肺结核巩固期患者服药依从性及其影响因素研究

Medication Compliance of Patients with Pulmonary Tuberculosis in Consolidation Period and Its Influencing Factors

目的探讨肺结核巩固期患者的服药依从性现状及其影响因素,为制定合理的护理措施提供依据。方法对100例在武汉市某三级甲等医院治疗的肺结核巩固期患者,应用一般资料问卷、慢性疾病患者服药依从性量表、一般自我效能感量表、结核病防治知识问卷进行调查。结果肺结核巩固期患者服药依从性较低,其总分为(54.89±16.19)分,多元回归分析显示结核病防治知识、自我效能感、文化程度、居住方式对患者的服药依从性的影响有统计学意义(P<0.05)。结论肺结核巩固期患者服药依从性较低,医疗人员应加强对患者进行结核病防治知识的教育、培养较高的自我效能感、多关注和帮助文化程度不高的患者以及使患者避免独居状态,将提升患者的服药依从性。

Objective To explore medication compliance of patients with pulmonary tuberculosis in consolidation period and its influencing factors and to provide the basis for proper nursing measures. Methods A total of 100 pulmonary tuberculosis patients in consolidation period from a general hospital in Wuhan were selected, and a structured questionnaire was used as measurement tool to collect demographic information and information about medication compliance, self-efficacy and prevention knowledge. Results The score of medication compliance was （54.89±16.19） which indicated their medication compliance was low. Multiple regression analysis showed that prevention knowledge, self-efficacy, educational background and living pattern were factors exerting influence on patients＇ compliance, which showed significantly statistical significance （P〈O.05）. Conclusion More tuberculosis prevention knowledge, higher self-efficacy, more attention to patients of low educational level, and those solitary patients would contribute to the improvement of medication compliance.