国际老年医学杂志2024,Vol.45Issue(2) :183-186.DOI:10.3969/j.issn.1674-7593.2024.02.011

老年结肠癌患者出院后口服抗肿瘤靶向药的依从性现状及影响因素

Compliance Status and Influencing Factors of Oral Anti-tumor Targeted Drugs in Elderly Patients with Colon Cancer after Discharge

朱晶 马骉
国际老年医学杂志2024,Vol.45Issue(2) :183-186.DOI:10.3969/j.issn.1674-7593.2024.02.011

老年结肠癌患者出院后口服抗肿瘤靶向药的依从性现状及影响因素

Compliance Status and Influencing Factors of Oral Anti-tumor Targeted Drugs in Elderly Patients with Colon Cancer after Discharge

朱晶 1马骉1
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作者信息

  • 1. 哈尔滨医科大学附属第一医院,哈尔滨 150010
  • 折叠

摘要

目的 分析老年结肠癌患者出院后口服抗肿瘤靶向药的药物依从性现状及影响因素.方法 选取哈尔滨医科大学附属第一医院2022年2月—2023年2月收治的老年结肠癌患者110例,患者均接受出院后的口服抗肿瘤靶向药物治疗,采用Morisky服药依从性调查问卷评估服药依从性,对影响服药依从性的因素进行统计学分析.结果 依从性好者34例(依从性好组),依从性差者76例(依从性差组).单因素分析显示:依从性差组在缺少社会支持、口服靶向药物治疗不良反应、不良心理反应、经济条件差、缺乏口服靶向药物治疗知识的占比明显高于依从性好组,差异均有统计学意义(P<0.05);多因素logistic回归分析显示:有口服靶向药物治疗不良反应、有不良心理反应、经济条件差、缺乏口服靶向药物治疗知识是影响老年结肠癌患者口服靶向药服药依从性的危险因素(P<0.05).结论 老年结肠癌患者出院后口服抗肿瘤靶向药的服药依从性处于中等阶段,临床医护人员在临床工作中需进一步加强对患者的健康教育以提高其用药方面的意识,增强与患者及其家属之间的沟通以改善消极情绪及心理,在根本上达到提高患者服药依从性的目的.

Abstract

Objective To analyze the current status of drug compliance and influencing factors of oral anti-tumor targeted drugs in elderly patients with colon cancer after discharge.Methods A total of 110 elderly patients with colon cancer admitted to the First Affiliated Hospital of Harbin Medical University from February 2022 to February 2023 were selected.All patients received oral anti-tumor targeted drug therapy after discharge.Morisky medication compliance questionnaire was used to assess medication compli-ance,and then the factors affecting medication compliance were statistically analyzed.Results A total of 34 patients had good com-pliance(good compliance group)and 76 patients had poor compliance(poor compliance group).Univariate analysis showed that the proportion of lack of social support,adverse reactions to oral targeted drug therapy,adverse psychological reactions,poor economic conditions,and lack of knowledge of oral targeted drug therapy in the poor compliance group was significantly higher than that in the good compliance group,and the differences were statistically significant(P<0.05);multivariate logistic regression analysis showed that adverse reactions to oral targeted drug therapy,adverse psychological reactions,poor economic conditions,and lack of knowledge of oral targeted drug therapy were risk factors affecting the compliance of oral targeted drug therapy in elderly patients with colon cancer(P<0.05).Conclusion The medication compliance of oral anti-tumor targeted drugs in elderly patients with colon cancer after discharge is in a moderate stage.Clinical medical staff need to further strengthen the health education for patients in clinical work to improve their awareness of medication,enhance communication with patients and their families to improve negative emotions and psy-chology,and fundamentally achieve the purpose of improving medication compliance of patients.

关键词

结肠癌/抗肿瘤/靶向药/药物依从性/现状/影响因素

Key words

Colon cancer/Anti-tumor/Targeted drugs/Drug compliance/Current status/Influencing factors

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基金项目

黑龙江省自然科学基金(LH2021H050)

出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
参考文献量15
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