中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
30期
3728-3731
,共4页
李洁峰%赵雪颜%吴建平%陈丽华
李潔峰%趙雪顏%吳建平%陳麗華
리길봉%조설안%오건평%진려화
肺疾病,慢性阻塞性%药物疗法%稳定期%依从性%影响因素
肺疾病,慢性阻塞性%藥物療法%穩定期%依從性%影響因素
폐질병,만성조새성%약물요법%은정기%의종성%영향인소
Pulmonary disease,chronic obstructive%Medication therapy%Stable stage%Compliance%Influencing factors
目的 探讨慢性阻塞性肺疾病(COPD)稳定期患者药物治疗依从性及影响因素.方法 对100例COPD稳定期患者实施干预措施,定期随访,采用问卷调查法调查其药物治疗依从性,比较干预前后药物治疗依从性的差异,并分析其影响因素.结果 干预前COPD稳定期患者药物治疗依从性佳占34％,干预后依从性佳患者占73％,差异有统计学意义(x2=30.57,P＜0.01).是否掌握吸入用药技术、是否独居、是否定期复查、是否有药物不良反应的患者药物治疗依从性不同,差异有统计学意义(x2分别为22.99,15.52,17.94,10.04;P ＜0.01)；不同年龄、文化程度患者药物依从性不同,差异有统计学意义(x2分别为4.58,4.92;P ＜0.05).结论 针对不同的人群采用不同的干预措施,可提高COPD稳定期患者药物治疗依从性,减少急性加重的发生,提高其生活质量.
目的 探討慢性阻塞性肺疾病(COPD)穩定期患者藥物治療依從性及影響因素.方法 對100例COPD穩定期患者實施榦預措施,定期隨訪,採用問捲調查法調查其藥物治療依從性,比較榦預前後藥物治療依從性的差異,併分析其影響因素.結果 榦預前COPD穩定期患者藥物治療依從性佳佔34％,榦預後依從性佳患者佔73％,差異有統計學意義(x2=30.57,P＜0.01).是否掌握吸入用藥技術、是否獨居、是否定期複查、是否有藥物不良反應的患者藥物治療依從性不同,差異有統計學意義(x2分彆為22.99,15.52,17.94,10.04;P ＜0.01)；不同年齡、文化程度患者藥物依從性不同,差異有統計學意義(x2分彆為4.58,4.92;P ＜0.05).結論 針對不同的人群採用不同的榦預措施,可提高COPD穩定期患者藥物治療依從性,減少急性加重的髮生,提高其生活質量.
목적 탐토만성조새성폐질병(COPD)은정기환자약물치료의종성급영향인소.방법 대100례COPD은정기환자실시간예조시,정기수방,채용문권조사법조사기약물치료의종성,비교간예전후약물치료의종성적차이,병분석기영향인소.결과 간예전COPD은정기환자약물치료의종성가점34％,간예후의종성가환자점73％,차이유통계학의의(x2=30.57,P＜0.01).시부장악흡입용약기술、시부독거、시부정기복사、시부유약물불량반응적환자약물치료의종성불동,차이유통계학의의(x2분별위22.99,15.52,17.94,10.04;P ＜0.01)；불동년령、문화정도환자약물의종성불동,차이유통계학의의(x2분별위4.58,4.92;P ＜0.05).결론 침대불동적인군채용불동적간예조시,가제고COPD은정기환자약물치료의종성,감소급성가중적발생,제고기생활질량.
Objective To evaluate the medication compliance and its influencing factors in patients with stable chronic obstructive pulmonary disease (COPD).Methods The intervening measures were taken in 100 patients with stable COPD,with a regular follow-up.A questionnaire method was used to investigate the medication compliance of patients in this study.The difference of medication compliance was compared between before and after intervention,and the influencing factors were analyzed.Results There were 34％ patients with good medication compliance before intervention,and 73％ after intervention,the difference was statistically significant (x2 =30.57,P ＜ 0.01).These factors which included inhalation technique mastery of medication,living alone,periodic review,and adverse drug reactions affected apparently medication compliance of patient,and these difference were statistically significant (x2 =22.99,15.52,17.94,10.04,respectively;P ＜ 0.01)between "yes" and "no" about above factors; also the medication adherence were different in patients with different age or educational level,and the difference was statistically significant (x2 =4.58,4.92,respectively; P ＜ 0.05).Conclusions The different intervening measures should be used in patients with stable COPD according to different patients' characteristics,which can enhance their medication compliance,reduce the frequency of exacerbations and improve their quality of life.
