CAJ | 학술논문

目的：调查分析伴颈动脉斑块形成的中老年心脑血管疾病患者服药依从性及影响因素，为临床及社区的药物治疗干预提供理论参考。方法采用便利抽样法选取2011年4月～7月期间，在广州市三所三甲医院神经内科住院并经B超确诊有颈动脉斑块形成的中老年心脑血管疾病患者107例，进行服药依从性问卷调查，并分析人口学资料、病程、健康状况、疾病认知等因素对服药依从性的影响。结果患者的服药依从性得分均值为（2．2±0．4），处于中等水平。文化程度、病程、健康状况、工作强度及疾病认知水平是影响服药依从性的主要因素。结论中老年心脑血管疾病患者的服药依从性有待进一步提高，医护人员应加强药物治疗的干预，采取针对性措施提高患者服药依从性。
목적：조사분석반경동맥반괴형성적중노년심뇌혈관질병환자복약의종성급영향인소，위림상급사구적약물치료간예제공이론삼고。방법채용편리추양법선취2011년4월～7월기간，재엄주시삼소삼갑의원신경내과주원병경B초학진유경동맥반괴형성적중노년심뇌혈관질병환자107례，진행복약의종성문권조사，병분석인구학자료、병정、건강상황、질병인지등인소대복약의종성적영향。결과환자적복약의종성득분균치위（2．2±0．4），처우중등수평。문화정도、병정、건강상황、공작강도급질병인지수평시영향복약의종성적주요인소。결론중노년심뇌혈관질병환자적복약의종성유대진일보제고，의호인원응가강약물치료적간예，채취침대성조시제고환자복약의종성。
Objective Investigate the medication compliance and the main risk factors of middle -aged and elderly patients with atherosclerosis, in order to provide theoretic basis for clinical and community medication intervention .Methods From April 2011 to July 2011, a questionnaire survey of medication compliance was conducted among 107 middle-aged and elderly patients, which from three hospitals of Guangzhou and with carotid atherosclerosis plaque in cardiovascular and cerebrovascular disease by the examination of color doppler ultrasound.And then we analyse the influence of demographic da-ta, medication compliance、health condition and disease congnition medication compliance.Results The patients compliance score mean was (2.2 ±0.4),which was in the medium level.And the cultural level, course of disease, health status, work intensity and the cognitive level of disease were the main factors influencing the compliance, (p﹤0.05).Conclusion The medication compliance in middle-aged and elderly patients with cardiovascular and cerebrovascular disease needs to be fur-ther improved.And the drug treatment intervention will be strengthen, and measures should be taken to improve the compli-ance.