门诊老年慢性病患者用药依从性及其影响因素调查分析与药师干预措施.docVIP

门诊老年慢性病患者用药依从性及其影响因素调查分析与药师干预措施 　　[摘要] 目的 调查首都医科大学附属北京友谊医院（以下简称“我院”）门诊老年慢性病患者的用药依从性，分析其影响因素并探讨可能的药师干预措施，为促进合理用药和提高药学服务质量提供依据。 方法 随机选取我院400例门诊老年慢性病患者为调查对象，采用问卷调查与采访相结合的方式收集患者相关信息，采用χ2检验和Logistic 回归等统计方法，对影响患者用药依从性的因素进行综合分析，提出药师提高老年患者用药依从性的可能干预措施。 结果 我院400例老年慢性病患者用药依从率仅为45%。家庭和社会的关心程度、患者对自身慢性病的了解和重视程度、获取医药健康知识的积极性以及对医务人员的信任程度等因素对患者用药依从性具有显著影响（P 0.01）。 结论 导致老年患者用药依从性差的原因复杂多样，药师可通过提升业务水平、???强与患者及医务人员的沟通、开展用药宣教和咨询服务以及发展临床药学工作等措施提高患者用药依从性，以促进合理用药，提药学服务质量，提升患者生命质量。 　　[关键词] 慢性病；用药依从性；影响因素；药师；老年患者 　　[中图分类号] R969.3 [文献标识码] A [文章编号] 1673-7210（2016）04（b）-0052-05 　　[Abstract] Objective To investigate the medication compliance in elderly patients with chronic diseases in Beijing Friendship Hospital， Capital Medical University （“our hospital” for short）， analyze the relevant influencing factors， and explore the possible pharmacist interventions， so as to provide the basis to promote rational drug use in the elderly patients and improve pharmacist service quality. Methods 400 elderly patients with chronic diseases in our hospital were randomly chosen to be investigated by questionnaire survey and interviewed. The relevant influencing factors of medication compliance were managed by means of χ2 test and Logistic regression method， and the possible pharmacist interventions were proposed. Results In the 400 patients， only 45% of patients were found with good compliance. The medication compliance was significantly influenced by the concern from family and society， attention to their own diseases， incentive for health education and good doctor-patient relationship （P 0.01）. Conclusion The causes of poor compliance in elderly patients are complex and diverse. As a pharmacist， improvement of service level， enhancement of communication with the patients and medical staff， augmentation of pharmaceutical education and consultation service， development of clinical pharmacy and other effective measures should be done for improving medication compliance in elderly patients with chronic d