当代护士（中旬刊）
噹代護士（中旬刊）
당대호사（중순간）
Today Nurse
2015年
10期
1-4
,共4页
邵君丽%黄艺仪%林春喜%黄燕梅%许薇
邵君麗%黃藝儀%林春喜%黃燕梅%許薇
소군려%황예의%림춘희%황연매%허미
急性心肌梗死%服药信念%服药依从性
急性心肌梗死%服藥信唸%服藥依從性
급성심기경사%복약신념%복약의종성
acute myocardial infarction%beliefs about medicines%medication adherence
目的 研究急性心肌梗死患者出院后的服药依从性与服药信念现状,探讨服药依从性与服药信念的相关性及服药依从性的影响因素.方法 采用便利取样调查广州市某三级甲等综合医院151例AMI患者.通过问卷调查的方法进行横断面调查,分析纳入患者的服药依从性和服药信念现状,并探讨服药依从性与服药信念的相关性及服药依从性的影响因素.结果 AMI患者出院后的服药依从性处于中等水平,平均得分为(7.34 ± 0.85)分;患者对服药必要性信念的总体感知水平高于顾虑信念;服药依从性与必要性信念呈正相关(r=0.165,P<0.05),与顾虑信念呈负相关(r= -0.479,P<0.01).结论 急性心肌梗死患者出院后的服药依从性和服药信念尚不令人满意,服药信念、家庭经济、是否接受相关宣教是服药依从性的主要影响因素.医务人员可动态评估患者的服药信念,向患者充分说明长期服药的必要性,消除患者的服药顾虑,帮助患者树立积极的服药信念,以提高服药依从性.
目的 研究急性心肌梗死患者齣院後的服藥依從性與服藥信唸現狀,探討服藥依從性與服藥信唸的相關性及服藥依從性的影響因素.方法 採用便利取樣調查廣州市某三級甲等綜閤醫院151例AMI患者.通過問捲調查的方法進行橫斷麵調查,分析納入患者的服藥依從性和服藥信唸現狀,併探討服藥依從性與服藥信唸的相關性及服藥依從性的影響因素.結果 AMI患者齣院後的服藥依從性處于中等水平,平均得分為(7.34 ± 0.85)分;患者對服藥必要性信唸的總體感知水平高于顧慮信唸;服藥依從性與必要性信唸呈正相關(r=0.165,P<0.05),與顧慮信唸呈負相關(r= -0.479,P<0.01).結論 急性心肌梗死患者齣院後的服藥依從性和服藥信唸尚不令人滿意,服藥信唸、傢庭經濟、是否接受相關宣教是服藥依從性的主要影響因素.醫務人員可動態評估患者的服藥信唸,嚮患者充分說明長期服藥的必要性,消除患者的服藥顧慮,幫助患者樹立積極的服藥信唸,以提高服藥依從性.
목적 연구급성심기경사환자출원후적복약의종성여복약신념현상,탐토복약의종성여복약신념적상관성급복약의종성적영향인소.방법 채용편리취양조사엄주시모삼급갑등종합의원151례AMI환자.통과문권조사적방법진행횡단면조사,분석납입환자적복약의종성화복약신념현상,병탐토복약의종성여복약신념적상관성급복약의종성적영향인소.결과 AMI환자출원후적복약의종성처우중등수평,평균득분위(7.34 ± 0.85)분;환자대복약필요성신념적총체감지수평고우고필신념;복약의종성여필요성신념정정상관(r=0.165,P<0.05),여고필신념정부상관(r= -0.479,P<0.01).결론 급성심기경사환자출원후적복약의종성화복약신념상불령인만의,복약신념、가정경제、시부접수상관선교시복약의종성적주요영향인소.의무인원가동태평고환자적복약신념,향환자충분설명장기복약적필요성,소제환자적복약고필,방조환자수립적겁적복약신념,이제고복약의종성.
Objective To explore the relationships of medication adherence and beliefs about medicines in AMI patients after discharge.Methods A total of 151 patients were recruited from one tertiary hospital in Guangzhou by convenience sampling method.They were investi-gated by using MMAS and BMQ -Specific to describe medication adherence and beliefs about medicines.Results The average score of MMAS was 7.34 ± 0.85,which was at the middle level.Necessity scores were higher than concern scores for 80.8% of patients.Patients' medication adherence was positively associated with necessity beliefs(r=0.165,P<0.05),while was negatively associated with concern be-liefs(r= -0.479,P<0.01).Conclusion The current status of medication adherence and beliefs about medicines in AMI patients after dis-charge was not satisfied.Beliefs about medicines,economic situation and whether received discharge instructions or not were factors that influ-enced medication adherence.
