社区老年慢性病患者用药“知-信-行”现状与抑郁情绪的相关性研究
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篇名: 社区老年慢性病患者用药“知-信-行”现状与抑郁情绪的相关性研究
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摘要: 目的:探讨社区老年慢性病患者用药知识-信念-行为(简称用药“知-信-行”)情况及其与抑郁情绪的关系。方法:采用老年慢性病患者用药“知-信-行”测评问卷和抑郁自评量表(SDS),对在兰州市两所社区服务中心体检的老年慢性病患者面对面发放问卷进行调查,利用Pearson相关分析考察患者用药“知-信-行”得分与抑郁情绪得分之间的相关性,并运用多元逐步线性回归对用药“知-信-行”得分的影响因素(包括经单因素分析后有统计学意义的一般资料表中的条目和抑郁情绪)进行分析。结果:本研究共发放问卷300份,回收有效问卷289份,有效回收率为96.3%。问卷调查结果显示,患者用药“知-信-行”平均得分为(31.12±6.20)分,而用药知识、信念和依从性行为的平均得分分别为(18.39±4.85)、(3.18±1.24)、(9.55±2.08)分;抑郁情绪平均得分为(39.99±6.06)分,存在抑郁情绪的患者为140例(48.4%)。Pearson相关分析结果表示,用药知识得分(r=-0.356)、用药依从性行为得分(r=-0.465)及用药“知-信-行”得分(r=-0.490)均与抑郁情绪呈负相关关系(P均<0.01)。经多元逐步线性回归分析结果显示,患者用药“知-信-行”得分受抑郁情绪及患者家人职业、家庭月收入等人口学因素影响,差异均有统计学意义(P<0.05)。结论:社区老年慢性患者用药“知-信-行”得分主要受抑郁情绪影响,同时也受人口学因素影响。医护人员在开展老年慢性病患者用药健康教育的工作中,应加强关注合并抑郁情绪的老年患者,及时采取针对性的护理措施,提高其用药“知-信-行”水平。
ABSTRACT: OBJECTIVE: To explore the situation of knowledge-attitude-practice of medication (shorted for medication KAP) of elderly patients with chronic diseases and its relationship with depression mood. METHODS: Through using scale of medication KAP in elderly adults with chronic diseases and Self-rating Depression Scale (SDS), a face to face questionnaire survey was conduceed among elderly patients with chronic diseases examined in two community service centers of Lanzhou. The Pearson correlation analysis was used to verify the correlation between the score of medication KAP and the score of depression mood,and multivariate stepwise linear regression was used to analyze the influential factors (including the items in the general data table and depression mood with statistical significance after single factor analysis) of the score of medication KAP. RESULTS: Totally 300 questionnaires were sent out, and 289 valid questionnaires were returned with effective feedback rate of 96.3%. The results of questionnaire investigation showed the average score of the KAP was (31.12±6.20); the scores of medication knowledge, attitude and practice was (18.39±4.85), (3.18±1.24) and (9.55±2.08), respectively. The average score of depression mood was (39.99±6.06), compared with 48.4% (140 patients) with depressive symptoms. Pearson correlation analysis showed that the score of medication knowledge (r=-0.356), the score of medication compliance (r=-0.465) and the score of medication KAP (r=     -0.490) were negatively correlated with depression mood (all P<0.01). Multiple stepwise regression analysis indicated that the score of the KAP were affected by depression mood and demographic factors including family occupation, detailed monthly income in a family, the difference was statistically significant(P<0.05). CONCLUSIONS: In the community, the level of the medication KAP in elderly patients is mainly affected by depression mood and also by demographic factors. In the work of health care education for elderly patients with chronic diseases, medical staff should pay more attention to patients with depression mood and timely take targeted nursing measures to improve the level of the medication KAP.
期刊: 2019年第30卷第21期
作者: 薛文俊,王艳红,任晶晶,张言,王惠琳
AUTHORS: XUE Wenjun,WANG Yanhong,REN Jingjing,ZHANG Yan,WANG Huilin
关键字: 老年慢性病患者;用药“知-信-行”;抑郁情绪;相关性分析;问卷调查
KEYWORDS: Elderly patients with chronic diseases; Medication “knowledge-attitude-practice”; Depression mood; Correlation analysis; Questionnaire investigation
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