首页|养老机构慢病患者合理用药知信行状况调查及影响因素分析

养老机构慢病患者合理用药知信行状况调查及影响因素分析

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目的 了解养老机构慢病患者合理用药知信行现状,为养老机构慢病患者合理用药提供参考。方法 采用问卷调查法,2023 年 7-10 月对西安市 3 家医养结合型养老机构的慢病患者进行调查,采用独立样本t检验和单因素方差分析检验合理用药知信行水平在一般人口学资料间的差异,采用多元线性回归分析影响合理用药知信行水平的因素。结果 回收有效问卷 298 份。老年慢病患者用药知信行测评问卷总分为(28。77±13。66)分,用药知识、用药信念和用药行为维度得分分别为(16。65±10。54)分、(3。42±2。14)分、(8。69±3。33)分,得分率分别为 46。3%、48。9%、72。4%。多元线性回归分析结果显示,学历、退休前职业、自理能力是用药知识的影响因素,是否申报慢病门诊和自理能力是用药信念的影响因素,退休前职业和自理能力是用药行为的影响因素。结论 西安市养老机构慢病患者合理用药知信行水平还有待提高,养老机构应针对性采取相关措施加强合理用药宣教,提升慢病患者合理用药水平。
Investigation on the Knowledge,Belief and Practice of Rational Medication among Chronic Disease Patients in Elderly Care Institutions and Analysis on Influencing Factors
Objective To learn the status of knowledge,belief,and practice of rational medication among chronic disease patients in elderly care institutions,and provide reference for rational medication among chronic disease patients in elderly care institutions.Methods A questionnaire survey was conducted on chronic disease patients in three medical and elderly care institutions in Xi'an City from July to October 2023.Independent sample t-test and one-way analysis of variance were used to test the differences in the level of knowledge,belief,and behavior of rational medication among general demographic data.Multiple linear regression analysis was used to identify factors affecting the level of knowledge,belief,and behavior of rational medication.Results 298 valid question-naires were collected.The total score of the Medication Knowledge,Belief,and Practice Assessment Questionnaire for elderly chronic disease patients is(28.77±13.66)score.The scores for medication knowledge,medication belief,and medication behavior dimensi-ons are(16.65±10.54)score,(3.42±2.14)score,and(8.69±3.33)score,respectively,with scoring rates of 46.3%,48.9%,and 72.4%,respectively.The results of multiple linear regression analysis showed that education,occupation before retirement,and self-care ability were the influencing factors of medication knowledge,whether to apply for a chronic disease clinic or not and self-care a-bility were the influencing factors of medication beliefs,and occupation before retirement and self-care ability were the influencing factors of medication behavior.Conclusion The level of knowledge,belief,and practice of rational medication among chronic dis-ease patients in elderly care institutions in Xi'an City still needs to be improved.Elderly care institutions should take targeted mea-sures to strengthen rational medication education and improve the level of rational medication among chronic disease patients.

Elderly care institutionsChronic disease patientsRational medication

李梦怡、孔敏、郑渊、殷继超

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西安市卫生学校,陕西 西安 710054

养老机构 慢病患者 合理用药

2025

卫生职业教育
甘肃省医学科学研究院

卫生职业教育

影响因子:0.39
ISSN:1671-1246
年,卷(期):2025.43(3)