摘要
目的探讨宁波某城市社区老年慢性阻塞性肺疾病(COPD)患者用药依从性的影响因素及对策,为老年COPD患者的依从性管理提供参考。方法使用自拟的调查问卷和Morisky服药依从性量表(MMAS-8)对该社区医院门诊就诊的老年COPD患者进行调研,采用有序多分类logistic回归模型对相关影响因素进行分析。结果136例受访患者中,用药依从性高的患者为42例(30.88%),依从性中等、低的患者各为32例(23.53%)、62例(45.59%)。logistic回归结果显示,改良呼吸困难指数(mMRC)评分是影响患者用药依从性的主要因素(OR=0.27,P<0.05)。结论宁波某城市社区老年COPD患者的用药依从性水平普遍较低,mMRC评分是影响老年COPD患者依从性的主要因素。
Objective To explore the influencing factors of medication compliance of elderly patients with chronic obstructive pulmonary disease(COPD)in a community of Ningbo,thus to provide reference for compliance management of elderly patients with COPD.Methods A self-designed questionnaire and Morisky medication adherence scale(MMAS-8)were used to investigate the elderly patients with COPD in outpatient department of the community hospital.Multivariate logistic regression analysis was used to analyze related factors of medication compliance.Results Among the 136 patients interviewed,42(30.88%)patients had high drug compliance,32(23.53%)patients had medium compliance,and 62(45.59%)patients had low compliance.The multivariate logistic regression analysis showed that mMRC score was the main affecting factor for the patients'medication compliance(OR=0.27,P<0.05).Conclusion The medicine compliance level of elderly COPD patients in community in Ningbo is generally low,mMRC score is an influence factor of the compliance of elderly COPD patients.
作者
郝洁
蓝晨
史吉荣
张洁
HAO Jie;LAN Chen;SHI Jirong(Department of General Practice,Community Health Service Center,Baihe Street,Yinzhou District,Ningbo 315000,China)
出处
《全科医学临床与教育》
2020年第10期919-921,共3页
Clinical Education of General Practice
关键词
慢性阻塞性肺疾病
服药依从性
影响因素
chronic obstructive pulmonary disease
adherence
influencing factor
