人格特征、应对方式和保护动机对老年良性前列腺增生患者服药依从性的影响

Effect of personality characteristics, coping styles and protection motivation on medication adherence of elderly patients with benign prostatic hyperplasia

目的:分析人格特征、应对方式和保护动机对老年良性前列腺增生(BPH)患者服药依从性的影响。方法:采用中国大五人格问卷简式版(CBF-PI-B)、医学应对方式量表(MCMQ)、服药依从性的保护动机(PMT)问卷、Morisky服药依从性量表(MMAS-8)对137例老年BPH患者进行人格特征、应对方式和保护动机、服药依从性调查研究。结果:不同服药依从性的BPH患者CBF-PI-B评分神经质、严谨性评分,MCMQ问卷回避、屈服评分,PMT问卷易感性、内在奖励、外部奖励、反应效能、自我效能、反应代价及总分比较,差异有统计学意义(P<0.05);多元线性回归分析,CBF-PI-B神经质、PMT问卷自我效能与BPH患者服药依从性相关(t=-3.479、2.039,P<0.05),共线性诊断VIF均<3。结论:神经质人格特征的老年BPH患者依从性相对更低,而自我效能越高,依从性越好,临床应重视改善老年BPH患者人格特征、应对方式和保护动机,从而提升其服药依从性。

Objective:To analyze the effect of personality characteristics, coping styles and protection motivation on medication adherence of elderly patients with benign prostatic hyperplasia(BPH).Methods:The Chinese Big Five Personality Inventory Brief Version(CBF-PI-B),Medical Coping Modes Questionnaire(MCMQ),Protection Motivation Theory(PMT),and the 8-item Morisky Medication Adherence Scale(MMAS-8) were used to investigate personality characteristics, coping styles, protection motivation and medication adherence of 137 elderly patients with BPH.Results:There were statistically significant differences in CBF-PI-B scores of neuroticism and rigor, MCMQ scores of avoidance and yielding, PMT scores of susceptibility, internal reward, external reward, reaction efficacy, self-efficacy, reaction cost and the total score between BPH patients with different medication adherence(P<0.05).Multiple linear regression analysis showed that neuroticism inCBF-PI-B and self-efficacy inPMT were correlated with medication adherence of patients with BPH(t=-3.479,2.039,P<0.05,VIF<3).Conclusion:Elderly BPH patients with neurotic personalityhave lower medication adherence.The higher the self-efficacy, the better the adherence.In clinical practice, we should pay attention to improving the personality characteristics, coping styles and protection motivation of elderly patients with BPH so as to improve their medication adherence.