中华现代护理杂志2024,Vol.30Issue(23) :3161-3165.DOI:10.3760/cma.j.cn115682-20231010-01429

肺移植受者免疫抑制剂服药依从性与服药信念、领悟社会支持的相关性分析

Correlation analysis of medication adherence to immunosuppressants with medication beliefs and perceived social support in lung transplant recipients

王芊鹭 刘红霞 孙菁 王瑞婷 韩竹凤 张淑萍
中华现代护理杂志2024,Vol.30Issue(23) :3161-3165.DOI:10.3760/cma.j.cn115682-20231010-01429

肺移植受者免疫抑制剂服药依从性与服药信念、领悟社会支持的相关性分析

Correlation analysis of medication adherence to immunosuppressants with medication beliefs and perceived social support in lung transplant recipients

王芊鹭 1刘红霞 1孙菁 2王瑞婷 1韩竹凤 1张淑萍1
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作者信息

  • 1. 北京中医药大学护理学院,北京 100029
  • 2. 中日友好医院肺移植科,北京 100029
  • 折叠

摘要

目的 调查肺移植受者免疫抑制剂服药依从性现状,探讨其与服药信念、领悟社会支持的相关性.方法 本研究为横断面研究.采用便利抽样法,于2022年6月-2023年4月选取北京中日友好医院肺移植科接受随访的233例肺移植受者为研究对象,采用免疫抑制药物依从性Basel评估量表(BAASIS)、中文版服药信念特异性量表、领悟社会支持量表(PSSS)进行问卷调查.采用多重线性回归分析探讨肺移植受者免疫抑制剂服药依从性与服药信念、领悟社会支持的相关性.结果 本研究共发放问卷233份,最终回收有效问卷213份(91.42%)o 213例移植受者免疫抑制剂服药不完全依从的发生率为41.78%(89/213),最常发生的是不按时服药27.23%(58/213).多重线性回归分析结果显示,年龄、领悟社会支持是服药依从性的影响因素(P<0.05).结论 目前肺移植受者的免疫抑制剂服药依从性较差,患者免疫抑制剂服药依从性与年龄、领悟社会支持水平相关.医护人员应关注低龄患者的服药依从性,并可以通过提高肺移植受者领悟社会支持水平,增加其对服用免疫抑制药物的依从性.

Abstract

Objective To explore the current status of medication adherence to immunosuppressants in lung transplant recipients and to analyze its correlation with medication beliefs and perceived social support.Methods This was a cross-sectional study.From June 2022 to April 2023,totally 233 lung transplant recipients who were followed up in the Department of Lung Transplantation at China-Japan Friendship Hospital were selected by convenience sampling.The Basel Assessment of Adherence to Immunosuppressive Medications Scale(BAASIS),the Chinese version of the Beliefs about Medicines Questionnaire,and the Perceived Social Support Scale(PSSS)were used for the survey.Multiple linear regression analysis was conducted to explore the correlation between medication adherence to immunosuppressants,medication beliefs,and perceived social support in these lung transplant recipients.Results A total of 233 questionnaires were distributed,with 213 valid responses received(91.42%).The incidence of non-adherence to immunosuppressants among the 213 transplant recipients was 41.78%(89/213),with the most common issue being not taking medication on time(27.23%,58/213).Multiple linear regression analysis showed that age and perceived social support were influencing factors of medication adherence(P<0.05).Conclusions The current level of medication adherence to immunosuppressants in lung transplant recipients is relatively poor.Medication adherence is correlated with age and the level of perceived social support.Healthcare providers should pay attention to medication adherence in younger patients and enhance their perceived social support to increase adherence to immunosuppressive medications.

关键词

肺移植/药物依从性/服药信念/领悟社会支持

Key words

Lung transplantation/Medication adherence/Medication beliefs/Perceived social support

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基金项目

北京中医药大学基本科研业务费项目(2022)(2022-JYB-JBZR-026)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量12
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