中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
16期
1874-1877
,共4页
冠心病%抑郁%焦虑%用药依从性%疗效评价
冠心病%抑鬱%焦慮%用藥依從性%療效評價
관심병%억욱%초필%용약의종성%료효평개
Coronary heart disease%Depression%Anxiety%Medication compliance%Efficacy evaluation
目的 研究冠心病患者抑郁和焦虑状态及患者用药依从性对医患疗效评价一致性的影响.方法 选取山东省滨州市人民医院住院治疗的冠心病患者182例,采用抑郁自评量表和焦虑自评量表对患者精神状况进行评估,同时通过询问患者,判定用药依从性并记录出院时医患双方对疗效评价.探讨服药依从性与抑郁、焦虑状态的关系,评价抑郁、焦虑以及用药依从性对医患疗效评价一致性的影响,采用多因素回归分析医患疗效评价一致性的影响因素.结果 共发放问卷182份,回收182份,有效回收率为100％.182例冠心病患者中抑郁患者82例,焦虑患者66例;服药依从性好的患者103例,服药依从性不佳者79例;服药依从性好的患者中抑郁或焦虑检出率低于服药依从性不佳的患者,两组比较差异有统计学意义(x2值分别为34.02,42.07;P ＜0.01).39.6％的患者不认同医生的疗效判断,多因素Logistic回归分析提示患者的抑郁、焦虑状态以及用药的依从性是影响医患对疗效评价不一致的因素(OR值分别为3.421,3.739,0.248;P＜0.01).结论 抑郁、焦虑负性情绪能降低患者服药依从性.抑郁、焦虑的负性情绪及用药依从性差是冠心病患者对疗效不认同的影响因素.提高患者服药依从性,改善抑郁和焦虑情绪状态,有助于改善患者对医生疗效判断.
目的 研究冠心病患者抑鬱和焦慮狀態及患者用藥依從性對醫患療效評價一緻性的影響.方法 選取山東省濱州市人民醫院住院治療的冠心病患者182例,採用抑鬱自評量錶和焦慮自評量錶對患者精神狀況進行評估,同時通過詢問患者,判定用藥依從性併記錄齣院時醫患雙方對療效評價.探討服藥依從性與抑鬱、焦慮狀態的關繫,評價抑鬱、焦慮以及用藥依從性對醫患療效評價一緻性的影響,採用多因素迴歸分析醫患療效評價一緻性的影響因素.結果 共髮放問捲182份,迴收182份,有效迴收率為100％.182例冠心病患者中抑鬱患者82例,焦慮患者66例;服藥依從性好的患者103例,服藥依從性不佳者79例;服藥依從性好的患者中抑鬱或焦慮檢齣率低于服藥依從性不佳的患者,兩組比較差異有統計學意義(x2值分彆為34.02,42.07;P ＜0.01).39.6％的患者不認同醫生的療效判斷,多因素Logistic迴歸分析提示患者的抑鬱、焦慮狀態以及用藥的依從性是影響醫患對療效評價不一緻的因素(OR值分彆為3.421,3.739,0.248;P＜0.01).結論 抑鬱、焦慮負性情緒能降低患者服藥依從性.抑鬱、焦慮的負性情緒及用藥依從性差是冠心病患者對療效不認同的影響因素.提高患者服藥依從性,改善抑鬱和焦慮情緒狀態,有助于改善患者對醫生療效判斷.
목적 연구관심병환자억욱화초필상태급환자용약의종성대의환료효평개일치성적영향.방법 선취산동성빈주시인민의원주원치료적관심병환자182례,채용억욱자평량표화초필자평량표대환자정신상황진행평고,동시통과순문환자,판정용약의종성병기록출원시의환쌍방대료효평개.탐토복약의종성여억욱、초필상태적관계,평개억욱、초필이급용약의종성대의환료효평개일치성적영향,채용다인소회귀분석의환료효평개일치성적영향인소.결과 공발방문권182빈,회수182빈,유효회수솔위100％.182례관심병환자중억욱환자82례,초필환자66례;복약의종성호적환자103례,복약의종성불가자79례;복약의종성호적환자중억욱혹초필검출솔저우복약의종성불가적환자,량조비교차이유통계학의의(x2치분별위34.02,42.07;P ＜0.01).39.6％적환자불인동의생적료효판단,다인소Logistic회귀분석제시환자적억욱、초필상태이급용약적의종성시영향의환대료효평개불일치적인소(OR치분별위3.421,3.739,0.248;P＜0.01).결론 억욱、초필부성정서능강저환자복약의종성.억욱、초필적부성정서급용약의종성차시관심병환자대료효불인동적영향인소.제고환자복약의종성,개선억욱화초필정서상태,유조우개선환자대의생료효판단.
Objective To explore the impact of depression and anxiety state and medication compliance on physician-patient efficacy evaluation consistency in patients with coronary heart disease.Methods The mental status of 182 cases with coronary heart disease from People Hospital of Binzhou City of Shandong Province were assessed by self-rating depressing scale and self-rating anxiety scale.Medication compliance was evaluated and consistency of physician-patient therapeutic effect evaluation were recorded.The relationship between the status of depression and anxiety as well as medication compliance was analysed.The influence factors of doctorpatient efficacy evaluation consistency were analyzed by multiple factors regression.Results One hundred and eighty-two questionnaires were distributed and 182 were retrieved with a effective response rate of 100％.Eightytwo patients were in anxiety state and 66 patients suffered from depression.Seventy-nine patients had poor medication compliance and 103 patients had good medication compliance.The detection ratio of depression or anxiety were higher in patients with poor medication compliance(x2 =34.02,42.07,respectively ; P ＜ 0.001).Seventy-two patients (39.6％) in the hospital disagreed with the doctor' s efficacy evaluation.Multi-factor Logistic regression analysis results indicated that depression,anxiety status and medication compliance was the key factors of efficacy evaluation consistency (OR =3.421,3.739 and 0.248,respectively; P ＜ 0.01).Conclusions The negative emotions of depression and anxiety can reduce patients medication compliance.The depression,anxiety and medication compliance were the influence factors of efficacy evaluation consistency in patients with coronary heart disease.Enhancing patients' medication compliance and treating depression and anxiety emotional state can help patients improve the acceptance with doctors' efficacy evaluation.
