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脑梗死二级预防患者服药信念及其影响因素研究

金红斌 陈雪丹 蒋雪红 李晶晶   

  1. 温岭市第一人民医院神经内科
  • 出版日期:2015-08-25 发布日期:2015-08-25

The present situation and influencing factors of medication belief in patients with Cerebral Infarction accepted secondary prevention

  • Online:2015-08-25 Published:2015-08-25

摘要: 目的:调查脑梗死二级预防患者服药信念现状,并分析其影响因素。方法:采用脑梗死二级预防患者基本资料调查表和服药信念量表对326 例脑梗死二级预防患者进行问卷调查。结果:患者服药信念评分为(6.44±1.77) 分。必要性信念得分(16.27±1.92) 高于顾虑信念得分(9.83±1.69),差异有统计学意义(P <0.001)。多元线性回归分析结果显示,脑卒中次数、NIHSS 评分、药物不良反应、偏瘫、失语、家庭收入、性别为患者服药信念的影响因素。结论:脑梗死二级预防患者服药信念处于较低水平,医护人员可从脑卒中次数、NIHSS 评分、药物不良反应、偏瘫、失语、家庭收入、性别等影响因素入手改善患者的服药信念。

Abstract: Objective: To investigate the present situation and influencing factors of medication belief in patients with Cerebral Infarction accepted secondary prevention. Methods: 326 Cerebral Infarction patientsaccepted secondary preventionwere questionnaired by the Cerebral Infarction patients basic information questionnaire and medication beliefs scale. Results: The total score of medication belief was (6.44±1.77) in infarction patients accepted secondary prevention, and the score of necessity belief (16.27±1.92) was significantly higher than the concern belief (9.83±1.69). There were significant difference in the patients with different sex, culture degree, family income, NIHSS, hemiplegia, aphasia, stroke frequency, duration of medication, drug side effectsin infarction patients accepted secondary prevention (P<0.001). Multiple linear regression analysis showed,stroke frequency, NIHSS, drug side effects, hemiplegia, aphasia, family income, sex were influencing factors of medication belief in patients with Cerebral Infarction accepted secondary prevention. Conclusions: The level of medication belief was in the low level in patients with Cerebral Infarction accepted secondary prevention, and stroke frequency, NIHSS, drug side effects, hemiplegia,aphasia, family income, sex were influencing factors of medication belief.