老年冠心病患者用药知识、信念及行为的调查与分析

Investigation and analysis on medication knowledge,belief and behavior in elderly patients with coronary heart disease

目的通过对干部门诊老年冠心病(coronary heart disease,CHD)患者用药知识、信念、行为及其影响因素的调查与分析,为患者进一步实施用药知识教育提供帮助。方法随机整群抽取4个干休所的124名老年冠心病患者,采用自行设计调查问卷对用药知识、信念与行为进行调查、评估与分析。结果74.2%的老年冠心病患者用药知识欠缺,既往因冠心病住院的次数、现患慢性病种类数、离(退)休前的工作性质是影响患者掌握用药知识的因素;50%以上的老年冠心病患者用药行为关键方面依从性差,既往1年内药物不良反应发生种类数可能影响患者的用药行为;老年冠心病患者用药知识、信念及行为未完全达到统一。结论门诊老年冠心病患者在疾病控制过程中,需要更多系统、持续、不断更新的用药知识,以促进其树立正确的用药观念,建立良好的用药行为。

Objective This study aimed to investigate the status and influential factors of medication knowledge, belief and behavior in elderly patients with coronary heart disease （CHD） in out - patient department,in order to provide reference for medication education. Method 4 cadre sanitariums were sampled by cluster sampling method. 124 subjects were investigated about their medication knowledge,belief and behavior using the self- designed questionnaire. Results 74.2% of the elderly patients with CHD were lack of the medication knowledge. The influential factors included the frequency of hospitalization for CHD ,the number of chronic diseases and job before retirement. More than half of the subjects showed poor compliance, which was related to the number of drug adverse reactions happened in the last year. The results showed that there was lack of consistency among their medication knowledge, belief and behavior. Conclusion In order to promote the formation of correct medication belief and behavior, the elderly patients need more systemic, persistent and renewal medication knowledge in the process of disease control of CHD.