急性心肌梗死患者出院后服药依从性与服药信念的相关性研究

摘要

Objective To explore the relationships of medication adherence and beliefs about medicines in AMI patients after discharge.Methods A total of 151 patients were recruited from one tertiary hospital in Guangzhou by convenience sampling method.They were investi-gated by using MMAS and BMQ -Specific to describe medication adherence and beliefs about medicines.Results The average score of MMAS was 7.34 ± 0.85,which was at the middle level.Necessity scores were higher than concern scores for 80.8% of patients.Patients' medication adherence was positively associated with necessity beliefs(r=0.165,P<0.05),while was negatively associated with concern be-liefs(r= -0.479,P<0.01).Conclusion The current status of medication adherence and beliefs about medicines in AMI patients after dis-charge was not satisfied.Beliefs about medicines,economic situation and whether received discharge instructions or not were factors that influ-enced medication adherence.%目的 研究急性心肌梗死患者出院后的服药依从性与服药信念现状,探讨服药依从性与服药信念的相关性及服药依从性的影响因素.方法 采用便利取样调查广州市某三级甲等综合医院151例AMI患者.通过问卷调查的方法进行横断面调查,分析纳入患者的服药依从性和服药信念现状,并探讨服药依从性与服药信念的相关性及服药依从性的影响因素.结果 AMI患者出院后的服药依从性处于中等水平,平均得分为(7.34 ± 0.85)分;患者对服药必要性信念的总体感知水平高于顾虑信念;服药依从性与必要性信念呈正相关(r=0.165,P<0.05),与顾虑信念呈负相关(r= -0.479,P<0.01).结论 急性心肌梗死患者出院后的服药依从性和服药信念尚不令人满意,服药信念、家庭经济、是否接受相关宣教是服药依从性的主要影响因素.医务人员可动态评估患者的服药信念,向患者充分说明长期服药的必要性,消除患者的服药顾虑,帮助患者树立积极的服药信念,以提高服药依从性.