慢性肾脏病患者健康信息素养与服药依从性的相关性

Correlation of health information literacy and medication adherence in patients with chronic kidney disease

目的 研究慢性肾脏病(CKD)患者健康信息素养(HIL)与服药依从性的关系。方法 采用便利抽样方法选取于2020年12月至2021年3月在成都某三级甲等医院肾脏内科住院的289例CKD患者作为研究对象,使用一般资料调查表、HIL调查问卷和Morisky服药依从性量表进行问卷调查,采用Pearson相关和多元线性回归分析HIL水平及与服药依从性的相关性。结果 完成调查的CKD患者为281例,其服药依从性总分为(5.63±1.92)分,低、中、高水平分别占51.60%、33.45%和14.95%;HIL总分为(95.00±14.74)分。相关分析结果显示,HIL评分与服药依从性具有正相关性(P<0.05)。多元线性回归分析结果显示,并发症、透析方式、HIL中的获取能力和CKD健康知识储备情况是服药依从性的影响因素(P<0.05)。结论 HIL水平影响CKD患者的服药依从性,提高HIL水平有助于改善CKD患者的服药依从性。

Objective To explore the relationship between health information literacy(HIL)and medication adherence in patients with chronic kidney disease(CKD). Methods The convenience sampling method was used to select 289 CKD patients hospitalized in the department of Nephrology of a level-A tertiary hospital in Chengdu from December 2020 to March 2021. The general data questionnaire, the HIL questionnaire and the Morisky Medication Adherence Scale were used for questionnaire survey. Pearson correlation analysis and multiple linear regression were performed to explore the correlation between HIL levels and medication adherence. Results There were 281 CKD patients who completed the survey, and the total score of medication adherence was 5.63±1.92, with low, medium and high levels accounting for 51.60%, 33.45% and 14.95%, respectively. The total score of HIL was 95.00±14.74. Correlation analysis results showed that there was a positive correlation between HIL score and medication adherence(P<0.05). Multiple regression analysis showed that complications, dialysis modalities, acquisition ability in HIL and CKD health knowledge reserve were the influencing factors for medication adherence(P<0.05). Conclusion The level of HIL affects the medication adherence of CKD patients, and increasing the level of HIL is helpful to improve the medication adherence.