摘要
目的探讨影响心脑血管疾病患者他汀药物治疗依从性的相关因素。方法 2016年1月—2017年6月该院用他汀药物治疗心脑血管疾病患者120例,比较不同依从性心脑血管疾病患者相关因素上的差异。结果 120例心脑血管疾病患者应用他汀药物依从性好64例,占总数的60.00%(72/120),依从性差48例,占总数的40.00%(48/120);单因素8个方面差异有统计学意义(χ~2=6.68、7.04、6.69,4.03、7.06,8.16、6.56、9.15、4.26,P<0.05);Logistic回归分析影响心脑血管疾病他汀药物治疗依从性独因素:心脑血管疾病及他汀药物认知匮乏(OR=4.237,95%CI:1.229,15.382)、年龄≥60岁(OR=3.643,95%CI:1.325,12.472)、他汀药物不良反应较重(OR=3.387,95%CI:1.103,14.093)、病情严重(OR=2.774,95%CI:1.026,11.237)。结论心脑血管疾病患者他汀药物过程中心脑血管疾病及他汀药物认知、年龄、他汀药物不良反应及病情严重程度影响了依从性,应实施相应的措施提高他汀药物依从性。
Objective To investigate the related factors affecting the compliance of statin therapy in patients with cardiovascular and cerebrovascular diseases. Methods From January 2016 to June 2017, 120 patients with cardiovascular and cerebrovascular diseases were treated with statin drugs in the hospital. The differences in related factors between patients with different cardiovascular and cerebrovascular diseases were compared. Results In 120 patients with cardiovascular and cerebrovascular diseases, 64 patients with statin compliance were good, accounting for 60.00% （72/120） of the total, 48 patients with poor compliance, accounting for 40.00% （48/120） of the total; ,the difference was statistically signficant（χ^2=6.68, 7.04, 6.69, 4.03, 7.06, 8.16, 6.56, 9.15, 4.26, P〈0.05）; Logistic regression analysis of cardiovascular and cerebrovascular diseases statin drug treatment compliance alone factors： cardiovascular and cerebrovascular diseases and statin recognition knowledge deficit （OR=4.237, 95% CI：1.229,15.382）, age ≥ 60 years （OR=3.643, 95% CI：1.325,12.472）, statin drug side effects are heavier （OR=3.387, 95% CI：1.103,14.093）, the condition is serious （OR =2.774, 95% CI：1.026,11.237）. Conclusion Cerebrovascular disease patients with cerebral vascular disease and statin cognition, age, statin side effects and severity of the disease affect compliance, and corresponding measures should be implemented to improve statin compliance.
作者
王平
WANG Ping(Department of Internal Medicine,Nantong Maternal and Child Health Hospital,Nantong,Jiangsu Province,226010 China)
出处
《系统医学》
2018年第17期70-72,共3页
Systems Medicine
关键词
心脑血管疾病
他汀药物
依从性
影响因素
Cardiovascular and cerebrovascular diseases
Statin drugs
Compliance
Influencing factors
