重症肌无力患者服药信念现状及其影响因素分析
Analysis on the status quo and influencing factors of medication belief in patients with myasthenia gravis
蔡冰星 1刘兰星 1严玉英 2苏逸宁 1王珍妮 1邢月蒙 1杨云英3
作者信息
- 1. 广州中医药大学第一临床医学院,广州 510006
- 2. 广州中医药大学第一附属医院急诊科,广州 510006
- 3. 广州中医药大学第一附属医院脾胃病科,广州 510006
- 折叠
摘要
目的 探讨重症肌无力患者的服药信念现状并分析其影响因素,为医护人员制订针对性的干预措施提供参考.方法 选取2021年7月至2022年3月广州中医药大学第一附属医院就诊的重症肌无力患者145例,采用服药信念量表(BMQ)进行调查,运用多元线性回归分析相关影响因素.结果 145例患者服药信念得分为(4.17±1.23)分,必要性信念得分为(19.52±3.45)分,顾虑信念得分为(18.29±4.26)分.必要性信念得分与顾虑信念得分比较差异有统计学意义(P＜0.05);文化程度、经济负担、病程、服药时长、复发住院次数、用药不当诱发加重对重症肌无力患者服药信念得分有影响(P＜0.05);病程、服药时长、复发住院次数对重症肌无力患者的服药必要性信念得分有影响(P＜0.05);经济负担对重症肌无力患者的服药顾虑信念得分有影响(P＜0.05).结论 重症肌无力患者服药信念处于较低水平,复发住院次数、经济负担是影响重症肌无力患者服药信念得分的独立危险因素;复发住院次数是服药必要性信念得分的独立危险因素.
Abstract
Objective To explore the status quo of medication belief in the patients with myasthenia gravis and analyze their influencing factors,so as to provide reference for health care professionals to develop targeted interventions.Methods A total of 145 patients with myasthenia gravis visiting the First Affiliated Hospital of Guangzhou University of Chinese Medicine from July 2021 to March 2022 were selected.The Be-liefs about Medicines Questionnaire(BMQ)was used to investigate.The multiple linear regression was used to analyze the relevant influencing factors.Results The scores of medication belief,necessity belief and con-cern belief in 145 patients were(4.17±1.23)points,(19.52±3.45)points and(18.29±4.26)points respec-tively.There was statistically significant difference between the scores of necessity belief and concern belief(P＜0.05).The education level,financial burden,duration of illness,length of medication,number of recur-rent hospitalizations,and inappropriate medication-induced exacerbations had influence on the medication be-lief scores of the patients with myasthenia gravis(P＜0.05).The duration of illness,length of medication and number of recurrent hospitalizations had the influence on the medication necessity scores of patients with my-asthenia gravis(P＜0.05).The financial burden had the influence on the medication concerns scores of the patients with myasthenia gravis(P＜0.05).Conclusion The medication belief in the patient swith myasthe-nia gravis is at a low level,and the number of recurrent hospitalizations and financial burden are the independ-ent risk factors affecting the medication belief scores in the patients with myasthenia gravis.The number of recurrent hospitalizations is an independent risk factor for the score of medication necessity dimension.
关键词
重症肌无力/服药信念/影响因素/横断面调查Key words
myasthenia gravis/medication belief/influencing factor/cross-sectional survey引用本文复制引用
基金项目
广州市科技局基础研究计划基础与应用基础研究项目(202102080136)
广州中医药大学人文社会科学学科专项扶持项目(2020SKXK10)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据