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

发布时间：2018-03-29 06:12

本文选题：用药依从性　切入点：门诊　出处：《中国药房》2017年06期

【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(P0.05)。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 the improvement of medication compliance of outpatients in elderly patients with diabetes mellitus. Methods: randomly selected in our hospital 120 cases over the age of 60 elderly patients with diabetes, by questionnaire investigation, using Logistic regression analysis to explore the factors related to medication compliance in elderly patients with diabetes. Methods and results: the Krone Bach coefficient of the questionnaire 0.89. for a total of 120 questionnaires, 113 valid questionnaires, the effective recovery rate was 94.17%.113 64 cases surveyed poor medication compliance of patients in (56.64%). Among them, 59 cases were not in accordance with the course of medication (92.19%); 54 cases were not in strict accordance with the dose of the medication (84.38%); the wrong time in 43 cases (67.19%); 37 cases of free exchange of drugs (57.81%); 18 cases of repeated medication (28.13%). The age factors, education factors, drug factors, economic factors, adverse factors, the factor of medical staff And treatment factors of surveyed patients compliance with medication has significant effect (P0.05). Conclusion: Outpatient elderly diabetic patients with poor medication adherence is a common clinical phenomenon, in the form of diversification, influenced by many factors, should cause the attention of physicians and pharmacists, provide appropriate intervention.

【作者单位】：安顺市人民医院药剂科;
【分类号】：R587.1

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