首页|服药信念在急性期带状疱疹性神经痛患者疾病感知和服药依从性的中介作用

服药信念在急性期带状疱疹性神经痛患者疾病感知和服药依从性的中介作用

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目的 探讨急性期带状疱疹性神经痛患者服药信念在服药依从性、疾病感知间的中介效应.方法 采用便利抽样法,选取2021年11月至2022年10月急性期带状疱疹性神经痛患者340例,采用中文版Morisky药物依从性量表、中文版服药信念特异性问卷、简易疾病感知量表进行调查.结果 Bootstrap检验结果显示,服药顾虑信念在急性期带状疱疹性神经痛患者的疾病感知和服药依从性的中介效应为-0.378(95%CI:-0.469~-0.288),占总效应的62.6%,而服药必要信念的中介效应为-0.110(95%CI:-0.175~-0.052),占总效应的32.7%.结论 服药信念在疾病感知和服药依从性间起部分中介作用.护理人员应积极开展提高患者服药必要信念、降低顾虑信念和改善其疾病感知的干预策略,从而提高服药依从性,达到缓解患者疼痛和减少并发症的目的.
Objective To explore the mediating effect of medication belief on medication compliance and illness perception in patients with acute herpetic n-euralgia.Methods From November 2021 to October 2022,a total of 340 inpatientswith acute herpetic neuralgia in the pain department of a tertiary hospital in Jiaxing were selected by convenience sampling method.The Chinese version of t-he Morisky Medication Adherence Scale(MMAS-8),the Chinese version of the M-edication Belief Specificity Questionnaire,and the Simple Disease Perception Scale were used to investigate.Results The results of Bootstrap test showed th-at the mediating effect of concern belief on disease perception and medication compliance in patients with acute herpes zoster was-0.378(95%CI:-0.469~-0.288),accounting for 62.6%of the total effect.The mediating effect of med-ication necessary beliefs was-0.110(95%CI:-0.175~-0.052),accounting f-or 32.7%of the total effect.Conclusion Medication belief plays a partial med-iating role between illness perception and medication compliance.Nursing staffshould actively carry out intervention strategies to improve patients'beliefsabout the necessity of medication,reduce their beliefs about concerns,and im-prove their disease perception,so as to improve medication compliance and ach-ieve the purpose of relieving patients'pain and reducing complications.

Acute herpes zosterDisease perceptionMedication beliefMedication complianceMediating effect

王瑞霞、吕慧、夏建妹、杨思兰、方丽

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310053 浙江中医药大学

314000 浙江省嘉兴市干部保健中心

急性期带状疱疹 疾病感知 服药信念 服药依从性 中介效应

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(1)
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