老年脑卒中患者药物素养现状及潜在剖面分析  

Current status and latent profile analysis of elderly stroke patients’medication literacy

作　　者：姚影 宋苑 赵海旭 邢云靖 刘红兵 宗策 张珂[3] 郭园丽[3] 高远[1,3,4] YAO Ying;SONG Yuan;ZHAO Haixu;XING Yunjing;LIU Hongbing;ZONG Ce;ZHANG Ke;GUO Yuanli;GAO Yuan(Health and Nursing School,Zhengzhou University,Zhengzhou 450001,Henan,China;Public Health School,Zhengzhou University,Zhengzhou 450001,Henan,China;Neurology Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China;NHC Key Laboratory of Prevention and Treatment of Cerebrovascular Disease,Henan Key Laboratory of Cerebrovascular Diseases,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001 [2]郑州大学公共卫生学院,河南郑州450001 [3]郑州大学第一附属医院神经内科,河南郑州450052 [4]国家卫生健康委员会脑血管病防治重点实验室(共建),河南省脑血管病重点实验室(郑州大学),河南郑州450052

出　　处：《中国现代医生》2025年第11期45-49,共5页China Modern Doctor

基　　金：中南地区慢性病慢病防控科技综合示范研究(2018YFC1311303);郑州大学第一附属医院护理科研专项基金(HLKY20230001)。

摘　　要：目的 了解老年脑卒中患者的药物素养现状及潜在分型,探究不同分型的影响因素。方法 选取2023年11月至2024年6月郑州大学第一附属医院收治的老年脑卒中患者285例作为研究对象。采用一般资料调查表、老年慢性病患者药物素养量表、领悟社会支持量表进行调查,对老年脑卒中患者的药物素养水平进行潜在剖面分析,并通过Logistic回归分析探究不同剖面的影响因素。结果 药物素养量表得分(48.26±12.51)分。老年脑卒中患者的药物素养可分为主动-高素养型(51.9%)、均衡-中素养型(34.0%)和依赖-低素养型(14.1%)3个剖面。Logistic回归分析结果显示,近期服药种类、现居住地、文化程度、糖尿病及社会支持是老年脑卒中患者的药物素养剖面的影响因素(P<0.05)。结论 老年脑卒中患者药物素养处于中等水平且分为3型,医护人员应依据不同类别患者的特征进行个性化干预,精准满足其护理需求,提高老年脑卒中患者的药物素养水平。Objective To explore current status and potential subtypes of elderly stroke patients’medication literacy among,and to analyze related influencing factors of different subtypes.Methods A total of 285 elderly stroke patients admitted in the First Affiliated Hospital of Zhengzhou University from November 2023 to June 2024 were selected as subjects.General Information questionnaire,medication literacy scale for elderly patients with chronic diseases,and perceived social support scale were conducted.Latent profile analysis(LPA)of elderly stroke patients’medication literacy was conducted,and Logistic regression analysis was used to explore influencing factors of different profiles.Results Score of medication literacy scale for elderly stroke patients was(48.26±12.51)points.Medication literacy among elderly stroke patients can be divided into 3 profiles,namely proactive-high literacy type(51.9%),balanced-medium literacy type(34.0%),and dependent-low literacy type(14.1%).Logistic regression analysis showed that recent medication types,current place of residence,educational level,diabetes,and social support were the influencing factors of elderly stroke patients’medication literacy(P<0.05).Conclusion The level of medication literacy among elderly stroke patients is medium,which is characterized by 3 categories.Medical staffs targeted intervention should be adopted according to different category characteristics,so as to accurately meet their nursing needs,finally improve the level of elderly stroke patients’medication literacy.

关 键 词：脑卒中 药物素养 潜在剖面分析 问卷调查 

分 类 号：R473.74[医药卫生—护理学]