老年冠心病患者用药知识、信念及行为的调查与分析.docVIP

老年冠心病患者用药知识、信念及行为的调查与分析 2006年7月 第6卷7期 护理管理杂志 JournalofNursingAdministration Ju1.2006 VoI.6No.7?1? ? 论着? 老年冠心病患者用药知识,信念及行为的调查与分析 周素娟,王建荣,矫向前,马燕兰,任素琴,郭俊艳 (解放军总医院护理部,北京100853) 摘要:目的通过对干部门诊老年冠心病(coronaryheartdisease,CHD)患者用药知识,信念,行为及其影响因素的调查与分析, 为患者进一步实施用药知识教育提供帮助.方法随机整群抽取4个干休所的124名老年冠心病患者,采用自行设计调查问 卷对用药知识,信念与行为进行调查,评估与分析.结果74.2%的老年冠心病患者用药知识欠缺,既往因冠心病住院的次 数,现患慢性病种类数,离(退)休前的工作性质是影响患者掌握用药知识的因素;50%以上的老年冠心病患者用药行为关键 方面依从性差,既往1年内药物不良反应发生种类数可能影响患者的用药行为;老年冠心病患者用药知识,信念及行为未完全 达到统一.结论门诊老年冠心病患者在疾病控制过程中,需要更多系统,持续,不断更新的用药知识,以促进其树立正确的 用药观念,建立良好的用药行为. 关键词:冠心病;用药知识;用药信念;用药行为 中图分类号:R473.5文献标识码:A文章编号:1671—315X(2006)07—0001—04 Investigationandanalysisonmedicationknowledge,beliefandbehaviorinelderlypatientswithcoronaryheartdisease/ ZHOUSu—juan,WANGJian—rong,JIAOXiang—qian,MAYan—lan,RENSu—qin,GUOJun—yan//JournalofNursing Administration,一2006,6(7):1. Abstract:ObjectiveThisstudyaimedtoinvestigatethestatusandinfluentialfactorsofmedicationknowledge,beliefandbehaviorin elderlypatientswithcoronaryheartdisease(CHD)inout—patientdepartment,inordertoprovidereferenceformedicationeducation. Method4cadresanitariumsweresampledbyclustersamplingmethod.124subjectswereinvestigatedabouttheirmedicationknowl— edge.beliefandbehaviorusingtheself—designedquestionnaire.Results74.2%oftheelderlypatientswithCHDwerelackofthe medicationknowledge.Theinfluentialfactorsincludedthe~equencyofhospitalizationforCHD,thenumberofchronicdiseasesandjob beforeretirement.MorethanhalfoftheSHbjectsshowedpoorcompliance.whichwasrelatedtothenumberofdrugadversereactions happenedinthelastyear.Theresultsshowedthattherewaslackofconsistencyamongtheirmedicationknowledge,beliefandbehavior. ConclusionInordertopromotetheformationofcorrectmedicationbeliefandbehavior,theelderlypatientsneedmoresystemic,per— sistentandrenewalmedicationknowledgeintheprocessofdiseasecontrolofCHD. AuthorSaddress:NursingDepartment,GeneralHospitalofPLA,Beijing100853,China Keywords:coronaryheartdisease;medicationknowledge;medicationbelief;medicationbehavior 冠心病是老年人的常见病,多发病,患