房颤患者服药依从性调查

Investigation of medication compliance in patients with atrial fibrillation

目的调查心房颤动患者的服药依从性及影响因素,提出有效的护理干预措施。方法应用Morisky问卷对984例房颤患者的服药情况进行调查,并对结果进行统计分析。结果服药依从性差的患者有729例(74.10%)。原因依次是缺乏疾病知识和保健意识差(65.57%)、担心药物的不良反应(45.68%)、记忆力差(36.08%)、治疗方案复杂和药物种类繁多(32.24%)、经济原因(12.48%)。服药依从性在文化程度、治疗方案、有无医疗保障上差异有统计学意义(P<0.05),而在不同性别、年龄、经济收入、居住地、病程上差异均无统计学意义(P>0.05)。结论影响房颤患者服药依从性的因素为文化程度、治疗方案、有无医疗保障,对患者进行护理干预时应针对这些因素进行重点干预。

Objective To investigate compliance and influence factors in patients with atrial fibrillation, and put forward effective intervention measures. Methods Morisky questionnaire were used to investigate medication compliance of 984 patients with atrial fibrillation, and analyzed the results. Results Medication compliance of 729 patients were poor （74.10%）. The reason was the lack of knowledge to the disease and poor awareness of health care （65.57%）, fear of adverse drug reactions （45.68%）, poor memory （36.08%）, complex treatment regimen, drug kinds （32.24%）, econom- ic reasons （12.48%）.The difference of cultural degree, treatment, medical insurance showed statistical significance （P〈 0.05）. Comparative difference of gender, age, income, residence, duration indicated no statistical significance （P〉0.05）. Conclusion Influence factors of compliance in patients with atrial fibrillation are education, treatment, medical insurance, so nursing intervention on atrial fibrillation patients should focus on these factors.