摘要
目的了解癫癎患者服药依从性,探讨其影响因素,为提出相应的护理干预措施提供依据。方法采用Morisky的服药依从性问卷中文版对148例癫癎患者进行服药依从性调查,分析年龄、文化程度、居住地、医疗保障情况、病程、药物不良反应、家庭社会支持程度等因素对患者服药依从性的影响。结果 50例癫癎患者服药依从性好,依从率33.8%;64例对停药、换药、增减药物的注意事项不了解(占43.3%),51例对定期检查血药浓度及肝功能的意义不了解(占34.5%);多因素Logistic回归分析显示患者的年龄、居住地、病程、医疗保障、家庭社会支持程度对其服药依从性有不同程度的影响(P<0.05)。结论患者服药依从性较差,应加强健康教育,建立良好护患关系,加强心理护理,发挥社会家庭支持系统,指导合理使用抗癫癎药物,从而提高癫癎患者服药依从性。
Objective To analyze the medication compliance of epileptic patients and its influencing factors and to put forward appropriate nursing interventions.Methods Morisky Medication Adherence Questionnaire(Chinese version) was applied among 148 epilepsy patients.Information about age,educational background,residence,health insurance,duration,adverse drug reactions,family and social support and disease knowledge was collected and then multivariate Logistic regression analysis was conducted.Results Of the total,50 cases were with good compliance,with a compliance rate of 33.8% while 64 paid little attention to drug precautions,accounting for 43.3%.In addition,51 patients(34.5%) presented inadequate knowledge about the significance of regular plasma concentration checking and liver function.Patient's age,residence,duration of disease,health insurance,family and social support had different effects on their medication compliance(P<0.05).Conclusion In general,patients are with poor medication compliance,as a result,health education should be strengthened.Good nurse-patient relationship,psychological care,well social and family support system and rational use of antiepileptic drugs would contribute to the improvement of medication compliance in patients with epilepsy.
出处
《护理学报》
2012年第8期22-25,共4页
Journal of Nursing（China）
关键词
癫癎
服药依从性
影响因素
epilepsy
medication compliance
influencing factor
