抑郁症患者服药依从性现状及影响因素分析

Analysis on the status quo and influencing factors of medication compliance in patients with depression

目的探究抑郁症患者服药依从性的影响因素,提高其服药依从性。方法采用随机调查的方法,选择2020年4月到2020年9月在滨州医学院附属医院心理门诊就诊的200名抑郁症患者作为调查对象,采用一般资料调查表及自制的服药依从性调查量表进行调查评价。采用χ^(2)检验、logistic回归分析,探究抑郁症患者服药依从性的影响因素。结果在收集到的195名患者中,服药依从性得分(1.91±1.37)分,而服药依从性好的有59例(总得分为0分),仅占30.26%。职业(医药类/非医药类)、月收入、服药时长、对疾病的认识、对医生的满意度以及既往有无出现药物不良反应对患者服药依从性的影响有统计学意义(P<0.05)。logistic回归分析结果显示,职业、服药时长、月收入、对疾病的了解情况以及对医生的满意度都是抑郁症患者服药依从性的影响因素。结论抑郁症患者的服药依从性情况不容乐观。职业、服药时长、月收入、对疾病了解情况以及对医生的满意度都会对服药依从性造成影响。

Objective To explore the influencing factors of medication compliance of patients with depression and improve their medication compliance.Methods With the method of random investigation,200 patients with depression were selected as the objects of investigation who were treated in the Psychological Outpatient Department of Bin Medical University Hospital from April 2020 to September 2020,and general data questionnaire and the self-made medication compliance questionnaire were used for investigation and evaluation.Chi-square test and Logistic regression analysis were used for data analysis to explore the influencing factors.Results Among the collected 195 patients,the score of medication compliance was(1.91±1.37),and 59 patients had good medication compliance(total score was 0),accounting for only 30.26%.In terms of the influencing factors of medication compliance,occupation(medicine/non-medicine),monthly income,duration of medication,understanding of disease,satisfaction with doctors,and the presence or absence of adverse drug reactions in the past had significant differences(P<0.05).Logistic regression analysis showed that occupation,duration of medication,monthly income,understanding of the disease and satisfaction with doctors were all influencing factors of medication compliance.Conclusion The medication compliance of patients with depression is not optimistic.Occupation,medication duration,monthly income,understanding of the disease and satisfaction with doctors will affect medication compliance.