肝移植受者服药依从性现状及其影响因素分析

Medication compliance status and its influencing factors in liver transplant recipients

目的:对肝移植受者服药依从性现状及其影响因素进行观察。方法:组建专人调查小组采用Mofisky-Green测评表对37例接受肝移植手术的患者进行随访调查,并对调查结果与可能的影响因素进行统计分析。结果:37例患者中,依从性不佳者29例(78.38%),依从性良好者8例(21.62%);在肝移植受者服药依从性具有差异性的影响因素中,年龄、文化程度、职业、居住地、术后服药时间、服药次数、对药物了解程度、是否定期复诊为保护因素(OR<1),是否担心不良反应为危险因素(OR>1)。结论:肝移植受者服药依从性现状不容乐观,应着重开展对肝移植患者关于疾病、药物、不良反应及其应对方法的教育工作,提高受者的自我护理意识,进而达到改善其服药依从性现状的目的。

Objective： To observe the medication compliance status and its influencing factors in liver transplant recipients. Methods： Formed a specialist team and used the Mofisky-Green evaluation form to survey 37 cases patients with liver transplant surgery in our hospital from 2010 to 2010, then analyzed the survey results and the possible influence factors. Results： There were 29 cases （78.38%） of poor compliance, and 8 cases （21.62%） of well compliance in 37 cases; In the discrepant influencing factors of medication adherence in liver transplant recipients, the age, culture level,occupation,residence,postoperative medication period, medication number, understanding degree of drug and whether return visit on a regular basis were protect factors （OR〈1）, whether to worry about adverse reaction was a dangerous factors （OR〉1）. Conclusion： The medication adherence in liver transplant recipients status quo is not optimistic, in patients with liver transplantation should be undertaken on education work about disease, drug, adverse reactions and coping methods, improve patients self care consciousness, thus achieve the goal of improve the medication compliance status.