健康素养对缺血性脑卒中患者服药信念与服药依从性的影响

发布时间：2019-04-01 07:06

【摘要】：目的:了解缺血性脑卒中患者健康素养现状及与服药信念、服药依从性的关系,探讨健康素养对缺血性脑卒中患者服药信念与服药依从性的影响,为改善缺血性脑卒中患者的预后提供理论支持。方法:采用非实验性研究,利用便利抽样法选取某市一所三级甲等医院和一所二级甲等医院的208例缺血性脑卒中住院患者,剔除在调查中途要求退出的患者8例,实际样本为200例。利用问卷调查法测量研究对象的健康素养、服药信念和服药依从性。采用SPSS17.0统计软件进行统计分析,以p0.05为差异显著,有统计学意义。结果:(1)研究对象健康素养总分为139.32±36.21,其中阅读能力维度得分62.42±15.58,理解能力维度得分57.80± 17.06,计算能力维度得分19.10±5.99。结果显示64.0%的研究对象健康素养充足,16.5%的研究对象拥有临界水平的健康素养,19.5%的研究对象健康素养缺乏。健康素养总分在性别、年龄、婚姻状态、文化程度、月收入等人口学特征上有显著差异(p0.05),有统计学意义。(2)研究对象服药信念总分为3.87±2.51,其中服药必要性信念得分(17.59±1.77)高于服药顾虑性信念得分(14.08±1.41)。不同性别、婚姻状态、文化程度、月收入和有无不良反应在服药信念上存在差异,有统计学意义(p0.05)。(3)研究对象服药依从性水平为5.69±0.89,58.5%的研究对象服药依从性差。(4)不同健康素养水平的研究对象在服药信念和服药依从性上存在显著性差异(p0.01)。(5)研究对象的健康素养与服药信念总分成正相关(p0.01),其中健康素养与服药必要性信念成正相关(p0.01),与服药顾虑性信念成负相关(p0.01)。健康素养与研究对象的服药依从性成正相关(p0.01)。(6)多元逐步回归方程显示文化程度、年龄和婚姻状态是缺血性脑卒中患者健康素养的影响因素;健康素养和服药信念是服药依从性的影响因素。结论:健康素养影响缺血性脑卒中患者的服药信念和服药依从性,提高健康素养水平有利于提高脑卒中二级预防的防治水平,从而改善缺血性脑卒中患者的健康结局。
[Abstract]:Objective: to understand the status quo of health literacy in patients with ischemic stroke and its relationship with drug belief and compliance, and to explore the effect of health literacy on drug belief and compliance in patients with ischemic stroke. To improve the prognosis of ischemic stroke patients to provide theoretical support. Methods: 208 inpatients with ischemic stroke were selected from a Grade 3A hospital and a second-class first class hospital in a certain city by means of non-experimental study and convenience sampling, and 8 patients who were asked to quit in the investigation were excluded. The actual sample was 200 cases. The subjects' health accomplishment, drug belief and compliance were measured by questionnaire. Using SPSS17.0 statistical software for statistical analysis, p0.05 as a significant difference, there is statistical significance. Results: (1) the total score of health literacy was 139.32 卤36.21, of which reading ability score was 62.42 卤15.58, comprehension dimension was 57.80 卤17.06, computational ability dimension was 19.10 卤5.99. The results showed that 64.0% of the subjects had adequate health literacy, 16.5% of them had critical level of health literacy, and 19.5% of them lacked health literacy. There were significant differences in demographic characteristics such as sex, age, marital status, education level, monthly income (p0.05). (2) the total score of drug-taking belief was 3.87 卤2.51, The score of necessity belief (17.59 卤1.77) was higher than that of thinking belief (14.08 卤1.41). There are differences between gender, marital status, education, monthly income and adverse reactions in the belief in taking drugs. Statistically significant (p0.05). (3) the drug compliance level of the subjects was 5.69 卤0.89, 58.5% of the subjects had poor drug compliance. (4) the subjects with different levels of health literacy were in the belief of taking medicine and taking medicine. There was a significant difference in drug compliance (p0.01). (5). There was a positive correlation between the subjects' health accomplishment and the total score of drug taking beliefs (p0.01). There was a positive correlation between health literacy and the belief in the necessity of taking medicine (p0.01), and a negative correlation between the belief in taking medicine and the belief in taking care of the drug (p0.01). There was a positive correlation between health literacy and drug compliance (p0.01). (6). The multiple stepwise regression equation showed that education level, age and marital status were the influencing factors of health literacy of ischemic stroke patients. Health accomplishment and drug-taking belief are the influencing factors of drug compliance. Conclusion: health literacy affects the drug-taking belief and compliance of ischemic stroke patients, and improving the level of health literacy is beneficial to improve the level of prevention and treatment of secondary prevention of stroke, so as to improve the health outcome of patients with ischemic stroke.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74
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本文编号：2451342