摘要
目的调查青年初治肺结核患者的服药信念水平并分析其影响因素。方法本研究为横断面研究。采用便利抽样法,选取2022年1月—2023年4月在新疆维吾尔自治区喀什及和田地区结核病定点医院就诊的320例青年初治肺结核患者为研究对象,采用一般资料调查表、服药信念特异性问卷(BMQ-S)、8条目Morisky服药依从性量表(MMAS-8)、简易疾病感知问卷(BIPQ)、结核病病耻感量表(TSS)对其进行调查。采用多重线性回归分析探讨青年初治肺结核患者服药信念的影响因素。结果本研究共发放问卷320份,回收有效问卷302份,问卷有效回收率为94.38%(302/320)。302例青年初治肺结核患者的BMQ-S总分为-1.00(-2.00,1.00)分、MMAS-8总分为5.38(4.75,5.75)分、BIPQ总分为37.00(24.00,44.00)分、TSS总分为48.00(44.00,52.00)分。多重线性回归分析结果显示,合并症、服药依从性、疾病感知、病耻感是青年初治肺结核患者服药信念的影响因素(P<0.01)。结论青年初治肺结核患者的服药信念水平有待提高,医护人员应纠正患者疾病负性认知,强调药物治疗益处,提升患者服药必要性信念。
Objective To investigate the level of beliefs about medication in young patients with newly treated pulmonary tuberculosis and analyze its influencing factors.Methods This was a cross-sectional study.Using the convenient sampling method,a total of 320 young newly treated pulmonary tuberculosis patients who visited the designated tuberculosis hospitals in Kashgar Prefecture and Hotan Prefecture of Xinjiang Uygur Autonomous Region from January 2022 to April 2023 were selected as the research objects.The investigation was carried out with the General Information Questionnaire,Beliefs about Medicines Questionaire Specific(BMQ-S),8-Item Morisky Medication Adherence Scale(MMAS-8),Brief Illness Perception Questionnaire(BIPQ)and Tuberculosis-related Stigma Scale(TSS).Multiple linear regression was used to analyze the influencing factors of medication beliefs in young patients with newly treated tuberculosis.Results A total of 320 questionnaires were distributed in this study,and 302 valid questionnaires were collected,with an effective response rate of 94.38%(302/320).The total score of BMQ-S of 302 young patients with newly treated tuberculosis was-1.00(-2.00,1.00),MMAS-8 score was 5.38(4.75,5.75),BIPQ score was 37.00(24.00,44.00)and TSS score was 48.00(44.00,52.00).The results of multiple linear regression analysis showed that comorbidities,medication adherence,disease perception and stigma were the influencing factors of medication beliefs in young newly treated pulmonary tuberculosis patients(P<0.01).Conclusions The medication belief level of young patients with newly treated pulmonary tuberculosis needs to be improved.Medical staff should correct the negative cognition of the patient's disease,emphasize the benefits of drug treatment and enhance the patients'beliefs in the necessity of medication.
作者
吴茜
金梦杰
宋童昕
范恩
施莉
王梅新
Wu Qian;Jin Mengjie;Song Tongxin;Fan En;Shi Li;Wang Meixin(School of Nursing,Xinjiang Medical University,Urumqi 830011,China;Nursing Department,Hotan Prefecture Tuberculosis Hospital,Xinjiang Uygur Autonomous Region,Hotan 848000,China;Nursing Department,Institute of Tuberculosis Control and Prevention in Kashgar Prefecture,Xinjiang Uygur Autonomous Region,Kashgar 844000,China;Supervision Office,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)
出处
《中华现代护理杂志》
2024年第10期1305-1310,共6页
Chinese Journal of Modern Nursing
基金
中华护理学会2021年度立项科研课题项目(ZHKY202102)。
关键词
肺结核
青年患者
服药信念
影响因素
Pulmonary tuberculosis
Young patients
Beliefs about medication
Influencing factors
