中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
7期
798-800
,共3页
老年%高血压%服药依从性%社会支持%影响因素
老年%高血壓%服藥依從性%社會支持%影響因素
노년%고혈압%복약의종성%사회지지%영향인소
Elderly%Hypertension%Medication compliance%Social support%Influeneing factors
目的 了解老年高血压患者的服药依从性及社会支持情况,探讨两者之间的关系及影响依从性的因素,有针对性地采取措施以提高患者的服药依从性,促进其康复.方法 采用高血压患者服药依从性Morisky量表和社会支持评定量表(SSRS)及自行设计的有关患者一般情况的调查表调查在福建省3所三级甲等医院门诊跟踪治疗的82例老年高血压患者.结果 老年高血压患者服药依从性评分为(2.79±1.44)分,依从性佳占46.3%.依从性差占53.7%.社会支持总分(29.62±6.21)分,三个维度得分分别为主观支持(16.29±3.44)分、客观支持(7.12±2.10)分、支持的利用度(6.21±2.67)分.服药依从性与社会支持总分及利用维度呈正相关,相关系数分别为0.221,0.220(P<0.05).影响患者服药依从性的主要因素有疾病知识的了解程度和文化程度.结论 医护人员要协助老年高血压患者争取更多的社会支持,加强健康教育,针对不同的文化程度患者设计适合的健康教育计划以提高患者的服药依从性.
目的 瞭解老年高血壓患者的服藥依從性及社會支持情況,探討兩者之間的關繫及影響依從性的因素,有針對性地採取措施以提高患者的服藥依從性,促進其康複.方法 採用高血壓患者服藥依從性Morisky量錶和社會支持評定量錶(SSRS)及自行設計的有關患者一般情況的調查錶調查在福建省3所三級甲等醫院門診跟蹤治療的82例老年高血壓患者.結果 老年高血壓患者服藥依從性評分為(2.79±1.44)分,依從性佳佔46.3%.依從性差佔53.7%.社會支持總分(29.62±6.21)分,三箇維度得分分彆為主觀支持(16.29±3.44)分、客觀支持(7.12±2.10)分、支持的利用度(6.21±2.67)分.服藥依從性與社會支持總分及利用維度呈正相關,相關繫數分彆為0.221,0.220(P<0.05).影響患者服藥依從性的主要因素有疾病知識的瞭解程度和文化程度.結論 醫護人員要協助老年高血壓患者爭取更多的社會支持,加彊健康教育,針對不同的文化程度患者設計適閤的健康教育計劃以提高患者的服藥依從性.
목적 료해노년고혈압환자적복약의종성급사회지지정황,탐토량자지간적관계급영향의종성적인소,유침대성지채취조시이제고환자적복약의종성,촉진기강복.방법 채용고혈압환자복약의종성Morisky량표화사회지지평정량표(SSRS)급자행설계적유관환자일반정황적조사표조사재복건성3소삼급갑등의원문진근종치료적82례노년고혈압환자.결과 노년고혈압환자복약의종성평분위(2.79±1.44)분,의종성가점46.3%.의종성차점53.7%.사회지지총분(29.62±6.21)분,삼개유도득분분별위주관지지(16.29±3.44)분、객관지지(7.12±2.10)분、지지적이용도(6.21±2.67)분.복약의종성여사회지지총분급이용유도정정상관,상관계수분별위0.221,0.220(P<0.05).영향환자복약의종성적주요인소유질병지식적료해정도화문화정도.결론 의호인원요협조노년고혈압환자쟁취경다적사회지지,가강건강교육,침대불동적문화정도환자설계괄합적건강교육계화이제고환자적복약의종성.
Objective To explore the medication compliance in elderly hypertension patients,to identify the influencing of factors medication compliance,in order to provide basis for improving medication compliance and rehabilitation of the patients.Methods 82 elderly hypertension outpatients from three third-grade class-A hospitals in Fujian Province were investigated by Morisky medication compliance scale,social support rating scale (SSRS)and self-designed general condition questionnaire.Results The score of medication compliance in elderly hypertension patients was(2.79±1.44),of which 46.3%was identified as fine compliance and 53.7% as poor compliance.Social support scored(29.62±6.21),and scores of three dimensions were:(16.29±3.44) for subjective support,(7.12 ±2.10)for objective support and(6.21±2.67)for support utilization.Medication compliance was positively correlated with social support and support utilization,the correlation coefficients were 0.221,0.220,respectivdy(P<0.05).The main factors affecting the patients'medication compliance were cognition on the related knowledge and education level.Condusions Medical staff should help elderly hypertension patients obtain more social support and provide more health education for them,especially pertinent health education program to improve medication compliance according to patients'education level.
