基于IMB理论的肺结核患者服药依从性现状及影响因素研究
A study on the status and influencing factors of medication adherence among pulmonary tuberculosis patients based on the IMB model
蔡宇琪 1黄珊珊 2刘志东 3王嘉雯 2黄国楼 3李观海 2陈浩 3陈文杰 3姜悦 4尤心怡 1朱洋 1曹望楠 5陈亮 6李菁华7
作者信息
- 1. 中山大学公共卫生学院,广东广州 510080
- 2. 广东省结核病控制中心
- 3. 惠州市职业病防治院
- 4. 暨南大学基础医学与公共卫生学院
- 5. 北京大学公共卫生学院
- 6. 广东省结核病控制中心;广东省公共卫生研究院
- 7. 中山大学公共卫生学院,广东广州 510080;中山大学全球卫生研究中心
- 折叠
摘要
目的 了解惠州市肺结核患者服药依从性的现状并探究其影响因素.方法 基于信息-动机-行为技巧模型(information-motivation-behavioral skills model,IMB)设计调查问卷.采用方便抽样法,于2022年3-4月在惠州市结核病防治研究院招募肺结核患者为调查对象,调查其治疗期间的服药依从情况,使用logistic回归模型对服药依从性进行影响因素分析.结果 269例调查对象中,平均年龄为(46.64±16.47)岁,男性171例(63.6％),女性98例(36.4％).肺结核患者服药依从率为83.6％(225/269).多因素logistic回归模型分析结果显示,治疗依从相关知识了解程度越高(OR=1.19)、自我效能越强(OR=2.91)患者服药依从性越好;障碍感知程度越高(OR=0.76)患者服药依从性越差.结论 惠州市结核病患者的服药依从性整体较好,主要影响因素为对治疗信息的了解程度、自我效能及障碍感知.加强对患者的健康教育以及医患沟通等干预措施可提高患者的服药依从性.
Abstract
Objective To understand the medication adherence of pulmonary tuberculosis patients in Huizhou City,and explore its influencing factors.Methods A survey questionnaire was developed based on the Information-Motivation-Behavioral skills model(IMB).Convenience sampling was utilized to recruit participants from Huizhou Tuber-culosis Prevention and Control Research Institute from March to April 2022 to examine their medication adherence during treatment.A logistic regression model was employed to analyze the factors influencing medication adherence.Results Among the 269 participants,the mean age was(46.64±16.47)years old,with 171 males(63.6％)and 98 fe-males(36.4％).The medication adherence rate was 83.6％(225/269).The results of the multivariate logistic regression analysis revealed that a higher level of knowledge regarding treatment information(OR=1.19)and self-efficacy(OR=2.91)were associated with improved medication adherence among patients.Conversely,a higher level of perceived barri-ers(OR=0.76)was linked to poorer medication adherence in patients.Conclusions The medication adherence of pul-monary tuberculosis patients in Huizhou City is good overall,and the main influencing factors are the level of knowledge re-garding treatment information,self-efficacy,and perceived barriers.In the future,interventions such as health education and doctor-patient communication can be strengthened to improve patients'medication adherence.
关键词
肺结核/IMB模型/服药依从性Key words
Pulmonary tuberculosis/IMB model/Medication adherence引用本文复制引用
基金项目
广东省医学科学技术研究基金项目(C2020045)
广州市基础研究计划基础与应用基础研究项目(202201011330)
出版年
2024
NETL
NSTL
万方数据