健康素養(yǎng)對(duì)缺血性腦卒中患者服藥信念與服藥依從性的影響
發(fā)布時(shí)間：2019-04-01 07:06
【摘要】：目的:了解缺血性腦卒中患者健康素養(yǎng)現(xiàn)狀及與服藥信念、服藥依從性的關(guān)系,探討健康素養(yǎng)對(duì)缺血性腦卒中患者服藥信念與服藥依從性的影響,為改善缺血性腦卒中患者的預(yù)后提供理論支持。方法:采用非實(shí)驗(yàn)性研究,利用便利抽樣法選取某市一所三級(jí)甲等醫(yī)院和一所二級(jí)甲等醫(yī)院的208例缺血性腦卒中住院患者,剔除在調(diào)查中途要求退出的患者8例,實(shí)際樣本為200例。利用問卷調(diào)查法測量研究對(duì)象的健康素養(yǎng)、服藥信念和服藥依從性。采用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析,以p0.05為差異顯著,有統(tǒng)計(jì)學(xué)意義。結(jié)果:(1)研究對(duì)象健康素養(yǎng)總分為139.32±36.21,其中閱讀能力維度得分62.42±15.58,理解能力維度得分57.80± 17.06,計(jì)算能力維度得分19.10±5.99。結(jié)果顯示64.0%的研究對(duì)象健康素養(yǎng)充足,16.5%的研究對(duì)象擁有臨界水平的健康素養(yǎng),19.5%的研究對(duì)象健康素養(yǎng)缺乏。健康素養(yǎng)總分在性別、年齡、婚姻狀態(tài)、文化程度、月收入等人口學(xué)特征上有顯著差異(p0.05),有統(tǒng)計(jì)學(xué)意義。(2)研究對(duì)象服藥信念總分為3.87±2.51,其中服藥必要性信念得分(17.59±1.77)高于服藥顧慮性信念得分(14.08±1.41)。不同性別、婚姻狀態(tài)、文化程度、月收入和有無不良反應(yīng)在服藥信念上存在差異,有統(tǒng)計(jì)學(xué)意義(p0.05)。(3)研究對(duì)象服藥依從性水平為5.69±0.89,58.5%的研究對(duì)象服藥依從性差。(4)不同健康素養(yǎng)水平的研究對(duì)象在服藥信念和服藥依從性上存在顯著性差異(p0.01)。(5)研究對(duì)象的健康素養(yǎng)與服藥信念總分成正相關(guān)(p0.01),其中健康素養(yǎng)與服藥必要性信念成正相關(guān)(p0.01),與服藥顧慮性信念成負(fù)相關(guān)(p0.01)。健康素養(yǎng)與研究對(duì)象的服藥依從性成正相關(guān)(p0.01)。(6)多元逐步回歸方程顯示文化程度、年齡和婚姻狀態(tài)是缺血性腦卒中患者健康素養(yǎng)的影響因素;健康素養(yǎng)和服藥信念是服藥依從性的影響因素。結(jié)論:健康素養(yǎng)影響缺血性腦卒中患者的服藥信念和服藥依從性,提高健康素養(yǎng)水平有利于提高腦卒中二級(jí)預(yù)防的防治水平,從而改善缺血性腦卒中患者的健康結(jié)局。
[Abstract]:Objective: to understand the status quo of health literacy in patients with ischemic stroke and its relationship with drug belief and compliance, and to explore the effect of health literacy on drug belief and compliance in patients with ischemic stroke. To improve the prognosis of ischemic stroke patients to provide theoretical support. Methods: 208 inpatients with ischemic stroke were selected from a Grade 3A hospital and a second-class first class hospital in a certain city by means of non-experimental study and convenience sampling, and 8 patients who were asked to quit in the investigation were excluded. The actual sample was 200 cases. The subjects' health accomplishment, drug belief and compliance were measured by questionnaire. Using SPSS17.0 statistical software for statistical analysis, p0.05 as a significant difference, there is statistical significance. Results: (1) the total score of health literacy was 139.32 鹵36.21, of which reading ability score was 62.42 鹵15.58, comprehension dimension was 57.80 鹵17.06, computational ability dimension was 19.10 鹵5.99. The results showed that 64.0% of the subjects had adequate health literacy, 16.5% of them had critical level of health literacy, and 19.5% of them lacked health literacy. There were significant differences in demographic characteristics such as sex, age, marital status, education level, monthly income (p0.05). (2) the total score of drug-taking belief was 3.87 鹵2.51, The score of necessity belief (17.59 鹵1.77) was higher than that of thinking belief (14.08 鹵1.41). There are differences between gender, marital status, education, monthly income and adverse reactions in the belief in taking drugs. Statistically significant (p0.05). (3) the drug compliance level of the subjects was 5.69 鹵0.89, 58.5% of the subjects had poor drug compliance. (4) the subjects with different levels of health literacy were in the belief of taking medicine and taking medicine. There was a significant difference in drug compliance (p0.01). (5). There was a positive correlation between the subjects' health accomplishment and the total score of drug taking beliefs (p0.01). There was a positive correlation between health literacy and the belief in the necessity of taking medicine (p0.01), and a negative correlation between the belief in taking medicine and the belief in taking care of the drug (p0.01). There was a positive correlation between health literacy and drug compliance (p0.01). (6). The multiple stepwise regression equation showed that education level, age and marital status were the influencing factors of health literacy of ischemic stroke patients. Health accomplishment and drug-taking belief are the influencing factors of drug compliance. Conclusion: health literacy affects the drug-taking belief and compliance of ischemic stroke patients, and improving the level of health literacy is beneficial to improve the level of prevention and treatment of secondary prevention of stroke, so as to improve the health outcome of patients with ischemic stroke.