摘要
目的调查农村老年慢性病患者服药依从性,探讨健康自我管理认知与服药依从性的关系,为提升老年慢性病患者服药依从性提供参考。方法选取南京鼓楼医院集团宿迁医院门诊药房取药的1855例农村老年慢性病患者为调查对象,采用服药依从性量表、健康自我管理能力量表进行调查,分析影响患者服药依从性的因素。结果入组患者服药依从性量表评分为(6.56±1.36)分,其中8分569例(30.67%),≥6分998例(53.80%),<6分288例(15.53%)。不同文化程度、子女文化程度、服药次数、自我健康感知、主观感知老化倾向患者服药依从性量表评分比较差异有统计学意义(P<0.01)。文化程度、子女文化程度、服药次数、自我健康感知、健康自我管理认知进入农村老年慢性病患者服药依从性评分的回归方程,是农村老年慢性病患者服药依从性的影响因素(β=0.062、0.127、-0.197、0.050、0.422,P<0.05或0.01)。结论农村老年慢性病患者服药依从性一般,文化程度、子女文化程度、服药次数、自我健康感知状况、主观感知老化倾向是服药依从性的影响因素,健康自我管理认知对服药依从性具有正向预测关系。
Objective To investigate the medication compliance of rural elderly patients with chronic diseases,and to explore the relationship between health self-management cognition and medication compliance,so as to provide reference for improving the medication compliance of elderly patients with chronic diseases.Methods A total of 1855 rural elderly patients with chronic diseases who took medicine from the outpatient pharmacy of Suqian Hospital of Nanjing Drum Tower Hospital Group were selected as the survey objects.The medication compliance scale and health self-management ability scale were used to investigate and analyze the factors affecting the medication compliance of patients.Results The score of the medication compliance scale of enrolled patients was(6.56±1.36)points,of which 569 cases(30.67%)were 8 points,998 cases(53.80%)were greater than or equal to 6 points,288 cases(15.53%)were less than 6 points.There were significant differences in the scores of medication compliance scale among patients with different education levels,children's education levels,medication frequency,self-health perception,and subjective perception of aging tendency(P<0.01).Education level,children's education level,medication frequency,self-health perception,and health self-management cognition entered the regression equation of the medication compliance score of rural elderly patients with chronic diseases,which were the influencing factors of medication compliance of rural elderly patients with chronic diseases(β=0.062,0.127,-0.197,0.050,0.422,P<0.05 or 0.01).Conclusions The medication compliance of rural elderly patients with chronic diseases is average.Education level,children's education level,medication frequency,self-health perception,and subjective perception of aging tendency are the influencing factors of medicationcompliance.Health self-management cognition has a positive predictive relationship with medication compliance.
作者
韩婷婷
陈景
张燕
骆晶晶
Han Tingting;Chen Jing;Zhang Yan;Luo Jingjing(Suqian Hospital of Nanjing Drum Tower Hospital Group,Suqian 223800,Jiangsu,China)
出处
《临床心身疾病杂志》
CAS
2022年第5期146-150,共5页
Journal of Clinical Psychosomatic Diseases
关键词
农村
老年
慢性病
健康自我管理认知
服药依从性
rural
elderly
chronic disease
health self-management cognition
medication compliance
