湖南省农村老年心血管疾病患者药物素养现状及影响因素研究

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摘要 目的: 调查湖南省农村老年心血管疾病患者药物素养现状,分析其影响因素。方法: 采用多阶段随机抽样法选取486例湖南省农村老年心血管疾病患者作为研究对象,使用一般资料调查表、自制的农村老年心血管疾病患者药物素养问卷、社会支持评定量表、慢性病管理自我效能量表进行问卷调查,采用多元Logistic回归分析湖南省农村老年心血管疾病患者药物素养的影响因素。结果: 湖南省486例农村老年心血管疾病患者药物素养总分为（111.00±12.36）分,社会支持总分为（38.78±7.26）分,慢性病管理自我效能总分为（6.30±1.77）分。多元Logistic回归结果显示,年龄、社会支持、生活自理能力、药物宣教是药物素养的影响因素。结论: 农村老年心血管疾病患者药物素养呈中等水平,年龄大于80周岁、社会支持水平低、没有接受过药物宣教、生活不能完全自理是农村老年心血管疾病患者药物素养的危险因素。

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	李嘉玲
	陈圆
	吴爽
	彭强
	刘伟民
	王卫红

关键词 ：农村, 老年, 心血管疾病, 药物素养

Abstract：Objective To explore the current status and influencing factors of drug literacy in rural elderly patients with cardiovascular diseases. Method 486 rural elderly patients with cardiovascular diseases were selected by multistage random sampling. General data questionnaire, a self-administered Drug Literacy Questionnaire, Social Support Rating Scale and Self-efficacy scale for managing chronic disease were used to carry the survey, The multiple logistic regression analysis was used to explore the influencing factors of drug literacy. Results The total score of drug literacy among 486 rural elderly cardiovascular disease patients in Hunan province was (111.00 ± 12.36), the total social support score was (38.78 ± 7.26), and the chronic disease management self-efficacy score was (6.30 ± 1.77). The results of the Logistic regression analysis showed that age, level of social support, Self-care ability, and medication education were the influencing factors of medication literacy. Conclusion Drug literacy in rural elderly patients with cardiovascular disease was moderate, and Age over 80, low level of social support, lack of relevant drug education, and being unable to take care of themselves completely were risk factors for drug literacy in rural elderly patients with cardiovascular disease.

Key words： rural elderly cardiovascular disease drug literacy

收稿日期: 2022-12-05

中图分类号:

R473

基金资助:湖南师范大学医学院2022年度开放基金（KF2022026）

通讯作者: 王卫红,E-mail：wangweihong3001@163.com

引用本文:

李嘉玲, 陈圆, 吴爽, 彭强, 刘伟民, 王卫红. 湖南省农村老年心血管疾病患者药物素养现状及影响因素研究[J]. 湖南师范大学学报(医学版), 2023, 20(1): 119-124. LI Jialing, CHEN Yuan, WU Shuang, PENG Qiang, LIU Weiming, WANG Weihong. Status and influencing factors of drug literacy in rural elderly patients with cardiovascular diseases. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(1): 119-124.

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http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2023/V20/I1/119

[1] 中国心血管健康与疾病报告2021概要[J]. 心脑血管病防治, 2022, 22(04): 20-36+40.
[2] 李旭琴, 杨惠赟, 毛凤飞, 等. 新版Beers标准评价社区多病种慢性病老年患者潜在性不适当用药的探索[J]. 世界临床药物, 2015, 36(09): 618-622.
[3] Pouliot A, Vaillancourt R, Stacey D, et al.Defining and identifying concepts of medication literacy: An international perspective[J]. Res Social Adm Pharm, 2018, 14(9): 797-804.
[4] 郑凤, 丁四清, 沈志莹, 等. 门诊患者的药物素养现状调查[J]. 护理学杂志, 2017, 32(11): 26-29.
[5] 李玉芹, 栾晓嵘, 柳红娟, 等. 临床护理人员人文关怀知信行现状调查及影响因素分析[J]. 中国实用护理杂志, 2020, 36(20): 1574-1581.
[6] Morisky D E, Ang A, Krousel-Wood M, et al.Predictive validity of a medication adherence measure in an outpatient setting[J]. J Clin Hypertens (Greenwich), 2008, 10(5): 348-354.
[7] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994(02): 98-100.
[8] Feng Z, Ding S, Luo A, et al.Medication literacy status of outpatients in ambulatory care settings in Changsha, China[J]. J Int Med Res, 2017, 45(1): 303-309.
[9] Ma G, Luo A, Shen Z, et al.The status of medication literacy and associated factors of hypertensive patients in China: a cross-sectional study[J]. Intern Emerg Med, 2020, 15(3): 409-419.
[10] 班俊坤, 梁宝凤, 法天锷. 急诊PCI术后出院患者药物素养与服药依从性的相关性[J]. 中国社会医学杂志, 2021, 38(01): 97-100.
[11] Yeh Y C, Lin H W, Chang E H, et al.Development and validation of a Chinese medication literacy measure[J]. Health Expect, 2017, 20(6): 1296-1301.
[12] 王月平, 喻芳, 詹玲, 等. 老年冠心病病人自我效能水平与药物素养及服药依从性的相关性[J]. 实用老年医学, 2022, 36(03): 310-313+317.
[13] 郭浚文, 周佳, 郭子宏. 国家基本公共卫生服务及医保支付方式改革在高血压防治中的作用[J]. 中华高血压杂志, 2022, 30(10): 932-937.
[14] Pantuzza L L N, do Nascimento E, Botelho S F, et al. Mapping the construct and measurement of medication literacy: a scoping review[J]. Br J Clinical Pharmacol, 2021, 87(3): 754-775.
[15] Zhong Z, Ma G, Zheng F, et al.Medication Literacy in a Cohort of Chinese Patients Discharged With Essential Hypertension[J]. Front Public Health, 2019, 7: 385.
[16] 班俊坤, 法天鄂. 急诊经皮冠状动脉介入术后出院患者药物素养与社会支持的相关性研究[J]. 护士进修杂志, 2020, 35(01): 15-17+22.
[17] 赖粼, 丁四清, 钟竹青, 等. 冠心病患者药物素养的研究进展[J]. 中华护理杂志, 2020, 55(08): 1276-1280.
[18] 余山琴. 护理干预对高血压患者睡眠质量及其不良情绪的影响分析[J]. 世界睡眠医学杂志, 2018, 5(02): 249-252.
[19] 温勇, 刘玉琼. 老年人生活自理能力的影响因素及提升对策[J]. 人口与健康, 2021(07): 28-32.
[20] 张理想, 周晓娟, 马礼坤, 等. 心房颤动病人射频消融术后药物素养现状及影响因素分析[J]. 安徽医药, 2019, 23(12): 2527-2530.
[21] 斯伟青, 刘锐, 王春花. 社区老年慢性病共病患者合理用药知信行状况及影响因素分析[J]. 中国初级卫生保健, 2022, 36(07): 63-66.
[22] 法天锷, 梁宝凤, 班俊坤, 等. 门诊患者药物素养对药物依从性影响的研究[J]. 中国实用护理杂志, 2018, 34(31): 2450-2453.
[23] Shi S, Shen Z, Duan Y, et al.Association Between Medication Literacy and Medication Adherence Among Patients With Hypertension[J]. Front Pharmacol, 2019, 10: 822.