德阳市某院门诊哮喘患儿用药依从性横断面调研  

Medication Adherence in Asthmatic Children at an Outpatient Department of Hospital in Deyang:A Cross-Sectional Survey

作　　者：赵小琳 宿怀予 高阳[1] 蒋艳[1] 宋晓艳 ZHAO Xiaolin;SU Huaiyu;GAO Yang;JIANG Yan;SONG Xiaoyan(Deyang People's Hospital,Deyang,Sichuan,China 618000)

机构地区：[1]四川省德阳市人民医院,四川德阳618000

出　　处：《中国药业》2024年第12期6-10,共5页China Pharmaceuticals

基　　金：四川省德阳市科技计划项目[2020SZZ083]。

摘　　要：目的为优化儿童哮喘门诊管理提供参考。方法采用横断面研究,选取医院儿童哮喘管理门诊2021年10月至2022年3月收治的哮喘患儿91例,从患儿一般情况、哮喘用药情况与疾病认知、用药依从性评价[采用Morisky用药依从性量表(MMAS-8)进行评分]、哮喘管理门诊服务需求等方面对患儿家长进行网络问卷调研,并对患儿用药依从性的影响因素进行分析。结果共回收有效问卷91份(有效回收率100%)。患儿以男性(57例,62.64%),4~12岁(67例,73.63%),城市居住者(58例,63.74%)居多;患儿及其家长的过敏史(或过敏性疾病史)以过敏性鼻炎居多(54例、59.34%,45例、49.45%);患儿治疗时长、在用药物、给药频次分别以≤0.5年(42例,46.15%),丙酸氟替卡松气雾剂(78例,85.71%),每天2次(56例,61.54%)居多;患儿家长对于哮喘作为慢性疾病的认知较好(知晓率>90%),但对其急性发作的处置措施认识不足(知晓率<60%)。用药依从性好(评分6~8分)和差(评分<6分)的分别有45例(49.45%)和46例(50.55%);客观影响因素单因素分析结果显示,居住地(χ^(2)=9.504,P<0.01)和家庭月收入(χ^(2)=10.017,P<0.01)为影响患儿哮喘用药依从性的主要因素;主观影响因素中最常见的为家长自觉患儿无需用药或偶尔忘记(27例,29.67%);患儿未定期随访最常见原因为儿童哮喘专科挂号困难(65例,71.43%);患儿家属对哮喘疾病认识的科普教育(67例,73.63%)需求最强。结论该院哮喘患儿用药依从性普遍较差,亟需有效、长期、协作的管理模式进行规范。新的“医、药、护”联合疾病管理模式可能有利于改善目前的情况。Objective To provide a reference for optimizing the management of pediatric asthma in outpatient department.Methods A cross-sectional study was adopted.Ninety-one asthmatic children admitted to the outpatient department of pediatric asthma management in hospital from October 2021 to March 2022 were selected.An online questionnaire survey was conducted among the parents of the children from the children's general data,medication information of asthma,awareness of asthma,medication adherence evaluation by the Morisky Medication Adherence Scale-8(MMAS-8),and demand for asthma management service Pharmaceutical Administration in outpatient department.The influencing factors of medication adherence in children were analyzed.Results A total of 91 effective questionnaires were collected,with an effective rate of 100%.Most of the children were male(57 cases,62.64%),with the majority aged four to twelve years(67 cases,73.63%)and residing in cities(58 cases,63.74%).The allergic history(or history of allergic diseases)of the children and their parents was mostly allergic rhinitis(54 cases,59.34%;45 cases,49.45%).The duration of treatment,medication in use and frequency of medication for the children was mostly≤half a year(42 cases,46.15%),Fluticasone Propionate Aerosol(78 cases,85.71%),twice a day(56 cases,61.54%)respectively.Parents of children had a good knowledge of asthma as a chronic disease(knowledge rate>90%),but not enough knowledge of the measures to deal with its acute attacks(knowledge rate<60%).There were 45 cases(49.45%)and 46 cases(50.55%)with good(score of six to eight points)and poor(score<six points)medication adherence,respectively.The univariate analysis of objective influencing factors showed that the place of residence(χ^(2)=9.504,P<0.01)and monthly family income(χ^(2)=10.017,P<0.01)were the main factors affecting medication adherence in asthmatic children.The most common subjective influencing factor was that the parents thought there was no need for the children to take medicine or occasionally for

关 键 词：德阳市 医院门诊 哮喘 儿童 用药依从性 横断面调查 疾病管理 

分 类 号：R95[医药卫生—药学]