摘要
目的探索南京地区社区管理慢性病患者的治疗依从性现状及其影响因素。方法抽取南京地区社区卫生服务中心管理的慢性病患者673例,收集一般资料,采用MMAS-8量表、WHQOL-BREF中文版量表、PSS-Fa量表评价患者治疗依从性、生存质量及家庭支持水平,采用logistic回归分析治疗依从性的影响因素。结果患者MMAS-8得分与WHQOL-BREF中文版心理与社会管理领域得分以及PSS-Fa得分呈正相关,logistic回归分析提示>65岁(OR=1.723)是治疗依从性的危险因素,本科及以上文化程度(OR=0.582)、家庭年收入>8万元(OR=0.603)、慢性病共病(OR=0.718)、自身生存质量总体评价较好(OR=0.547)、高家庭支持水平(OR=0.619)是治疗依从性的保护因素(P<0.05)。结论南京地区社区管理慢性病患者的治疗依从性尚存在提升空间,需重点关注高龄患者,加强单一慢性病患者宣教工作并提高患者生存质量及家庭支持水平。
Objective To explore the status quo of treatment adherence and its influencing factors in community management of patients with chronic diseases in Nanjing.Methods A total of 673 patients with chronic diseases managed by community health service centers in Nanjing were selected.The general data of the study subjects were collected.MMAS-8 Scale,the Chinese version of WHQOL-BREF and PSS-Fa were used to evaluate the treatment adherence,quality of life and family support level.logistic regression analysis was used to investigate the influencing factors of treatment adherence.Results The MMAS-8 score was positively correlated with WHQOL-BREF Chinese version psychological and social management domain score and PSS-Fa score,logistic regression analysis results suggested that>65 years of age(OR=1.723)was a risk factor for poor treatment adherence,undergraduate and above education level(OR=0.582),annual family income>80000 yuan(OR=0.603),comorbidity of chronic diseases(OR=0.718),better overall evaluation of their own quality of life(OR=0.547),and high family support level(OR=0.619)were protective factors for poor treatment adherence(P<0.05).Conclusion There is still room to improve the treatment adherence of patients with chronic diseases in community management in Nanjing.It is necessary to focus on elderly patients,strengthen the education of patients with single chronic diseases and improve the quality of life and family support level of patients.
作者
安锦慧
葛洪超
齐琦
李倩倩
AN Jinhui;GE Hongchao;QI Qi;LI Qianqian(Department of Family Medicine,Nanjing Jiangning Hospital,Nanjing,Jiangsu 211100,China;Department of Gastroenterology,Qixia District Hospital,Nanjing,Jiangsu 210046,China;Department of Family Medicine,Guli Street Community Health Service Center,Jiangning District,Nanjing,Jiangsu 211100,China;Department of Family Medicine,Zhetang Central Health Center,Lishui District,Nanjing 211200,China)
出处
《公共卫生与预防医学》
2024年第5期155-158,共4页
Journal of Public Health and Preventive Medicine
关键词
社区管理
慢性病
治疗依从性
Community management
Chronic disease
Treatment adherence
