老年高脂血症患者他汀类药物使用的依从性及其相关因素研究

Study on the compliance and related factors of stafin used in elderly patients with hyperlipidemia

目的 了解老年高脂血症患者他汀类药物服用的依从性,并分析其影响因素,为帮助患者提升用药依从性提供依据.方法 采用方便取样的方法,选取2016年1—11月在北京市某三级医院老年病房住院确诊高脂血症的患者120例,对其一般资料、服药依从性进行问卷调查.通过χ2检验、Logistic回归分析服药依从性的相关因素.结果 老年高脂血症患者服药依从性好的62例,占51.67％;依从性差的58例,占48.33％;单因素分析结果显示,不同年龄、文化程度、居住方式的患者服药依从性差异有统计学意义（P〈0.05）.Logistic回归分析显示,高龄、文化程度低、独居是影响药物依从性的危险因素.结论 医护人员对高龄、文化程度低、独居的老年高脂血症患者应给予更多关注,将家属纳入到患者的疾病和用药管理中,采取措施提高老年高脂血症患者他汀类药物服用的依从性.

Objective To understand the compliance of statins and their influencing factors in elderly patients with hyperlipidemia,in order to provide a basis for the improvement of medication compliance. Methods A total of 120 patients who were diagnosed of hyperlipidemia in the elderly ward of a Class Ⅲ hospital in Beijing from January to November 2016 were selected by convenient sampling method and investigated with questionnaire about general information and medication compliance.Results There were 62 cases （51.67%） with good compliance,and 58 cases （48.33%） with poor compliance in total. The result of univariate analysis showed that there were significant differences in patients′ medication compliance with different age,education degree and living style （P〈0.05）. Logistic regression analysis showed that advanced age,low education level,and living alone were the risk factors of poor medication compliance.Conclusions Medical staff should pay more attention to the elder patients who were living alone and with low education level. It is suggested taking family members into the management of patients′ disease and medication,and taking measures to improve the compliance of statins in elderly patients with hyperlipidemia.