摘要
目的调查慢性肾脏病(CKD)非透析患者的药物依从性的现状,并分析其影响因素。方法采用便利抽样法选取2022年10月至2023年5月南华大学附属第一医院肾内科收治的220例CKD非透析患者作为调查对象,收集患者的一般资料、药物依从性、合理用药的自我效能、服药信念等相关量表评分,并进行患者药物依从性的相关因素分析。结果共纳入220例CKD非透析患者,患者的Morisky-8药物依从性量表得分为(2.96±1.20)分,处于较低水平。单因素分析结果显示,患者的性别、文化程度、职业状况、付费方式与药物依从性有关,差异有统计学意义(P<0.05)。采用多元线性回归模型进行多因素分析结果显示,患者的职业、付费方式、用药自我效能、服药一般信念是患者药物依从性的影响因素(P<0.05)。此外药物依从性与用药自我效能呈一定程度的正相关(r=0.558),与服药一般信念呈一定程度的负相关(r=-0.510)。结论CKD非透析患者用药依从性较差,建议医护人员采取相应的护理措施,提高患者的用药自我效能及药物依从性。
Objective To investigate the current situation of medication compliance in non-dialysis patients with chronic kidney disease(CKD)and analyze its influencing factors.Methods A total of 220 non-dialysis patients with CKD admitted to the Department of Renal Medicine of the First Affiliated Hospital of University of South China from October 2022 to May 2023 were selected by convenience sampling method.The general data,medication compliance,self-efficacy of rational drug use,medication belief and other relevant scales of patients were collected.The factors related to medication compliance were analyzed.Results A total of 220 non-dialysis patients with CKD were included.The score of Morisky-8 medication compliance scale was(2.96±1.20)points,which was at a low level.The results of univariate analysis showed that gender,education level,occupational status and payment method of patients were related to medication compliance,and the differences were statistically significant(P<0.05).Multivariate linear regression model was used to analyze the factors,and the results showed that patients'occupation,payment method,drug self-efficacy and general medication belief were the influencing factors of patients'drug compliance(P<0.05).In addition,medication compliance was positively correlated with drug self-efficacy to a certain extent(r=0.558),and general medication belief was negatively correlated to a certain extent(r=-0.510).Conclusion The medication compliance of non-dialysis patients with CKD is poor.It is suggested that the medical staff should take corresponding nursing measures to improve the medication self-efficacy and medication compliance of patients.
作者
彭颖倩
万艳平
PENG Yingqian;WAN Yanping(School of Nursing,University of South China,Hunan Province,Hengyang 421001,China)
出处
《中国当代医药》
CAS
2024年第13期101-105,共5页
China Modern Medicine
关键词
慢性肾脏病
药物依从性
自我效能
服药信念
影响因素
Chronic kidney disease
Medication compliance
Self-efficacy
Medication belief
Influencing factor
