内科住院患者服药依从性及用药沟通现况调查

Survey of Drug Compliance of Internal Medical Inpatients

目的了解上海市三级甲等医院内科住院患者遵医嘱服药及服药后相关问题的沟通状况。方法采用自制问卷,于2010年8—10月调查上海市4所三级甲等医院心内科、呼吸科、消化科的270例住院患者服药依从性及用药沟通现况。结果患者对于服药依从性的认知不足,服药不依从的表现占前3位的依次为偶尔漏服药物(58.9%),无症状不服,有症状才服(29.8%),自己感觉疗效不好不服(19.4%);服药不依从的原因占前3位的依次为遗忘(62.5%)、服药种类多(24.2%)、害怕不良反应(19.8%);服药问题的反映情况:在服药前,忘记服药方法时的做法是,询问医护人员占81.9%,直接按自己的想法口服占14.9%;服药后,有不舒服的感觉时,无论轻重,立即告知医护人员的占75.4%,先忍着,等待情况好转的占22.2%;漏服或忘记服用某些药物后的做法方面,立即询问医护人员占47.2%,想起时立即服用占46.8%。结论内科住院患者对严格按照服药时间及服药方式认知不足,提高内科住院患者对于服药依从性的认知,采取有效策略促进其服药依从行为,加强其与医护人员服药后针对服药问题的反应意识及行为对于其有效、安全服用药物是关键。

Objective To understand internal medical inpatients＇ drug compliance and communication of related problems occurred after medicine-taking.Methods A self-designed questionnaire was applied among 270 patients.Results Patients displayed insufficient knowledge of drug-taking.The top three manifestations of incompliance were forgetting to take medicine occasionally（58.9%）,taking medicine depending on the syndrome（29.8%） and refusing to taking drug for its ineffectiveness（19.4%） and top three reasons for incompliance were forgetting（62.5%）,too many kinds of drugs（24.2%） and fear of adverse effects（19.8%）.81.9% of the patients turned to medical staff for forgetting how to take drugs while 14.9% of the patients took drugs by themselves.Conclusion It is important to enhance internal medical inpatients＇ drug compliance and the key point to effective and safety drug-taking is to strengthen the communication between patients and medical staff.