摘要
[目的]调查多次住院的冠心病病人的疾病认知及服药依从性情况,探讨反复住院冠心病病人服药依从性与疾病感知间的关系。[方法]采用疾病感知问卷修订版(IPQ-R)、慢性疾病病人服药依从性测量量表对广州市某三级甲等医院心内科多次住院的198例冠心病病人进行问卷调查。[结果]多次住院冠心病病人服药依从性得分为69.72分±7.55分,依从性一般者83例,依从性良好者115例。冠心病病人经历最多的症状是胸痛、胸部不适、出冷汗、心慌及呼吸困难,症状认知得分为4.55分±1.64分;病人对病情以及自身的认知各维度中疾病周期(急/慢性)均分为2.91分±0.36分,疾病后果认知均分为3.12分±0.39分,个人控制均分为2.83分±0.38分,治疗控制均分为3.28分±0.26分,疾病一致性均分为2.80分±0.57分,时间轴均分为2.70分±0.70分,情绪表征均分为2.87分±0.63分;多次住院的冠心病病人更倾向于将患病归因于行为因素(食物或饮食因素、缺乏运动、吸烟、自己行为导致)、心理因素(压力或烦恼、家庭问题或过度烦恼)、免疫因素及生理因素。冠心病病人疾病周期(急/慢性)、疾病后果认知、情绪表征与服药依从性呈负相关(P<0.05)。[结论]多次住院冠心病病人的服药依从性良好,疾病感知水平中等,个体差异明显,医护人员应加强对多次住院冠心病病人疾病感知的重视和干预。
Objective：To investigate the illness cognition condition and medication compliance of repeated hospitalized patients with coronary heart disease and to probe into the relationship between medication compliance and illness cognition among repeated hospitalized patients with coronary heart disease.Methods：A total of 198 repeated hospitalized patients with coronary heart disease in cardiovascular department of a third-level grade A Hospital in Guangzhou city were investigated by filling out illness perception questionnaire revised version（IPQ-R）and chronic illness patient medication compliance measurement scale.Results：Medication compliance score of repeated hospitalized patients with coronary heart disease was 69.72±7.55.The compliance of 83 cases was common.And 115 cases were with good compliance.Most experienced symptoms of coronary heart disease patients were chest pain,chest discomfort,cold sweats,palpitation and dyspnea.Cognitive symptoms mean score of them was 4.55±1.64.The average score of patients towards illness condition and their own cognitive dimension of the disease cycle（acute/chronic）was 2.91±0.36.Mean score of cognition towards disease consequences of patients was 3.12±0.39.Personal control mean score of them was 2.83±0.38.Therapy control mean score of them was 3.28±0.26.Disease consistency mean score of them was 2.80±0.57.Time axis mean score was 2.70±0.70.And emotion representation mean score of patients was 2.87±0.63.Repeated hospitalized patients with coronary heart disease were more likely to attribute illness to behavioral factors（food or dietary factors,lack of exercises,smoking,and self-behavior induced）,psychological factors（stress or annoyance,family problems or excessive worry）,immune factors and physiological factors.Disease cycle of patients with coronary heart disease（acute/chronic）,the consequence cognition,and emotional representation were negatively correlated to their medication adherence（P〈0.05）.Conclusion：The medication compliance of repeated hospitalized patients with coronary heart disease was good.The level of illness awareness of patients was moderate.And the individual difference was obvious.Medical staff should strengthen the cognition and intervention of disease of repeated hospitalized patients with coronary heart disease.
出处
《护理研究（下旬版）》
2016年第9期3344-3347,共4页
Chinese Nursing Researsh
基金
广州市科技计划项目
编号:201507020028
关键词
冠心病
疾病感知
服药依从性
重复入院
coronary heart disease
cognition of disease
medication compliance
repeated hospitalization
