摘要
目的调查社区多重用药老年人的用药依从性现状,分析其影响因素,为提高社区多重用药老年人用药依从性提供参考。方法采用便利抽样法,于2021年7—9月在杭州市抽取600例社区多重用药老年人为研究对象,采用一般资料问卷、用药知识和用药信念问卷、中文版Morisky服药依从性问卷(MMAS-8)对其进行调查。共发放问卷600份,回收有效问卷510份,有效回收率为85.0%。结果510例社区多重用药老年人中,191例老年人(37.5%)依从性好,187例老年人(36.7%)依从性一般,132例老年人(25.9%)依从性差。单因素分析结果显示,不同年龄、性别、文化程度、家庭月收入、服药种类、用药信念水平、用药知识水平差异有统计学意义(P<0.05)。Logistic回归分析显示,文化程度、用药知识、用药信念为多重用药老年人用药依从性的独立影响因素(P<0.05)。结论杭州市社区多重用药老年人用药依从性较差,用药知识、用药信念水平有待提高。医护人员应加强用药指导,采用综合干预手段进行定期随访和健康指导,从而提高老年多重用药患者的用药依从性。
Objective To explore the current status of medication adherence among the elderly with polypharmacy in the community,analyze its influencing factors,so as to provide a reference for improving the medication adherence of the elderly on polypharmacy in the community.Methods From July to September 2021,600 elderly people with polypharmacy in the community were selected by convenience sampling in Hangzhou as the research object.The General Information Questionnaire,the Medication Knowledge and Medication Belief Questionnaire,and the Chinese version of the 8-item Morisky Medication Adherence Scale(MMAS-8)were used to investigate the elderly.A total of 600 questionnaires were distributed,510 valid questionnaires were recovered,and the valid recovery rate was 85.0%.Results Among the 510 elderly patients with polypharmacy in the community,191 elderly patients(37.5%)had good adherence,187 elderly patients(36.7%)had moderate adherence,and 132 elderly patients(25.9%)had poor adherence.The results of univariate analysis showed that there were statistical differences in age,gender,educational level,family monthly income,type of medication,medication belief and medication knowledge(P<0.05).Logistic regression analysis showed that educational level,medication knowledge,and medication belief were the independent influencing factors of medication adherence among the elderly with polypharmacy,and the difference was statistical difference(P<0.05).Conclusions Medication adherence among the elderly with polypharmacy in the community of Hangzhou is poor,and medication knowledge and medication belief need to be improved.Medical and nursing staff should strengthen medication guidance,and use comprehensive interventions to conduct regular follow-up and health guidance,so as to improve medication adherence of elderly patients with polypharmacy.
作者
周泓廷
黄洌彬
王新安
章欣怡
孙颖洁
朱雪娇
Zhou Hongting;Huang Liebin;Wang Xin'an;Zhang Xinyi;Sun Yingjie;Zhu Xuejiao(School of Nursing,Hangzhou Normal University,Hangzhou 310000,China)
出处
《中华现代护理杂志》
2022年第30期4173-4179,共7页
Chinese Journal of Modern Nursing
基金
杭州师范大学2021年"星光计划"。
关键词
老年人
社区
多重用药
用药依从性
影响因素
Aged
Community
Polypharmacy
Medication adherence
Influencing factors
