慢性病患者对药物的信念及其与服药依从性的关系

N. Baghcheghi, H. Koohestani
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引用次数: 2

摘要

背景与目的:患者对药物的信念会影响其对药物的依从性。本研究的目的是确定慢性疾病患者对药物和药物依从性及其相关因素的信念。方法:采用横断面描述性研究,采用方便抽样方法纳入2019-2020年慢性疾病患者268例。采用药物信念问卷和药物依从性量表进行数据收集。数据采用SPSS version 20进行分析,采用单因素方差分析(ANOVA)、独立t检验和Pearson相关系数,显著性水平为α = 0.05。结果:患者对药物危害的信念均值±SD为2.53±0.71,对药物获益的信念均值±SD为4.27±0.49,对药物过量的信念均值±SD为3.23±0.79。药物信念的三个维度与药物依从性之间存在显著相关(P<0.05)。使用草药与相信药物的危害有直接关系(P<0.05)。性别、受教育程度与相信药物获益程度之间存在相关性(P<0.05)。结论:部分慢性患者对药物的认知不正确,认为药物有害,认为医生开了过量的药。对药物的危害、药物的益处以及药物过量的信念与慢性病患者的药物依从性有关。应鼓励患者表达对药物的看法,以改善患者对药物的信念。
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Beliefs About Medicines and its Relationship With Medication Adherence in Patients With Chronic Diseases
Background and Objectives: Patients’ beliefs about medicines can affect their adherence to the medicines. The aim of this study was to determine beliefs about medicines and medication adherence and its associated factors in patients with chronic diseases. Methods: In this cross-sectional descriptive study, 268 patients with chronic diseases in 2019-2020 were included by convenience sampling method. The beliefs about medicines questionnaire and the Medication Adherence Scale were used for data collection. Data were analyzed in SPSS version 20 using One-Way Analysis of Variance (ANOVA), independent t-test and Pearson correlation coefficient at the significance level of α = 0.05. Results: The Mean±SD score of beliefs about medicines in terms of harms of medicines was 2.53±0.71, in benefits of medicines was 4.27±0.49 and overdose of the medicines was 3.23±0.79.There was a relationship between all three dimensions of beliefs about medicines with medication adherence (P<0.05). There was a direct relationship between the use of herbal medicine and belief in the harms of medicines (P<0.05). In addition, there was a relationship between gender and education level with belief in the benefits of the medicines (P<0.05). Conclusion: Some chronic patients’ beliefs about the drug were not appropriate and they believed that the drugs were harmful and that the drugs were over-prescribed by doctors. Belief in the harms of the medicines, the benefits of the medicines, and the overdose of the medicines are associated with medication adherence in patients with chronic diseases. Patients should be encouraged to express their views on medications in order to improve patients’ beliefs about medication.
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