多病共存老年患者用药依从性和压力适应状态、疾病进展恐惧现状及其相关性  

Investigation and correlation study on medication compliance,stress adaptation status and fear of disease progression in elderly patients with coexistence of multiple diseases

作　　者：吴银慧[1] 王平[1] 陈留云 白振丽 WU Yinhui;WANG Ping;CHEN Liuyun;BAI Zhenli(Zhoukou Central Hospital,Zhoukou 466100,China)

机构地区：[1]河南省周口市中心医院,466100

出　　处：《中国健康心理学杂志》2024年第12期1879-1882,共4页China Journal of Health Psychology

基　　金：国家卫生健康委“十四五”规划重点课题(编号:YYWS9499)。

摘　　要：目的:分析多病共存老年患者用药依从性、压力适应状态、疾病进展恐惧现状,探讨其用药依从性与压力适应状态、疾病进展恐惧调查的相关性。方法:选取2020年1月-2023年9月于某院就诊的68例多病共存老年患者为研究对象,调查其入院时用药依从性[Morisy服药依从性调查量表(MMAS-8)]、压力适应状态[汉化压力适应量表(SAS)]及疾病进展恐惧[恐惧疾病进展简化量表(FoP-Q-SF)]评分情况;以MMAS-8量表作为用药依从性评估依据,将68例患者分为用药依从性良好组(MMAS-8评分≥6分)和用药依从性不良组(MMAS-8评分<6分),比较两组患者入院时SAS评分及FoP-Q-S评分差异;经pearson相关系数分析多病共存老年患者入院时MMAS-8评分与SAS评分、FoP-Q-S评分的相关性。结果:用药依从性良好组各维度SAS评分、FoP-Q-SF评分均显著高于用药依从性不良组(t=7.016,5.914,2.979,5.228;P<0.01),且MMAS-8评分均与SAS评分、FoP-Q-SF评分均呈显著正相关(r=0.777,0.733;P<0.001)。结论:多病共存老年患者用药依从性受压力适应性、疾病恐惧影响,且压力适应性、疾病恐惧与其用药依从性成正比。Objective:To analyze the current situation of medication compliance,stress adaptation status and fear of disease progression in elderly patients with coexistence of multiple diseases,and to explore the correlation between medication compliance and stress adaptation status and fear of disease progression.Methods:A total of 68 elderly patients with coexistence of multiple diseases in Zhoukou Central Hospital were selected from January 2020 to September 2023 as the research subjects.The medication compliance[8-item Morisky Medication Adherence Scale(MMAS-8)],stress adaptation status[Chinese Stress Adaptation Scale(SAS)]and fear of disease progression[Fear of Progression Questionnaire Short-Form(FoP-Q-SF)]were investigated at admission.Taking MMAS-8 scale as assessment basis of medication compliance,68 patients were divided into good medication compliance group(MMAS-8 score≥6 points)and poor medication compliance group(MMAS-8 score<6 points).The differences in SAS score and FoP-Q-S score were compared between groups.Pearson correlation coefficient was used to analyze the correlation between MMAS-8 score and SAS score and FoP-Q-S score in elderly patients with coexistence of multiple diseases at admission.Results:The scores of dimensions of SAS and FoP-Q-SF in good medication compliance group were significantly higher than those in poor medication compliance group(t=7.016,5.914,2.979,5.228;P<0.01).MMAS-8 score was positively correlated with SAS scores and FoP-Q-SF scores(r=0.777,0.733;P<0.01).Conclusion:The medication compliance of elderly patients with coexistence of multiple diseases is affected by stress adaptation and fear of disease,and stress adaptation and fear of disease are proportional to medication compliance.

关 键 词：多病共存 用药依从性 压力适应 恐惧 疾病 

分 类 号：R395.6[哲学宗教—心理学] R749.92[医药卫生—医学心理学]