目的:研究类风湿关节炎(rheumatoid arthritis,RA)居家患者的服药依从性现状及其相关影响因素,为提高患者服药依从性提供理论依据。方法:选取2024年3月-2024年7月在山东第一医科大学第二附属医院就医的110例RA居家患者为研究对象,采用中文版Morisky服药依从性问卷(MMAS-8)、健康评定量表(HAQ)、自制的基本资料调查表进行调查。结果:RA居家患者服药依从性平均得分为(4.55±1.63)分,其中服药依从性良好的患者有0例(0%),中等依从性的有35例(31.82%),依从性差的达75例(68.18%),总体服药依从性为31.82%。HAQ平均得分为(10.75±11.84)分,处于健康评定量表的中等水平。RA居家患者的健康评定得分与服药依从性呈负相关;年龄、文化程度、晨僵持续时间及健康状况是服药依从性的影响因素。结论:RA居家患者的服药依从性普遍较差,医护人员应考虑患者年龄、文化程度的差异,重视服药依从性对晨僵及健康状况的影响,根据患者病情制定个体化的健康教育及慢性病管理策略,从而有效提高RA居家患者的服药依从性。
Objective: To study the status quo and correlation of medication compliance in patients with rheumatoid arthritis (RA) at home, in order to provide a theoretical basis for improving patients' medication compliance. Methods: A total of 110 RA patients receiving home-based care from the second affiliated hospital of Shandong first medical university were selected as study subjects between March 2024 and June 2024. Assessments were conducted using the Chinese version of the Morisky Medication Adherence Questionnaire-8 (MMAS-8), the Health Assessment Questionnaire (HAQ), and a self-designed basic information survey form. Results: The score of medication compliance of RA patients at home was (4.55±1.63), there were 0 patient (0%) with good medication compliance, 35 patients (31.82%) with moderate medication compliance, and 75 patients (68.18%) with poor medication compliance, the medication compliance was 31.82%. The HAQ score was (10.75±11.84), which was the middle level of the health assessment scale. The health assessment score of RA patients at home was negatively correlated with medication compliance. Age, education level, duration of morning stiffness and health status were the influencing factors of medication compliance. Conclusion: The medication compliance of RA patients at home is poor. Medical staff should take into account the difference of age and education level of patients in clinical and continuous nursing work, and pay attention to the influence of medication compliance on morning stiffness and health status, and formulate individualized health education and chronic disease management strategies according to the patient's condition, so as to improve the medication compliance of RA patients at home.
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