with chronic diseases is generally low.Health publicity and education on patients with chronic diseases should be strengthened to improve their cognition degree of chronic disease hazards,chronic disease prevention and treatment ability and medication compliance,so as to reduce the risk of chronic disease complications and lower their burden.

关 键 词：老年 慢性病 服药依从性 现状 影响因素 

分 类 号：R472[医药卫生—护理学]