慢性病患者用药安全现状及影响因素分析

Current situation and influencing factors of medication safety in patients with chronic diseases

目的 :调查慢性病患者的用药安全现状并分析其影响因素,为改善慢性病患者用药安全提供理论依据。方法 :采取便利抽样方法,选取2023年8月—11月于湖南省4家三级甲等医院与4家社区卫生服务中心就诊的405例慢性病患者为调查对象,调查内容包括人口学资料、疾病情况、药物素养、合理用药自我效能和用药安全状况。采用多元线性回归分析慢性病患者用药安全影响因素。结果 :慢性病患者用药安全得分为(47.86±11.96)分,多元线性回归分析显示慢性病患者的药物素养、合理用药自我效能和运动锻炼情况越好,其用药安全得分越高。结论:慢性病患者用药安全状况有待提高。药物素养、合理用药自我效能和运动锻炼情况是慢性病患者用药安全的影响因素。

Objective:To investigate the current status of medication safety in patients with chronic diseases and to analyze its influencing factors.Methods:Totally 405 patients with chronic diseases from 4 tertiary grade A hospitals and 4 community health care centers were enrolled by convenience sampling method from August to November,2023.A questionnaire survey was conducted,which included demographic information,disease conditions,medication literacy,self-efficacy for appropriate medication and medication safety status.Multiple linear regression was used to analyze the influencing factors of medication safety in chronic disease patients.Results:The medication safety score of chronic disease patients was 47.86±11.96,and the multiple linear regression analysis result showed that the better the medication literacy,self-efficacy for appropriate medication,and exercise status of chronic disease patients,the higher their medication safety score.Conclusion:The medication safety status of chronic disease patients needs to be improved.Medication literacy,self-efficacy for appropriate medication and exercise status are influential factors for medication safety.