Page 129 - 2019年11月第30卷第21期

·药师与药学服务·

社区老年慢性病患者用药“知-信-行”现状与抑郁情绪的相关性

研究 Δ

薛文俊 ，王艳红 ，任晶晶，张 言，王惠琳（兰州大学护理学院，兰州 730000）
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中图分类号 R473 文献标志码 A 文章编号 1001-0408（2019）21-3004-06
DOI 10.6039/j.issn.1001-0408.2019.21.24

摘 要 目的：探讨社区老年慢性病患者用药知识-信念-行为（简称用药“知-信-行”）情况及其与抑郁情绪的关系。方法：采用老
年慢性病患者用药“知-信-行”测评问卷和抑郁自评量表（SDS），对在兰州市两所社区服务中心体检的老年慢性病患者面对面发放
问卷进行调查，利用Pearson相关分析考察患者用药“知-信-行”得分与抑郁情绪得分之间的相关性，并运用多元逐步线性回归对用
药“知-信-行”得分的影响因素（包括经单因素分析后有统计学意义的一般资料表中的条目和抑郁情绪）进行分析。结果：本研究
共发放问卷 300 份，回收有效问卷 289 份，有效回收率为 96.3％。问卷调查结果显示，患者用药“知-信-行”平均得分为（31.12±
6.20）分，而用药知识、信念和依从性行为的平均得分分别为（18.39±4.85）、（3.18±1.24）、（9.55±2.08）分；抑郁情绪平均得分为
（39.99±6.06）分，存在抑郁情绪的患者为140例（48.4％）。Pearson相关分析结果表示，用药知识得分（r＝－0.356）、用药依从性行
为得分（r＝－0.465）及用药“知-信-行”得分（r＝－0.490）均与抑郁情绪呈负相关关系（P均＜0.01）。经多元逐步线性回归分析结
果显示，患者用药“知-信-行”得分受抑郁情绪及患者家人职业、家庭月收入等人口学因素影响，差异均有统计学意义（P＜0.05）。
结论：社区老年慢性患者用药“知-信-行”得分主要受抑郁情绪影响，同时也受人口学因素影响。医护人员在开展老年慢性病患者
用药健康教育的工作中，应加强关注合并抑郁情绪的老年患者，及时采取针对性的护理措施，提高其用药“知-信-行”水平。
关键词 老年慢性病患者；用药“知-信-行”；抑郁情绪；相关性分析；问卷调查
Relation Survey between Medication “Knowledge-Attitude-Practice” and Depression Mood in Elderly
Patients with Chronic Diseases in Community
XUE Wenjun，WANG Yanhong，REN Jingjing，ZHANG Yan，WANG Huilin（School of Nursing，Lanzhou
University，Lanzhou 730000，China）
ABSTRACT OBJECTIVE：To explore the situation of knowledge-attitude-practice of medication（shorted for medication KAP）
of elderly patients with chronic diseases and its relationship with depression mood. METHODS：Through using scale of medication
KAP in elderly adults with chronic diseases and Self-rating Depression Scale （SDS），a face to face questionnaire survey was
conduceed among elderly patients with chronic diseases examined in two community service centers of Lanzhou. The Pearson
correlation analysis was used to verify the correlation between the score of medication KAP and the score of depression mood，and
multivariate stepwise linear regression was used to analyze the influential factors（including the items in the general data table and
depression mood with statistical significance after single factor analysis）of the score of medication KAP. RESULTS：Totally 300
questionnaires were sent out，and 289 valid questionnaires were returned with effective feedback rate of 96.3％. The results of
questionnaire investigation showed the average score of the KAP was（31.12±6.20）；the scores of medication knowledge，attitude
and practice was（18.39±4.85），（3.18±1.24）and（9.55±2.08），respectively. The average score of depression mood was（39.99±
6.06），compared with 48.4％ （140 patients） with depressive symptoms. Pearson correlation analysis showed that the score of
medication knowledge（r＝－0.356），the score of medication compliance（r＝－0.465）and the score of medication KAP（r＝
－0.490）were negatively correlated with depression mood（all P＜0.01）. Multiple stepwise regression analysis indicated that the
score of the KAP were affected by depression mood and demographic factors including family occupation，detailed monthly income
in a family，the difference was statistically significant（P＜0.05）. CONCLUSIONS：In the community，the level of the medication
KAP in elderly patients is mainly affected by depression mood and also by demographic factors. In the work of health care
education for elderly patients with chronic diseases，medical staff should pay more attention to patients with depression mood and
timely take targeted nursing measures to improve the level of the medication KAP.
KEYWORDS Elderly patients with chronic diseases；Medication“knowledge-attitude-practice”；Depression mood；Correlation
analysis；Questionnaire investigation

随着我国人口老龄化进程的逐渐加快，老年慢性病
Δ 基金项目：国家自然科学基金资助项目（No.71804064）
问题显得日趋严峻。药物治疗作为慢性病治疗的重要
＊硕士研究生。研究方向：老年护理学。E-mail：2927213624@
[1]
qq.com 手段，需要患者长期甚至终生服药以控制及缓解病情 。
# 通信作者：副教授，博士。研究方向：老年护理学。E-mail：yan- 因此，坚持遵从医嘱按时按量服药，对老年患者的长期
hongwang@lzu.edu.cn 慢性病管理显得至关重要。而当患者用药依从性差时，

·3004 · China Pharmacy 2019 Vol. 30 No. 21 中国药房 2019年第30卷第21期