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基于COM-B模型的用药指导方案在帕金森病病人中的应用研究

黄崔垚 李瑶瑶 魏绍辉 白雪 田书川 马晓俊

全科护理2026,Vol.24Issue(10):1831-1836,6.
全科护理2026,Vol.24Issue(10):1831-1836,6.DOI:10.12104/j.issn.1674-4748.2026.10.005

基于COM-B模型的用药指导方案在帕金森病病人中的应用研究

Application of medication guidance program based on COM-B model in patients with Parkinson's disease

黄崔垚 1李瑶瑶 1魏绍辉 2白雪 1田书川 1马晓俊1

作者信息

  • 1. 030001,山西医科大学护理学院
  • 2. 山西医科大学第一医院
  • 折叠

摘要

Abstract

Objective:To explore the effect of a medication guidance program based on the COM-B model on medication adherence in patients with Parkinson's disease.Methods:A total of 63 patients visiting the outpatient clinic from April to May 2024 were included in the control group,and 61 patients visiting the outpatient clinic from June to July 2024 were included in the intervention group.The control group received routine medication guidance,while the intervention group received medication guidance based on the COM-B model.Medication adherence[Morisky Medication Adherence Scale(MMAS)],medication beliefs[the Beliefs about Medicines Questionnaire-specific(BMQ-specific)],medication knowledge(Medication Knowledge Scale),and illness perception[Brief Illness Perception Questionnaire(BIPQ)]were compared between the two groups before the intervention,and at 1 and 3 months after the intervention.Results:At 1 and 3 months after the intervention,the proportion of patients with high medication adherence in the intervention group was higher than that in the control group,scores for medication beliefs and medication knowledge were higher than those in the control group,and illness perception scores were lower than those in the control group(all P<0.05).Conclusions:The medication guidance program based on the COM-B model can improve patients' medication adherence,enhance medication beliefs,enrich medication knowledge,and reduce negative illness perception,providing a reference for clinical medication guidance models for patients with chronic diseases.

关键词

COM-B模型/帕金森病/服药依从性

Key words

capacity,opportunity,motivation-behavior model/Parkinson's disease/medication adherence

引用本文复制引用

黄崔垚,李瑶瑶,魏绍辉,白雪,田书川,马晓俊..基于COM-B模型的用药指导方案在帕金森病病人中的应用研究[J].全科护理,2026,24(10):1831-1836,6.

全科护理

1674-4748

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