摘要
采用社会支持量表和服药依从性量表调查71例原发性失眠症患者的社会支持和服药依从性情况,通过单因素分析和回归分析探索原发性失眠症患者的服药依从性影响因素,为提高失眠症患者服药依从性提供依据。结果发现,失眠症患者总体服药依从性不高,服药依从性高的患者和服药依从性低的患者在病程、婚姻状况、月收入情况、汉密尔顿焦虑量表(HAMA)得分、客观支持、对支持的利用度和社会支持总分上的差异有统计学意义(P<0.05)。回归分析得出婚姻状况、客观支持、对支持的利用度能够正向预测服药依从性。在失眠的治疗中,提高患者的社会支持,有利于提高服药依从性,从而提升治疗效果。
The social support and medication adherence of 71 patients with primary insomnia were investigated by Social Support Rating Scale and Eight Item Medication Adherence Scale.Single factor analysis and regression analysis were used to explore the influencing factors of medication adherence in patients with primary insomnia,to provide evidence for improving the compliance of insomnia patients.The results showed that the overall medication adherence of insomnia patients was not high.There were significant differences in course of disease,marital status,monthly income,HAMA score,objective support,utilization of support and total score of social support between patients with high medication adherence and patients with low medication adherence(P<0.05).Regression analysis showed that marital status,objective social support and utilization of social support could positively predict medication adherence.In the treatment of insomnia,improving the social support of patients is conducive to improve the medication adherence,so as to improve the treatment effect.
作者
黄敏月
欧红霞
HUANG Mingyue;OU Hongxia(the Fourth School of Clinical Medicine,Nanjing Medical University,Nanjing 211166;Department of Medical Psychology,the Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《南京医科大学学报（社会科学版）》
2020年第4期326-330,共5页
Journal of Nanjing Medical University（Social Sciences）
关键词
失眠
服药依从性
社会支持
insomnia
medication adherence
social support
