老年冠心病患者药物素养与服药依从性研究  

Study on medication literacy and medication compliance in elderly patients with coronary heart disease

作　　者：张明君 冯凤[2] 张杰 ZHANG Mingjun;FENG Feng;ZHANG Jie(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Department of Outpatient,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China)

机构地区：[1]山东中医药大学护理学院,山东济南250355 [2]山东中医药大学附属医院门诊部,山东济南250014

出　　处：《中国现代医生》2025年第1期43-46,62,共5页China Modern Doctor

摘　　要：目的探讨老年冠心病患者药物素养与服药依从性的相关性及影响患者服药依从性的危险因素。方法选取2022年2月至8月于山东中医药大学附属医院住院治疗的195例老年冠心病患者为研究对象,分析患者的药物素养及服药依从性。采用多因素Logistic回归分析影响老年冠心病患者服药依从性的危险因素。结果老年冠心病患者的药物素养得分(6.19±3.53)分;57例患者的服药依从性好,占比29.2%。不同年龄、居住情况、家庭月收入、医药费支付方式、患病数量、服药年限患者的药物素养比较差异均有统计学意义(P<0.05);不同年龄、居住地、患病数量、服药年限、日服药种类、住院次数患者的服药依从性比较差异均有统计学意义(P<0.05)。老年冠心病患者的药物素养与服药依从性呈正相关(r=0.255,P<0.001)。多因素分析结果显示,年龄、患病数量、日服药种类、住院次数、药物素养均是老年冠心病患者服药依从性的主要影响因素(P<0.05)。结论老年冠心病患者对药物相关知识的掌握程度不佳,药物素养、服药依从性亟待提高。医护人员应根据患者的不同特征采取有效措施,提高患者的药物素养水平,改善患者的服药行为。Objective To exploring the correlation between medication literacy and medication compliance in elderly patients with coronary heart disease and the risk factors affecting medication compliance.Methods A total of 195 elderly patients with coronary heart disease who were hospitalized in Affiliated Hospital of Shandong University of Traditional Chinese Medicine from February to August 2022 were selected as the study objects.The patients’medication literacy and medication compliance were analyzed.Multivariate Logistic regression was used to analyze the risk factors affecting medication compliance in elderly patients with coronary heart disease.Results The scores of medication literacy in elderly patients with coronary heart disease were(6.19±3.53)points.57 patients had good medication compliance,accounting for 29.2%.There were statistically significant differences in medication literacy among patients with different age,living conditions,monthly family income,payment methods of medical expenses,number of diseases and years of taking drugs(P<0.05).There were statistically significant differences in medication compliance among patients with different ages,occupied zone,number of diseases,years of taking drugs,types of daily medication and times of hospitalization(P<0.05).There was a positive correlation between medication literacy and medication compliance in elderly patients with coronary heart disease(r=0.255,P<0.001).The results of multivariate analysis showed that age,number of diseases,types of daily medication,hospitalization times and medication literacy were the main influencing factors of medication compliance in elderly patients with coronary heart disease(P<0.05).Conclusion Elderly patients with coronary heart disease have a poor grasp of drug-related knowledge,and medication literacy and medication compliance need to be improved.According to the different characteristics of patients,medical staff should take effective measures to improve the level of medication literacy of patients and improve their dru

关 键 词：老年 冠心病 药物素养 服药依从性 

分 类 号：R541.4[医药卫生—心血管疾病]