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我院门诊老年糖尿病患者用药依从性差相关因素的调查分析
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| 篇名： | 我院门诊老年糖尿病患者用药依从性差相关因素的调查分析 |
| TITLE： | |
| 摘要： | 目的：为提升门诊老年糖尿病患者的用药依从性提供参考。方法：随机选取我院门诊120例60岁以上的老年糖尿病患者，采用自拟问卷进行调查，借助Logistic回归分析方法探讨导致老年糖尿病患者用药依从性差的相关因素。结果：调查问卷的克朗巴赫系数为0.89。共发放问卷120份，回收有效问卷113份，有效回收率为94.17％。113例受访患者中用药依从性差者64例（占56.64％）。其中，未按照疗程服药的59例（占92.19％）；未严格按照剂量服药的54例（占84.38％）；服药时间错误的43例（占67.19％）；随意调换药物的37例（占57.81％）；重复用药的18例（占28.13％）。年龄因素、学历因素、药品因素、经济因素、不良反应因素、医务人员因素和治疗方案因素均对受访患者用药依从性具有显著影响（P＜0.05）。结论：门诊老年糖尿病患者用药依从性差是临床中的普遍现象，其表现形式呈多元化，受多方面因素的影响，应引起医师和药师等的重视，给予相应的干预。 |
| ABSTRACT： | OBJECTIVE： To provide reference for improving the medication compliance in the elderly patients with diabetes in outpatient department. METHODS： 120 diabetic patients over 60 yeas old in outpatient department of our hospital were randomly selected， self-made questionnaire was conducted， the related factors caused poor medication compliance in elderly diabetic patients were explored by Logistic regression analysis. RESULTS： Krone Bach coefficient of the questionnaire was 0.89. Totally 120 questionnaires were sent out， 113 were effectively received， with effective rate of 94.17％. 64 cases （56.64％） were in poor medication compliance in the 113 surveyed patients. Among them， 59 cases （92.19％） did not follow the medication prescribed period； 54 cases （84.38％） did not strictly in accordance with the doses； 43 cases （67.19％） took drugs in the wrong time； 37 cases （57.81％） freely changed the drugs； 18 cases （28.13％） repeated taking drugs. The age， educational background， medical factors， economic factors， adverse effects， medical personnel and treatment regimens had significant effects on medication compliance of the surveyed patients （P＜0.05）. CONCLUSIONS： Elderly diabetic patients with poor medication compliance is a common clinical phenomenon， its type is diverse and affects by many factors， physicians and pharmacists should give full consideration to it， giving appropriate intervention. |
| 期刊： | 2017年第28卷第6期 |
| 作者： | 车源霞 |
| AUTHORS： | CHE Yuanxia |
| 关键字： | 用药依从性；门诊；老年糖尿病患者；影响因素；调查分析 |
| KEYWORDS： | Medication compliance； Outpatient department； Elderly diabetic patients； Influential factors； Investigation and analysis |
| 阅读数： | 491 次 |
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