中国全科医学2017，Vol.20Issue(23)：2827-2831,5.DOI:10.3969/j.issn.1007-9572.2017.04.y03
社区共病患者服药依从性及影响因素调查分析
Medication Adherence and Its Influencing Factors of Community Multimorbidity Patients
摘要
Abstract
Objective To investigate the medication adherence of community multimorbidity patients and explore the influencing factors,so as to provide reference for medical staff to formulate appropriate interventions.Methods Nine hundred and seven patients in Lecong Community Health Service Center in Shunde District of Foshan from May and August 2016 were selected by using random sampling method.We investigated its socio-demographic data and related information of diseases.The Chinese version of the 8-item Morisky Medication Adherence Scale(MMAS-8) was used to survey the medication adherence,the overall health items of SF-36 scale was adopted to assess the self-assessed health status.And the factors associated with multimorbidity in the participants were analyzed.Results The average MMAS-8 score was(6.4±1.7).495 cases(54.6%) got more than 6 points,412 cases(45.4%) less than or equal to 6.There were no significant differences in medication adherence among the patients with different gender,age,marital status,living conditions,educational attainment,BMI,and medication duration(P> 0.05);there were significant differences in medication adherence among the patients with different medical payment methods,working situation,household monthly income per person,numbers of comorbidities,medication types,self-assessed health status(P<0.05).Multivariate Logistic regression analysis found that medication adherence was affected substantially by medical payment methods〔OR=1.384,95%CI(1.161,1.649)〕,working situation〔OR=0.463,95%CI(0.324,0.661)〕,numbers of comorbidities 〔OR=1.771,95%CI(1.467,2.137)〕 and self-assessed health status〔OR=1.980,95%CI(1.517,2.583)〕.Conclusion Poor medication adherence was found in the multimorbidity patients managed by Shunde Lecong Community Health Service Center of Foshan,which is mainly affected by methods for paying the medical expenses,employment status,increased comorbidities,and poor self-assessed health status.Therefore,it is suggested to give the patients targeted interventions and management based on the above associated factors.关键词
共病现象/社区卫生服务/服药依从性/影响因素分析Key words
Comorbidity/Community health services/Medication adherence/Root cause analysis分类
医药卫生引用本文复制引用
王金明,王家骥,林盛强,杨玉明,莫海韵,欧伟麟,欧文森,吴文林,杨志鹏,张曼..社区共病患者服药依从性及影响因素调查分析[J].中国全科医学,2017,20(23):2827-2831,5.基金项目
佛山市科技局自筹经费类科技计划项目(医学类科技攻关)(2016AB003373) （医学类科技攻关）
佛山市卫生和计划生育局医学科研课题(20170331) （20170331）
