天津市居民服药依从性现状及影响因素分析

发布时间：2018-06-05 10:33

本文选题：服药依从性 + 健康教育　；参考：《中国卫生事业管理》2016年01期

【摘要】：目的:了解天津市居民服药依从性状况,分析影响居民服药依从性的因素。方法:随机调查前往天津中医药大学第一附属医院和保康医院的就诊患者1724人,采用非条件二分类logistic回归方法探究服药依从性的影响因素。结果:服药依从性的最高分100分,最低分16.68分,平均分为68.24±13.12分。服药依从性好和差两组人数为361人(20.9%)和1363人(79.1%)。卡方检验发现:不同性别、年龄、民族、婚姻状况、受教育程度、家庭月收入、药物知识、是否享有门特政策和医保了解程度的居民服药依从性存在统计学差异;非条件二分类logistic回归分析发现:性别、年龄、婚姻状况、受教育程度、药物知识、是否享有门特和医保了解程度对服药依从性具有影响。结论:调查对象服药依从性较差,应采取加强药物知识健康教育,促进家庭和社会支持,对老年人采取针对性措施,提高医护人员,特别是药师和药店销售人员素质,加强社区药学指导等措施。
[Abstract]:Objective: to understand the compliance of the residents in Tianjin, and to analyze the factors affecting the compliance of the residents. Methods: 1724 patients who went to First Hospital Affiliated to Tianjin Medical University and Baokang hospital were investigated randomly. The factors affecting the compliance of the medication were investigated by the non conditional two classification logistic regression. The highest score was 100, the lowest score was 16.68, the average was 68.24 + 13.12. The compliance of the medicine and the two groups were 361 (20.9%) and 1363 (79.1%). The chi square test found that the people of different sex, age, nationality, marital status, education, family monthly income, medicine and material knowledge, and whether they enjoyed the level of policy and health care. The non conditional two classification logistic regression analysis showed that sex, age, marital status, educational level, drug knowledge, and the degree of understanding of medical insurance had an impact on the compliance of medication. Conclusion: the compliance of the subjects was poor, and the health education of drug knowledge should be strengthened to promote the family and the family. Social support, targeted measures for the elderly, improve the quality of medical staff, especially the quality of sales staff of pharmacists and pharmacies, and strengthen community pharmacy guidance.
【作者单位】：天津中医药大学管理学院;
【基金】：天津市教委社会科学重大项目“天津地区患者用药行为影响因素分析”(编号:2011ZD032)
【分类号】：R473.2

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