COPD患者吸入制剂用药信念现状及影响因素分析

Analysis of the current status and influencing factors of medication belief of inhaled drug use in patients with COPD

目的:调查慢性阻塞性肺疾病(COPD)患者吸入制剂用药信念现状,并分析其影响因素。方法:本研究属于横断面研究,采用一般资料问卷、用药信念问卷、COPD健康素养问卷对湖南省长沙市某3所三级甲等医院住院COPD患者进行问卷调查。结果:166名COPD患者用药信念得分为(38.77±8.38)分,其中药效感知、服药必要性感知、服药顾虑、服药便利性4个维度得分分别为(7.13±1.53)分、(13.01±3.89)分、(13.33±3.02)分、(5.31±1.85)分,逐步多元线性回归分析显示健康素养、家庭人均月收入、病程是影响COPD患者用药信念的因素,可解释总变异的35.5%。结论:COPD患者用药信念水平较低,医务人员应根据患者用药信念水平及影响因素采取针对性措施,提高患者用药信念,从而改善患者用药依从性。

Objective:To investigate the current status of the medication belief of inhaled drug use in patients with Chronic Obstructive Pulmonary Disease(COPD),and to analyze the influencing factors.Methods:A cross-sectional design was employed in this study.Patients with COPD in the Respiratory Departments of three hospitals in Changsha,Hunan were investigated by using General Information Questionnaire,Medication Belief Questionnaire and COPD knowledge Questionnaire.Results:166 patients finished the questionnaires.The score of medication belief was 38.77±8.38,and the score of four dimensions were perceived medicine efficacy(7.13±1.53),perceived medicine necessity(13.01±3.89),medicine concern(13.33±3.02)and medicine convenience(5.31±1.85).The multiple liner regression analysis showed that health literacy,household income and duration of disease were the influencing factors of medication belief of inhaled therapy in COPD patients,which can explain 35.5%of total variation.Conclusion:The medication belief of inhaled therapy in COPD patients was low.Medical staffs should take targeted measures to improve patients’medication belief and compliance.