摘要
目的本调查旨在探讨东莞地区青、中年慢性病患者用药依从性情况,并分析影响其用药依从性的因素,为该地区青、中年慢性病患者用药管理提供有效的参考依据。方法2022年1月至2022年12月通过问卷调查的方式对该地区青、中年慢性病患者采用方便抽样法进行横断面调查,并对问卷相关结果进行统计分析。结果本次纳入研究的青、中年慢性病患者共5206人,其中Morisky量表平均得分为(1.81±1.48)分,用药依从性高的仅占27.01%;K10量表平均得分为(18.23±5.89)分,大部分患者的心理健康状况都在较好以上。年龄50~59岁患者Morisky量表得分低于18~29岁患者;文化程度为小学的患者Morisky量表得分低于文化程度为大专以上的患者;无医保患者Morisky量表得分低于有医保患者;医疗服务态度对Morisky量表得分具有显著主效应(F=83.072,P<0.001),就医便利程度对Morisky量表得分具有显著主效应(F=10.185,P<0.001)。结论该地区青、中年患者用药依从性较低,且与年龄、文化程度、参与医保情况、心理健康状况、医疗服务态度以及就医便利程度等多种因素相关联,应根据这些因素的特点,采取有效的干预措施,以增强该群体用药依从性。
Objective To investigate the medication compliance of young and middle-aged patients with chronic diseases in Dongguan area,and analyze the factors affecting their medication compliance,so as to provide effective reference for medication management of young and middle-aged patients with chronic diseases in this area.Methods From January 2022 to December 2022,a cross-sectional survey was conducted among young and middleaged chronic disease patients in this area by means of convenient sampling method,and the relevant results of the questionnaire were statistically analyzed.Results A total of 5206 young and middle-aged patients with chronic diseases were included in this study.The average score of Morisky scale was(1.81±1.48),and only 27.01%of them had high medication compliance.The average score of K10 scale was(18.23±5.89),and most of the patients’mental health status was above good.The Morisky scale score of patients aged 50 to 59 was lower than that of patients aged 18 to 29.The Morisky score of the patients with primary education was lower than that of the patients with junior college education.The Morisky scale score of patients without medical insurance was lower than that of patients with medical insurance.Medical service attitude had a significant main effect on Morisky scale score(F=83.072,P<0.001),and convenience of medical treatment had a significant main effect on Morisky scale score(F=10.185,P<0.001).Conclusion The medication compliance of young and middle-aged patients in this area is low,which is related to many factors such as age,education level,participation in medical insurance,mental health status,medical service attitude and medical convenience.Effective intervention measures should be taken to enhance the medication compliance of this population according to the characteristics of these factors.
作者
罗瑞玲
李润林
罗锦河
黄斌学
Luo Ruiling;Li Runlin;Luo Jinhe;Huang Binxue(Dongguan Qiaotou Hospital,Dongguan 523538,Guangdong,China)
出处
《右江民族医学院学报》
2023年第4期646-651,679,共7页
Journal of Youjiang Medical University for Nationalities
基金
东莞市社会发展科研项目(项目编号:20211800903912)
关键词
东莞地区
慢性病
青、中年
用药依从性
Dongguan area
chronic diseases
young and middle-aged
medication compliance
