摘要
Abstract
Background Because of the widespread use of percutaneous coronary intervention(PCI),cardiac rehabilitation of patients after PCI has received much attention.With the social development trends and policy orientation,the community has gradually become a key area for the cardiac rehabilitation of patients after PCI,especially in terms of medication adherence,which has improved but still falls short of ideal results.Objective To investigate the current situation of medication adherence among patients after PCI in the community,explore its influencing factors,and propose countermeasures.Methods From May 2021 to August 2022,by convenient sampling,200 eligible patients after PCI from 10 community health service centers in Beijing were recruited as the study subjects.Medication adherence of patients after PCI was evaluated using the Morisky Medication Adherence Scale.Those who scored 8 points on the Morisky Medication Adherence Scale were included in the excellent adherence group(n=45),and those who scored less than 8 points were included in the general adherence group(n=136),and multivariate Logistic regression analysis was used to explore the influencing factors of medication adherence in patients after PCI.Results A total of 181 valid questionnaires were collected,with a valid recovery rate of 90.5%.The 181 patients ranged in age from 41 to 90 years old,with an average age of(68.6±11.2)years.There were statistically significant differences in age,personal monthly income,burden of taking care of family members,diabetes or not,Medication Literacy Questionnaire scores,PHQ-9 scores and PCI duration between the general adherence group and the excellent adherence group(P<0.05).Multivariate Logistic regression analysis showed that burden of taking care of family members(OR=0.092,95%CI=0.031-0.276),PCI duration(OR=0.882,95%CI=0.794-0.979),Medication Literacy Questionnaire scores(OR=3.044,95%CI=1.881-4.927)and PHQ-9 scores(OR=0.067,95%CI=0.021-0.210)were the factors that influence the medication adherence of patients after PCI(P<0.05).Conclusion The drug utilization rate of patients after PCI decreased year by year,and the medication adherence was not ideal in general.Affected by factors such as burden of taking care of family members,PCI duration,medication literacy questionnaire scores and depressive state,targeted health management and follow-up should be provided to strengthen the establishment of long-term stable and good doctor-patient relationship which can effectively improve medication adherence among patients after PCI.关键词
经皮冠状动脉介入治疗/冠心病二级预防用药/用药依从性/社区/药物素养Key words
Percutaneous coronary intervention/Secondary prevention drugs for coronary heart disease/Medication adherence/Community/Medication literacy分类
医药卫生
