门诊老年慢性肾脏病患者用药知晓情况及依从性调查  

Survey of elderly outpatients with chronic kidney disease on medication awareness and adherence

作　　者：贺敏霞[1] 张云轩[1] 李敏[1] 李梦迪[1] 高雯[1] 袁妍[1] 

机构地区：[1]复旦大学附属华东医院肾内科,上海市200040

出　　处：《老年医学与保健》2016年第3期-,共3页Geriatrics & Health Care

摘　　要：目的了解老年慢性肾脏病患者对自身用药情况的知晓程度及依从性,为患者用药的护理指导提供依据。方法随机抽取30例老年慢性肾脏病患者,应用自行设计的用药知晓程度调查问卷,调查患者的一般情况以及对自己用药的了解程度(包括目前用药数量、名称、剂量等),并与其实际用药情况作对比,用药知晓程度调查结束后发放国际通用的Morisky服药依从性量表(MMAS-8)。结果 30例老年肾脏病患者主要诊断平均6.1种,平均服药7.67种,所有患者回答的服用药物数量、药品名称正确率和药品剂量正确率分别为81.60%,59.50%和61.53%。在用药依从性调查方面,所有患者的MMAS评分平均为6.37分,属于中等依从性范围。男性患者和独居老人对用药的各项知晓程度及依从性分别低于女性和非独居老人。结论门诊老年慢性肾脏病患者,对于自身用药知晓度存在不足,用药的依从性较差,需增强用药安全教育意识,改进教育手段,有针对性地提高临床护理质量。Objective To understand the awareness and adherence of medication of elderly outpatients with chronic kidney disease.Methods A total of 30 elderly patients with chronic kidney disease were randomly selected.Questionnaires for the comprehension of drug were used.General conditions of the patient as well as the level of understanding of their medication(including the amount,name,dose.) were surveyed and compared with actual medicationusing Morisky Medication Adherence Scale(MMAS-8).Results Among 30 elderly patients with kidney disease,the average amount of clinical diagnosis and medications were 6.1 and 7.67,respectively.For all patients,the accuracy of the amount,name and dose were 81.60%,59.50%and 61.53%,respectively.The average score of MMAS of medication adherence is 6.37 points,categorized into the moderate adherence.The awareness and adherence in male patients and patients living alone were lower.Conclusions Elderly outpatients with chronic kidney diseasehave inadequate awareness and adherence for their self-medication.It is important to improve medication education in this specific patient population for better adherence to treatment.

关 键 词：老年 门诊 慢性肾脏病 用药知晓率 依从性调查 

分 类 号：R692[医药卫生—泌尿科学]