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河南省农村脑卒中患者服药依从性现状及对策

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目的 了解河南省农村脑卒中患者服药依从性现状及影响因素,并提出相应对策.方法 采用便利抽样法,从河南省农村地区抽取646例脑卒中患者,运用一般资料调查表,脑卒中患者知识、态度问卷,中文版Morisky服药依从性问卷开展调查,采用描述性统计、Pearson法、Ordinal回归分析农村脑卒中患者服药依从性的影响因素.结果 农村脑卒中患者疾病相关知识知晓率平均为48.60%,知识总分为(12.67±5.12)分,态度平均得分为(34.54±6.52)分,565例(87.5%)患者的服药依从性处于低水平,仅19例(2.9%)患者的服药依从性处于高水平.Ordinal回归分析结果显示用药态度得分高、受教育程度高、合并慢性病的脑卒中患者服药依从性水平高,丧偶的脑卒中患者服药依从性水平低,伪决定系数R2=0.111.结论 河南省农村脑卒中患者的疾病认知水平较低,服药依从性较低,建议创新举措,借助网络平台,促进患者参与,发挥家庭照顾者和基层医疗组织医务人员的宣教作用,同时推广名院专家走基层等,提高基层医疗卫生服务能力,为农村脑卒中患者提供针对、有效的健康服务,提高其服药依从性,减轻疾病负担.
Current Situation and Countermeasures of Medication Compliance of Stroke Patients in Rural Henan Province
Objective To understand the status and influencing factors of medication compliance of rural stroke patients in Henan Province,and propose corresponding countermeasures.Methods A convenience sampling method was used to select 646 stroke patients from rural areas in Henan Province.The general data questionnaire,the knowledge and attitude questionnaire of stroke patients,and the Chinese version of Morisky medication compliance questionnaire were used in survey.Descriptive statistics,Pearson method and Ordinal regression were used to analyze the influencing factors of medication compliance of rural stroke patients.Results The average awareness rate of disease-related knowledge in rural stroke patients was only 48.60%,the average knowledge score was(12.67±5.1),the average attitude score was(34.54±6.52),and 565(87.5%)patients'medication adherence was at a low level,only 19 patients(2.9%)had high medication adherence.Ordinal regression analysis showed that stroke patients with high medication attitude scores,high education level,and comorbidities with chronic disease had high level of medication adherence,while stroke patients with widows had low level of medication adherence,with the pseudo-determination coefficient was R2=0.111.Conclusion The rural patients with stroke in Henan Province have low level of disease cognition and low medication compliance.They suggest innovative measures to promote the participation of patients through the network platform,and play the role of family caregivers and medical staff of primary medical organizations,at the same time,famous hospital experts go to the rural,improve the ability of primary health care services,provide effective health services for rural home stroke patients,improve their medication compliance,and reduce the burden of disease.

rural areastrokemedication complianceknowledge

丁春戈、张春慧、李莹爽、符博

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郑州大学第一附属医院,河南郑州 450000

郑州大学护理与健康学院,河南郑州 450001

农村 脑卒中 服药依从性 认知

2022年度河南省重点研发与推广专项(科技攻关、软科学研究)项目2021年度中华护理学会立项科研课题

222102310342ZHKY202109

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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