| 童心玲,祁灵珍,叶关娣,等.老年肝硬化患者服药依从性现状及其与社会支持和心理状况的关系[J].中国临床保健杂志,2022,25(5):628-631. |
| 老年肝硬化患者服药依从性现状及其与社会支持和心理状况的关系 |
| Current status of medication compliance and its relationship with social support and psychological status in elderly patients with cirrhosis |
| 投稿时间：2022-05-19 |
| DOI：10.3969/J.issn.1672-6790.2022.05.011 |
| 中文关键词: 肝硬化 服药依从性 社会支持 心理过程 老年人 |
| 英文关键词: Liver cirrhosis Medication adherence Social support Mental processes Aged 〖FL |
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| 中文摘要: |
| 目的 探讨老年肝硬化患者服药依从性与社会支持及心理状况的关系。方法 选取2019年8月至2021年8月在丽水市中心医院诊治的115例老年肝硬化患者,采用面对面问卷调查方式了解患者基本状况,通过Morisky用药依从性问卷(MMAS-8)评估患者服药依从性,采用中文版心理弹性量表(CD-RISC)评估患者心理状态,社会支持评定量表(SSRS)评估社会支持水平,通过Spearman相关性分析服药依从性与社会支持、心理弹性水平的关系。结果 115例肝硬化老年患者服药依从性高、中、低水平分别为34例(29.57%)、39例(33.91%)、42例(36.52%),患者服药依从性总得分为(6.33±0.89)分,处于中等水平；未同时服用其他慢性疾病药物、在婚状态、文化程度大专及以上、家庭人均月收入高、医疗费用支付方式为全部或部分报销肝硬化老年患者服药依从性评分高于同时服用其他慢性疾病药物、离异或丧偶、文化程度大专以下、家庭人均月收入低、医疗费用支付方式为全部自费患者(P＜0.05)；老年肝硬化患者CD-RISC量表、SSRS量表得分低于国内常模(P＜0.05)；老年肝硬化患者服药依从性与CD-RISC量表评分、SSRS量表得分呈现正相关(r=0.406、0.389,P值均＜0.05)。结论 老年肝硬化患者服药依从性处于中等水平,患者心理弹性、社会支持度处于低水平,其服药依从性与心理弹性和社会支持度呈现正相关。 |
| 英文摘要: |
| Objective To explore the relationship between medication compliance and social support and psychological status in elderly patients with cirrhosis.Methods A total of 115 elderly patients with cirrhosis treated in the hospital were enrolled between August 2019 and August 2021.The basic conditions of patients were obtained by face-to-face questionnaires.Medication compliance was evaluated by the Morisky Medication Adherence Scale (MMAS-8).The psychological status of patients was evaluated by The Connor-Davidson Resilience Scale (CD-RISC).The social support level was evaluated by the Social Support Rating Scale (SSRS).The relationship between medication compliance and social support and psychological resilience was analysed by Spearman correlation analysis.Results Among the 115 elderly patients with cirrhosis,there were 34 cases (29.57%),39 cases (33.91%) and 42 cases (36.52%) with high,medium and low levels of medication compliance,respectively.The total score of medication compliance was 6.33±0.89 points,which was at the middle level.The scores of medication compliance in patients not taking the other chronic disease drugs,with married status,educational level of college degree or above,high monthly family income per capita,and medical payment mode of total or partial reimbursement were higher than those in patients taking the other chronic disease drugs,with divorced or widowed status,education level of college degree or below,low monthly family income per capita,and medical payment mode of self-paying (P<0.05).The scores of the CD-RISC and SSRS in elderly patients with cirrhosis were lower than the domestic norms (P<0.05).Medication compliance was positively correlated with CD-RISC and SSRS scores (r=0.406,0.389,P<0.05).Conclusions Medication compliance is at a moderate level,and psychological resilience and social support are at a low level in elderly patients with cirrhosis.Medication compliance is positively correlated with psychological resilience and social support. |
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