老年多重用药患者用药依从性现状及其影响因素的研究

老年多重用药患者用药依从性现状及其影响因素的研究

赖小星朱宏伟霍晓鹏安奇志李峥

北京协和医院保健医疗部（赖小星，朱宏伟，霍晓鹏，安奇志）；北京协和医学院护理学院（李峥）

出版日期:2016-12-25 发布日期:2016-12-25
基金资助:
中国医学科学院北京协和医院院级科研基金项目（XHHLKY201417）

The current status and associated factors of medication compliance in the elderly undergoing polypharmacy

Online:2016-12-25 Published:2016-12-25

摘要/Abstract

摘要： 目的：分析老年多重用药患者的用药依从性现状及其影响因素。方法：便利抽取北京市某三级甲等医院的老年多重用药患者178 例。采用自设的一般资料问卷、用药知识问卷、评价用药依从性的Morisky 问卷进行调查，收集资料。结果：老年多重用药患者的用药依从率为25.8%。多因素分析显示，年龄（β=-1.061）和药物种类（β=-0.169）是用药依从性的危险因素，而用药知识水平（β=0.059）是保护因素。结论：老年多重用药患者的用药依从性现状不容乐观，提示今后应加强用药指导，通过临床药师与医护人员组成治疗团队加强药物随访，从而减少患者药物种类，以提高老年多重用药患者的用药依从性。

Abstract: Objectives: To investigate the current status and associated factors of medication compliance in the elderly with polypharmacy. Methods: Convenient sampling was used to recruit 178 elderly patients with polypharmacy who were hospitalized in a tertiary hospital. Using self-developed general information questionnaire, self-developed medication knowledge questionnaire, and Morisky questionnaire to evaluate medication compliance. Results: The rate of medication compliance in the elderly with polyphamacy was 25.8%. Multivariate analysis showed that age (β=-1.061) and types of drugs (β=-0.169) had negative effects on the drug compliance, and the knowledge level of the drug (β=0.059) had positive effects on the compliance of the drug. Conclusion: The study showed that the medication compliance of elder was lower. To improve the medication compliance of elder with polyphamacy, medical staff should strengthen medication guidance, drug treatment follow-up by a team of clinical doctors, nurses and pharmacists and reduce the types of drugs.

赖小星朱宏伟霍晓鹏安奇志李峥. 老年多重用药患者用药依从性现状及其影响因素的研究[J]. , 2016, 16(12): 1638-1642.