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冠心病病人二级预防依从性及其影响因素分析

Exploration on adherence of secondary prevention of coronary heart disease patients and its influencing factors

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【作者】 霍奇文杜少英杨慧周艺高伟娜王彦

【Author】 HUO Qiwen;DU Shaoying;YANG Hui;ZHOU Yi;GAO Weina;WANG Yan;School of Nursing,Hebei University;

【通讯作者】 王彦;

【机构】 河北大学护理学院

【摘要】 [目的]调查冠心病病人二级预防依从性现状并分析其影响因素。[方法]采用一般人口学以及疾病相关资料调查表、Morisky服药依从性量表及非药物依从行为调查问卷,对400例冠心病病人进行问卷调查。[结果]服药依从性得分为(5. 05±2. 75)分,处于低水平;非药物依从性得分为(7. 88±2. 23)分,处于中等水平。多元回归分析显示:距离上次住院时间短、PCI术后、合并其他疾病、男性、丧偶、住院次数多、文化程度高及职业为工人是冠心病病人服药依从性的正向影响因素(P<0. 05);年龄大、收入高、PCI术后、CABG术后、女性、文化程度高、退休及有医疗保险是非药物依从行为的正向影响因素(P<0. 05)。[结论]冠心病病人二级预防依从性有待提高,需针对不同病人的人口学特征及疾病特点给予针对性的指导。

【Abstract】 Objective:To investigate adherence of secondary prevention and its influencing factors of coronary heart disease(CHD)patients.Methods:A total of 400 CHD patients were survryed using the socio-demographic characteristics questionnaire,disease-related information questionnaire,Morisky Medication Adherence Scale-8(MMAS-8)and non-medication adherence questionnaire.Results:The mean score of MMAS-8 was(5. 05±2. 75),which was poor. The score of non-medication adherence was(7. 88±2. 23),at a moderate level. Multiple regression analysis showed that last hospitalization time,after PCI,co-morbidity,male,widowed,numbers of hospitalization for CHD,higher education attainment,and occupation as worker had significant positive influence on medication adherence(P<0. 05). Elder,higher income,after PCI,after CABG,female,higher education,retire and having insurance had significant positive influence on non-medication adherence(P<0. 05).Conclusion:Secondary prevention adherence of coronary heart disease patients remained to be further improved. Specific guidance should be given according to the demographic characteristics and disease characteristics of different patients.

【基金】 河北省重点研发计划项目,编号:18277735D;河北省医学科学研究重点课题,编号:20150485
  • 【分类号】R473.5
  • 【被引频次】33
  • 【下载频次】733
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