摘要
目的调查罹患慢性疾病老干部发生不规范服药的相关因素。方法采用自行设计调查表对352位老干部是否发生不规范服药及其相关因素进行问卷调查，并对调查结果行单因素卡方检验和多元Logistic回归分析。结果年龄、受教育程度、生活自理程度、医疗付费方式、个人月收入、药物种类、对疾病认识错误和对医疗信任度下降等8因素保留于最终回归模型中；最终模型预测判断力为96．6％；生活完全不能自理、医疗费用全额报销的患者分别与生活完全自理和基本医保患者相比，以及每日服用1～6种药物的患者与超过7种药物的患者相比，不规范服药发生比率低；而生活部分自理、医疗费用部分报销和完全自费患者分别与生活完全自理和基本医疗保险患者相比，不规范服药发生比率高；年龄较小、受教育程度低、个人月经济收入少、对疾病认识错误和对医疗信任度下降的患者相对容易发生不规范服药。结论罹患慢性疾病老干部发生不规范服药因素包括年龄、受教育程度、生活自理程度、医疗付费方式、个人月收入、药物种类、对疾病认识错误和对医疗信任度下降。
Objective To investigate the factors influencing non-compliance in drug intake among old cadre patients with chronic diseases. Methods The correlative factors of non-compliance in drug intake among 352 old cadre patients with chronic diseases were investigated by self-desinged questionnaire. Single factor analysis and multivariate logistic regression analysis were used for analysis of the factors. Results Eight factors were significantly associated with non-compliance in drug intake by the multivariate logistic regression analysis, including age, educational level, self-care ability, mode of medical expense payment, monthly income, total kinds of drugs,inaccurate knowledge of diseases and declining credit on medical treatment. The prognosticating efficiency of this model was 96. 6%. Compared with patients who were able to look after themselves and enjoyed elementary medical insurance, patients who were not able to look after themselves and whose medical expenses were completely paid by the state had less non-compliance events. Compared with patients who took more than 7 kinds of drugs, less non-compliance events were also seen in patients who just took 1 to 6 kinds of drugs. Compared with patients who partly lost self-care ability or whose partial medical expenses were paid by the state and all medical expenses were paind by themselves, patients who were able to look after themselves and enjoyed elementary medical insurance had more non-compliance events. Patients who were younger,with less education, less monthly income, inaccuracy knowledge of disease and little credit on medical treatment tended to have more non-compliance events. Conclusion The correlative factors of non-compliance in drug intake among old cadre patients with chronic diseases include educational level, self-care ability, mode of medical expense payment, monthly income, total kinds of drugs, inaccuracy knowledge of disease and declining credit on medical treatment.
出处
《解放军护理杂志》
2008年第11期1-3,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
慢性疾病
老干部
不规范服药
相关因素
多元LOGISTIC回归分析
chronic disease
old cadre
non-compliance dring intake
correlative factor
multivariate logistic regression analysis