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.74
，
本文編號(hào)：2451342
[Abstract]:Objective: to understand the status quo of health literacy in patients with ischemic stroke and its relationship with drug belief and compliance, and to explore the effect of health literacy on drug belief and compliance in patients with ischemic stroke. To improve the prognosis of ischemic stroke patients to provide theoretical support. Methods: 208 inpatients with ischemic stroke were selected from a Grade 3A hospital and a second-class first class hospital in a certain city by means of non-experimental study and convenience sampling, and 8 patients who were asked to quit in the investigation were excluded. The actual sample was 200 cases. The subjects' health accomplishment, drug belief and compliance were measured by questionnaire. Using SPSS17.0 statistical software for statistical analysis, p0.05 as a significant difference, there is statistical significance. Results: (1) the total score of health literacy was 139.32 鹵36.21, of which reading ability score was 62.42 鹵15.58, comprehension dimension was 57.80 鹵17.06, computational ability dimension was 19.10 鹵5.99. The results showed that 64.0% of the subjects had adequate health literacy, 16.5% of them had critical level of health literacy, and 19.5% of them lacked health literacy. There were significant differences in demographic characteristics such as sex, age, marital status, education level, monthly income (p0.05). (2) the total score of drug-taking belief was 3.87 鹵2.51, The score of necessity belief (17.59 鹵1.77) was higher than that of thinking belief (14.08 鹵1.41). There are differences between gender, marital status, education, monthly income and adverse reactions in the belief in taking drugs. Statistically significant (p0.05). (3) the drug compliance level of the subjects was 5.69 鹵0.89, 58.5% of the subjects had poor drug compliance. (4) the subjects with different levels of health literacy were in the belief of taking medicine and taking medicine. There was a significant difference in drug compliance (p0.01). (5). There was a positive correlation between the subjects' health accomplishment and the total score of drug taking beliefs (p0.01). There was a positive correlation between health literacy and the belief in the necessity of taking medicine (p0.01), and a negative correlation between the belief in taking medicine and the belief in taking care of the drug (p0.01). There was a positive correlation between health literacy and drug compliance (p0.01). (6). The multiple stepwise regression equation showed that education level, age and marital status were the influencing factors of health literacy of ischemic stroke patients. Health accomplishment and drug-taking belief are the influencing factors of drug compliance. Conclusion: health literacy affects the drug-taking belief and compliance of ischemic stroke patients, and improving the level of health literacy is beneficial to improve the level of prevention and treatment of secondary prevention of stroke, so as to improve the health outcome of patients with ischemic stroke.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.74
，
本文編號(hào)：2451342
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