【摘要】 目的:探讨影响农村缺血性脑卒中患者抗栓药物服药依从性的因素,为村医培训提供依据。方法:自行设计问卷对北流市543名村医进行缺血性脑卒中二级预防、抗栓治疗、用药依从性等相关知识调查。结果:阿司匹林名称、用法知晓率分别为73.11%和37.20%,氯吡格雷、双嘧达莫、华法林名称、用法知晓率在30%以下。知晓卒中后抗栓药物应马上应用29.28%,应长期应用34.07%。依从性各项知识知晓率不足70.00%。健康档案建立率0,随访率33.52%。结论:村医对缺血性脑卒中二级预防、抗栓治疗及依从性相关知识掌握差,明显影响农村卒中患者服药依从性,应引起重视并加强培训。更多还原

【Abstract】 Objective: To understand the iatrogenic factors affecting the village patient’s medication adherence to antithrombotic drug and provide sufficient evidence for the village doctors’ training. Methods:Did the investigation by the self-made questionnaires to ask 543 village doctors in Beiliu city about the ischemic stroke’s secondary prevention, antithrombotic treatment, medication adherence and so on.Results: The knowing rate of all the names of Aspirin and how to use them correctly was 73. 11% and 37.20%,respectively. But the knowing rate of the names of Clopidogrel,Dipyridamole,Warfarin and how to use them was under 30%. Only 29.28% of the village doctors know that the patients should be treated with antithrombotic drug immediately after stroke and about 34. 07% know that the antithrombotic drugs should be used for a long time. Besides,the knowing rate of compliance various knowledge was less than 70.00%,the health records rate 0%,the follow-up rate 33.52%. Conclusion: The village doctors master the knowledge of the ischemic stroke’s secondary prevention,the application of antithrombotic treatment,and relative compliance knowledge poorly. It is clear that this has affected the village stroke patient’s medication adherence. We should attach great importance to the village doctors’ training.更多还原