哮喘/慢性阻塞性肺病病人吸入装置使用依从性及其影响因素分析

目的：调查哮喘/慢性阻塞性肺病（chronic obstructive pulmonary disease,COPD）病人吸入装置使用依从性现状及其影响因素。方法：选取在苏州大学附属第一医院就诊的131例哮喘/COPD门诊病人,采用问卷调查方法,对吸入装置使用依从性、用药信念、装置使用评分等进行评估。采用t检验、χ2检验及二元logistic回归分析,探讨各因素与装置使用依从性之间的关系。结果：单变量分析提示,吸入装置使用依从性与装置使用评分（P〈0.01）、用药信念（P〈0.01）、是否发生药品不良反应（P〈0.05）和急性发作次数（P〈0.05）密切相关。将上述指标作为自变量进行二元log...

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Bibliographic Details
Published in药学服务与研究 Vol. 17; no. 3; pp. 187 - 190
Main Author 张海洲 顾宝晨 秦琼 陈蓉
Format Journal Article
LanguageChinese
Published 苏州大学附属第一医院药学部,江苏苏州,215006 2017
Subjects
吸入装置
哮喘
影响因素
慢性阻塞性肺病
用药依从性
哮喘
慢性阻塞性肺病
influential factor
inhalation device
影响因素
用药依从性
asthma
medication adherence
吸入装置
chronic obstructive pulmonary disease
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ISSN1671-2838
DOI10.5428/pcar20170308

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Summary:目的：调查哮喘/慢性阻塞性肺病（chronic obstructive pulmonary disease,COPD）病人吸入装置使用依从性现状及其影响因素。方法：选取在苏州大学附属第一医院就诊的131例哮喘/COPD门诊病人,采用问卷调查方法,对吸入装置使用依从性、用药信念、装置使用评分等进行评估。采用t检验、χ2检验及二元logistic回归分析,探讨各因素与装置使用依从性之间的关系。结果：单变量分析提示,吸入装置使用依从性与装置使用评分（P〈0.01）、用药信念（P〈0.01）、是否发生药品不良反应（P〈0.05）和急性发作次数（P〈0.05）密切相关。将上述指标作为自变量进行二元logistic回归分析,结果显示上述指标仍然与装置使用依从性密切相关（P〈0.05或P〈0.01）。结论：哮喘/COPD病人吸入装置使用依从性不理想。医务人员可以根据使用吸入装置依从性的影响因素,有针对性地采取干预措施,从而提高哮喘/COPD的治疗效果。
Bibliography:31-1877/R
Objective：To investigate medication adherence of inhalation devices（MAID）and related influential factors in patients with asthma or chronic obstructive pulmonary disease（COPD）.Methods：A total of 131 outpatients with asthma or COPD who sought medical care in the First Hospital Affiliated to Suzhou University were recruited for the study.Questionnaire survey was performed to evaluate MAID,medical philosophy and application scores of the inhalation devices.The obtained data were analyzed by using t test,Chi-square test and binary logistic regression analysis to examine the relation of the above various factors to medication adherence.Results：Single-factor analysis indicated that there was close association between MAID and application scores of the inhalation devices（P0.01）,medical philosophy（P0.01）,adverse drug reactions（P0.05）,and the number of acute onsets（P0.05）.Binary logistic regression analysis also showed that the above indicators were closely associated with MAID（P0.05 or P0.01）.Conclusion：MAID
ISSN:1671-2838
DOI:10.5428/pcar20170308