CAJ | 학술논문

【目的】了解综合医院住院患者药物依从性状况及其心理、社会影响因素。【方法】采用5∶1完全随机抽样方法，对2010年11月至2013年2月期间在本院就诊的躯体疾病住院患者进行调查，共抽取样本607例。采用一般资料问卷、Morisky-4依从性调查问卷、医学应对量表（MCMQ）、多维度健康状况心理控制源量表（MHLC）、抑郁自评量表（SDS）、焦虑自评量表（SAS）对607例住院患者进行调查。【结果】①住院患者平均依从率为42％，内科患者依从率为40．42％，外科患者依从率为43．44％，内外科患者的依从率无统计学差异（χ2＝0．566，P ＝0．452）；②男性患者（χ2＝4．565）、教育年限低（8．97±4．48，t ＝2．365）、已就业患者（χ2＝4．528）及有既往住院史患者（χ2＝5．372）的有更高的依从性（ P ＜0．05）；③低依从组患者的SDS、SAS及MCMQ回避分量表上的得分显著高于高依从组（ t＝3．459，P＝0．001；t＝4．556，P＝0．001；t＝3．983， P＝0．001），而高依从组在有势力的他人影响（PHLC）的心理控制方式得分高于低依从组（ t＝-2．846，P＝0．005）。【结论】与住院患者依从性有关的社会影响因素有性别、教育水平、就业情况、既往住院史；与依从性有关的心理因素有抑郁、焦虑、患者回避的应对方式，他人影响的心理控制源。
【목적】료해종합의원주원환자약물의종성상황급기심리、사회영향인소。【방법】채용5∶1완전수궤추양방법，대2010년11월지2013년2월기간재본원취진적구체질병주원환자진행조사，공추취양본607례。채용일반자료문권、Morisky-4의종성조사문권、의학응대량표（MCMQ）、다유도건강상황심리공제원량표（MHLC）、억욱자평량표（SDS）、초필자평량표（SAS）대607례주원환자진행조사。【결과】①주원환자평균의종솔위42％，내과환자의종솔위40．42％，외과환자의종솔위43．44％，내외과환자적의종솔무통계학차이（χ2＝0．566，P ＝0．452）；②남성환자（χ2＝4．565）、교육년한저（8．97±4．48，t ＝2．365）、이취업환자（χ2＝4．528）급유기왕주원사환자（χ2＝5．372）적유경고적의종성（ P ＜0．05）；③저의종조환자적SDS、SAS급MCMQ회피분량표상적득분현저고우고의종조（ t＝3．459，P＝0．001；t＝4．556，P＝0．001；t＝3．983， P＝0．001），이고의종조재유세력적타인영향（PHLC）적심리공제방식득분고우저의종조（ t＝-2．846，P＝0．005）。【결론】여주원환자의종성유관적사회영향인소유성별、교육수평、취업정황、기왕주원사；여의종성유관적심리인소유억욱、초필、환자회피적응대방식，타인영향적심리공제원。
[Objective]To understand the status of medication compliance of inpatients in general hospital and the influential factors of psychology and society .[Methods] Totally 607 inpatients with somatological dis-eases in our hospital from Nov .2010 to Feb .2013 were surveyed by using 5:1 complete random sampling method .General questionnaire ,Morisky-4 compliance questionnaire ,medical coping mode questionnaire(MC-MQ) ,multi-dimensional mental health locus of control scale(MHLC) ,self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were used to investigate 607 inpatients .[Results] The average compliance rate of inpatients was 42% ,and that of internal medicine patients was 40 .42% ,and that of surgical patients was 43 .44% ,but there was no significant difference between internal medicine patients and surgical patients (χ2 =0 .566 ,P =0 .452) .Male patients(χ2 =4 .565) ,fewer education years (8 .97 ± 4 .48 ,t =2 .365) ,employed patients(χ2 =4 .528) and patients with the history of hospitalization (χ2 =5 .372) had even higher compliance . The scores of depression ,anxiety and avoidance in low compliance group were significantly higher than those in high compliance group( t =3 .459 ,P =0 .001;t =4 .556 ,P =0 .001 ;t =3 .983 ,P =0 .001) .The scores of psychological manipulation mode of powerful others in high compliance group were higher than those in low compliance group( t = -2 .846 ,P = 0 .005) .[Conclusion] Social influential factors associated with compli-ance of inpatients are gender ,education level ,employment status and history of hospitalization .Psychological factors associated with compliance are depression ,anxiety ,avoidance coping style and locus of control of oth-ers .