中国医药科学Issue(3)：77-80,89,5.
不同等级医院缺血性脑卒中患者二级预防用药依从性现状研究
Investigation on status of secondary prevention drug adherence in ischemic stroke patients in different levels of hospital
摘要
Abstract
Objective To investigate secondary prevention drug adherence of ischemic stroke(IS)patients in different levels of hospital and the influential factors of it. Methods Using interview form to collect medication data of IS patients during the period of 1.5 year,who were discharged from our hospital;and at the same time collect IS patients with ischemic stroke 1.5 year who were given prescriptions in Wanshou Road community hospital. Results In 154 cases patients of our hospital,the adherence of anti-platelet aggregation,lipid-lowering drugs was 72.7%,49.3%respectively,and the adherence of antihypertensive,antidiabetic drug were 77.6%,70.3%to patients with hypertension and diabetes. In 167 cases patients of community hospital,the adherence of anti-platelet aggregation,lipid-lowering drugs was 79.0%,29.9% respectively,and the adherence of antihypertensive,antidiabetic drug were 93.2%,96.6%%to patients with hypertension and diabetes. Conclusion The drug adherence of IS patients with antiplatelet,lipid-lowering,antihypertensive,hypoglycemic drug were substandard,and the adherence of lipid-lowering drug is the worst,community hospitals especially.There were differences about the drug adherence of IS patients between tertiary hospital and community hospital.The medical payment method was independent risk factor affecting drug adherence of patients.The main reasons for poor adherence of community patients is not prescripted.关键词
缺血性脑卒中/二级预防/药物依从性/影响因素/三级医院/社区医院Key words
Ischemic stroke/Secondary prevention/Drug adherence/Influencing factor/Tertiary hospital/Community hospital分类
医药卫生引用本文复制引用
万志荣,何向楠,李继来,杜继臣..不同等级医院缺血性脑卒中患者二级预防用药依从性现状研究[J].中国医药科学,2014,(3):77-80,89,5.基金项目
航天中心医院科研项目（201101）。 （）
