急性心肌梗死晚期再灌注患者出院后服药依从性调查与分析
Investigation and analysis of medication compliance after discharge in acute myocardial infarction patients with late-reperfusion
严文英 1王燕妮1
作者信息
- 1. 西安交通大学第一附属医院心内科,陕西西安,710061
- 折叠
摘要
目的:探讨影响急性心肌梗死晚期再灌注患者出院后服药依从性相关因素.方法:采用量表对急性心肌梗死晚期再灌注患者的人口社会学特征、复诊频度、健康信念及家庭环境与服药依从性间的关系进行调查.结果:①急性心肌梗死晚期再灌注患者不重视疾病、不了解病情、偶尔复诊、不知不依从危害性、没有受过冠心病健康教育、无家庭关爱、收入<300元/月者依从性差,依从率分别为15.5%,15.6%,13%,15.5%,17%,19.5%,29%(P<0.01).②不依从危害性了解越多(OR 1.439,95%CI 1.106～1.872),越重视病情(OR 1.730 95%CI 1.498～2.205)者,服药依从性越好(P<0.01).结论:医务人员要通过各种形式对心肌梗死晚期再灌注患者加强冠心病的知识教育,提高疾病认知、服药重要性的理解,并结合患者的经济状况,及时调整用药方案,提高服药的依从性.
Abstract
AIM: To study the related factors influencing medication compliance after discharge in acute myocardial infarction patients with late-reperfusion. METHODS: A questionnaire model was used to study the association between variables and medication compliance among acute myocardial infarction patients with late-reperfusion. The variables included were sociological population characteristics, frequency of consultation with doctor, health faith and family environment. RESULTS: Poor compliance was found in patients, who were neglectful of the disease, not knowing the state of illness, neglectful of return visits, not knowing the harmfulness of non-compliance, lack of health, lack of family care, and from the low-income group ( < 300 Yuan/ month). The compliance rates for the above factor were respectively 15.5% , 15.6% , 13% , 15.5% , 17% , 19.5% and 29% (P < 0.01). Thebetter the patients knew the harmfulness of non-compliance and the state of illness, the better the medication compliance (OR = 1.439, 95% CI = 1.106~1.872; OR = 1.730; 95% CI = 1.498~2.205, P<0.01). CONCLUSION: Medical staff should take various measures to increase the awareness of the importance of medication compliance among patients of acute myocardial infarction with reperfusion. Timely drug adjustment according to the economic status of the patients improves medication compliance.
关键词
急性病/心肌梗塞/再灌注/服药法/病人依从/健康教育Key words
acute disease/myocardial infarction/reperfusion/method of taking medicine/patient compliance/health education引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据