社区老年冠心病患者自我效能与服药依从性的相关性研究

The relationship between self-efficacy and medication compliance of elderly patients with CHD in community

目的:探讨社区老年冠心病患者自我效能与用药依从性的关系,为提高老年冠心病患者的用药依从性提供新思路;方法:采用一般资料问卷,一般自我效能量表(GSES),用药依从性量表,对100例社区老年冠心病患者进行问卷调查;结果:老年冠心病患者用药依从性佳者26%,差者74%,自我效能评分为24.92±5.08,用药依从性佳者其自我效能分值高于用药依从性差者,差异具有统计学意义。结论:社区老年冠心病患者的自我效能处于中等水平,用药依从性较差,冠心病患者自我效能与用药依从性密切相关,护理人员应提高社区老年冠心病患者的自我效能,为改善和提高其用药依从性提供依据。

Objective： To probe into the correlation between self-efficacy and medication compliance of old patients with coronary heart disease ICHD} in community. Methods： A total of 100 old people in Tianjin city were investigated by filling out general self-efficacy scale and medication compliance scale and by adopting cluster sampling method. Results： 26 % of old people with CHD had better medication adherence, while 74% of that were worse. The score of self-efficacy of old people with CHD was （24.92±5.08）. And the higher self-efficacy＇s score of patients had better medication compliance. Conclusion： Self-efficacy level of senile patients with CHD in community is in the medium, medication compliance is low. There is significant relationship between self-efficacy and medication compliance of senile patients with CHD. Nursing staff in community should strengthen the sel＆efficacy of old patients with CHD, to provide the basis in improving the medication compliance.