摘要
目的了解首发缺血性脑卒中(IS)患者药物素养(ML)现状,并分析其影响因素。方法于2024年6月至2025年1月,采用便利抽样法选取湖北医药学院附属襄阳市第一人民医院357例符合条件的首发IS患者。采用一般资料调查表、中文版药物素养评估量表、家庭关怀指数问卷(APGAR)、Herth希望指数量表(HHI)、合理用药自我效能量表(SEAMS)进行调查。采用logistic回归分析首发IS患者ML的影响因素。结果本研究共发放370份问卷,回收357份,有效回收率为96.49%。357例首发IS患者ML得分为(8.35±3.80)分,其中ML水平差68例(19.0%)、中等水平177例(49.6%)、高水平112例(31.4%)。三组年龄、性别、文化程度、职业状态、婚姻状况、日常居住地、家庭人均月收入、抽烟、饮酒、慢性疾病数量、医保类型、养老保险、APGAR评分、HHI评分、SEAMS评分比较,差异有统计学意义(P<0.05)。无论是否控制慢性疾病数量,年龄、文化程度、家庭人均月收入、HHI评分、APGAR评分、SEAMS评分均是首发IS患者ML的影响因素(P<0.05)。结论首发IS患者ML处于中等水平,建议医务人员早期评估首发IS患者ML水平,根据可干预因素制订针对性的干预措施,以提高患者ML能力,保证安全用药,从而改善健康结局。
Objective To understand the current status of medication literacy(ML)among patients with first-onset ischemic stroke(IS)and to analyze its influencing factors.Methods From June 2024 to January 2025,357 eligible patients with first-onset IS from Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine using convenience sampling.General information questionnaires,the Chinese version of the medication literacy assessment scale,the family APGAR index(APGAR),the Herth hope index(HHI),and the self-efficacy for appropriate medication use scale(SEAMS)were used for the investigation.Logistic regression was used to analyze the influencing factors of ML in patients with first-onset IS,Results A total of 370 questionnaires were distributed in this study,and 357 were retrieved,with an effective recovery rate of 96.49%.The ML score of the 357 patients with first onset IS was(8.35±3.80)points.Among them,68 cases(19.0%)had a poor ML level,177 cases(49.6%)had a medium ML level,and 112 cases(31.4%)had a high ML level.There were statistically significant differences in age,gender,educational level,occupational status,marital status,daily residence location,family per capita monthly income,smoking,drinking,the number of chronic diseases,medical insurance type,old-age insurance,APGAR score,HHI score,and SEAMS score among the three groups(P<0.05).Regardless of whether the number of chronic diseases was controlled or not,age,educational level,per capita monthly income of the family,HHI score,APGAR score,and SEAMS score were all influencing factors of ML in patients with first-onset IS(P<0.05).Conclusion The ML of patients with first-onset IS is at a medium level.Medical staff should assess the ML ability of patients with first-onset IS as soon as possible,formulate targeted intervention measures based on the modifiable factors,to improve the ML ability of patients,ensure safe medication use,and thereby improve health outcomes.
作者
段要玲
邓秋
杨正婷
马林源
王普清
周敏
DUAN Yaoling;DENG Qiu;YANG Zhengting;MA Linyuan;WANG Puqing;ZHOU Min(Nursing College,Hubei University of Medicine,Hubei Province,Shiyan 442000,China;Rehabilitation Hospital District Work Office,Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine,Hubei Province,Xiangyang 441000,China;Department of Neurology,Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine,Hubei Province,Xiangyang 441000,China)
出处
《中国医药导报》
2026年第5期80-86,共7页
China Medical Herald
基金
湖北省襄阳市第一人民医院科技创新项目(XYY2025SD20)
湖北医药学院护理学院研究生科技创新项目(yjc2025008)。
关键词
缺血性脑卒中
药物素养
影响因素
Ischemic stroke
Medication literacy
Influencing factors
