炎症性肠病患者用药依从性现况及其影响因素调查

The level and influencing factors of medication compliance in patients with inflammatory bowel disease

目的调查炎症性肠病患者用药依从性现况及影响因素。方法采用Morisky用药依从性问卷、克罗恩病与溃疡性结肠炎知识问卷、炎症性肠病患者用药信念问卷对141例炎症性肠病患者进行调查。结果炎症性肠病患者用药依从性总分为(6.03±1.12)分,用药依从性好22例,占15.60%;依从性中等66例,占46.81%;依从性差53例,占37.56%;患者的年龄、疾病类型、疾病活动性、疾病知识、用药信念是其用药依从性的主要影响因素。结论炎症性肠病患者用药依从性整体不佳,护理人员应重视患者的用药管理和评估,根据依从性影响因素的不同给予针对性的健康指导与干预,提高用药依从性,促进健康行为,从而改善生活质量。

Objective To investigate the status and influencing factors of medication adherence in patients with inflammatory bowel disease （IBD）. Methods Totally,141 IBD patients were investigated using Morisky Medication Adherence Scale,Crohn＇s and Colitis Knowledge Score and Beliefs about IBD Medicines Questionnaire. Results The average medication adherence score was （6.03 ± 1.12）. There were 22 patients with high medication adherence, accounting for 15.60%, 66 patients with moderate medication adherence,accounting for 46.81% ,53 patients with low medication adherence, accounting for 37.56%. The main influencing factors of patients＇medication adherence were age,type of disease,disease activity index,medication beliefs and the disease knowledge. Conclusion The overall medication ad- herence of IBD patients is poor. Nurses should pay attention to the patient~ medication management and assessment,provide guidance and targeted health interventions based on different factors affecting adherence to improve medication compliance and promote healthy behaviors,so as to improve quality of life.