首页|上海市某二级综合医院缺血性脑卒中病人抗血小板药物服药依从性现状调查

上海市某二级综合医院缺血性脑卒中病人抗血小板药物服药依从性现状调查

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目的 对缺血性脑卒中病人服用抗血小板药物依从行为的现状进行调查,分析影响服药依从性的相关因素和不依从行为的重要类型,以指导对重点人群和重点行为的干预.方法 应用服药遵从行为量表对上海市某二级综合医院106例缺血性脑卒中病人进行问卷调查,了解该人群服用抗血小板药物依从性现状,分析其影响因素.结果 106例缺血性脑卒中病人中,服药遵从行为量表平均得分为(33.75±0.39)分,其中得分最高的是“服用中药或其他民俗疗法来治疗脑梗死或并发症”,得分为(3.89±0.50)分;得分最低的是“忘了服药”,得分为(2.25±0.23)分.影响病人服药依从性的因素有性别、文化程度、在职情况、配偶、居住情况、患脑梗死病程、合并慢性病、住院次数、按时复诊情况.结论 缺血性脑卒中病人服用抗血小板药物依从性有待提高,应重点针对男性、在职、独居、文化程度不高的病人进行个性化干预,普及抗血小板药物知识,帮助病人养成良好的服药习惯,并建立服药提醒机制和家庭支持督促系统,以减少服用抗血小板药物的不依从行为.
INVESTIGATION OF COMPLIANCE WITH ANTIPLATELET THERAPY AMONG PATIENTS WITH ISCHEMIC STROKE IN A SECONDARY GENERAL HOSPITAL IN SHANGHAI, CHINA
Objective To investigate the compliance with antiplatelet therapy and its influencing factors in patients with ischemic stroke and determine the important types of noncompliance,and to guide the interventions for focus groups and key behaviors.Methods A compliance questionnaire survey was conducted in 106 patients with ischemic stroke in a secondary general hospital in Shanghai,China.The compliance status of ischemic stroke patients receiving antiplatelet therapy and its influencing factors were analyzed.Results Among the 106 patients with ischemic stroke,the mean score of compliant behavior scale was 33.75±0.39,with the highest score (3.89±0.50) for "receiving the traditional Chinese medicines or other folk therapies for cerebral infarction or complications" and the lowest score (2.25±0.23) for "forgetting to take drugs".The factors influencing the compliance of patients included sex,educational level,job status,spouse,living condition,course of cerebral infarction,chronic diseases,times of hospitalization,and further consultation on time.Conclusion The compliance with antiplatelet therapy in patients with ischemic stroke needs to be improved.Personalized interventions should be performed for less educated patients,male patients,solitary patients,and on-the-job patients,and the knowledge of antiplatelet therapy should be popularized to help patients take drugs regularly.In addition,we should establish a medication reminder mechanism and a family support supervision system to reduce the noncompliance with antiplatelet therapy in patients with ischemic stroke.

strokeplatelet aggregation inhibitorsmedication adherencehospitals, generalquestionnaires

王韵、容根南

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上海市宝山区仁和医院神经内科,上海200431

上海市宝山区仁和医院护理部,上海200431

卒中 血小板聚集抑制剂 服药依从性 医院,综合 问卷调查

上海市宝山区科技创新专项资金项目上海市宝山区科技发展资金项目

14-E-2513-E-30

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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