慢性肾脏病非透析患者药物依从性现状及影响因素分析

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Abstract Objective To investigate the current situation of medication compliance in non-dialysis patients with chronic kidney disease (CKD)and analyze its influencing factors.Methods A total of 220 non-dialysis patients with CKD admitted to the Department of Renal Medicine of the First Affiliated Hospital of University of South China from October 2022 to May 2023 were selected by convenience sampling method.The general data,medication compliance,self-efficacy of rational drug use,medication belief and other relevant scales of patients were collected.The factors related to medication compliance were analyzed.Results A total of 220 non-dialysis patients with CKD were included.The score of Morisky-8 medication compliance scale was (2.96±1.20)points,which was at a low level.The results of univariate analysis showed that gender,education level,occupational status and payment method of patients were related to medication compliance,and the differences were statistically significant (P＜0.05).Multivariate linear regression model was used to analyze the factors,and the results showed that patients' occupation,payment method,drug self-efficacy and general medication belief were the influencing factors of patients'drug compliance(P＜0.05).In addition,medication compliance was positively correlated with drug self-efficacy to a certain extent (r=0.558),and general medication belief was negatively correlated to a certain extent(r=-0.510).Conclusion The medication compliance of non-dialysis patients with CKD is poor.It is suggested that the medical staff should take corresponding nursing measures to improve the medication self-efficacy and medication compliance of patients.

Key words： Chronic kidney disease Medication compliance Self-efficacy Medication belief Influencing factor

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[1]	高翔，梅长林.《慢性肾脏病早期筛查、诊断及防治指南（2022 年版）》解读[J].中国实用内科杂志，2022，42（9）：735-739.
[2]	Ene-Iordache B，Perico N，Bikbov B，et al.Chronic kidney disease and cardiovascular risk in six regions of the world（ISN-KDDC）：a cross-sectional study[J].Lancet Glob Health，2016，4（5）：e307-e319.
[3]	Verhave JC，Troyanov S，Mongeau F，et al.Prevalence，awareness，and management of CKD and cardiovascular risk factors in publicly funded health care[J].Clin J Am Soc Nephrol，2014，9（4）：713-719.
[4]	De Geest S,Sabaté E.Adherence to long-term therapies：evidence for action[J].Eur J Cardiovasc Nurs，2003，2（4）：323.
[5]	Lili M，Xiaodong G，Xiaoxiong X，et al.Review of compliance assessment methods[J].China Pharmaceut Affairs，2016，30（4）：388-393.
[6]	Shouqair TM，Rabbani SA，Sridhar SB，et al.Evaluation of Drug-Related Problems in Chronic Kidney Disease Patients[J].Cureus，2022，14（4）：e24019.
[7]	上海市肾内科临床质量控制中心专家组.慢性肾脏病早期筛查、诊断及防治指南（2022 年版）[J].中华肾脏病杂志，2022，38（5）：453-464.
[8]	Morisky DE，Green LW，Levine DM.Concurrent and predictive validity of a self-reported measure of medication adherence[J].Med Care，1986：67-74.
[9]	王洁，莫永珍，卞茸文.中文版8 条目Morisky 用药依从性问卷在2 型糖尿病患者中应用的信效度评价[J].中国糖尿病杂志，2013，21（12）：1101-1104.
[10]	Risser J，Jacobson TA，Kripalani S.Development and psychometric evaluation of the Self-efficacy for Appropriate Medication Use Scale(SEAMS)in low-literacy patients with chronic disease[J].J Nurs Meas，2007，15（3）：203-219.
[11]	董小方，刘延锦，王爱霞.合理用药自我效能量表的汉化及信效度检验[J].护理学杂志，20153，30（11）：47-49.
[12]	Horne R，Weinman J.Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness[J].J Psychosom Res，1999，47（6）：555-567.
[13]	谌芬，吴秀丽，曾维轲，等.基于CiteSpace 的我国内地CKD 护理研究热点及发展趋势分析[J].全科护理，2021，19（29）：4050-4054.
[14]	Seng JJB，Tan JY，Yeam CT，et al.Factors affecting medication adherence among pre-dialysis chronic kidney disease patients：a systematic review and meta-analysis of literature[J].Int Urol Nephrol，2020，52（5）：903-916.
[15]	李艳红，张振香，李平，等.增强自我效能干预对中年高血压患者自我管理能力的效果评价[J].中国全科医学，2013，16（6）：546-548.
[16]	吴秀平，黄清云.甲状腺功能亢进症患者自我效能感与用药依从性的调查分析[J].中国医药科学，2022，12（14）：110-113.
[17]	蔡小红，刘春燕，刘晓梅.高血压患者治疗依从性与自我效能水平及健康教育策略[J].中国当代医药，2023，30（21）：121-125.
[18]	Eaton C，Comer M，Pruette C，et al.Text messaging adherence intervention for adolescents and young adults with chronic kidney disease：pilot randomized controlled trial and stakeholder interviews[J].J Med Internet Res，2020，22（8）：e19861.
[19]	宋欣芫，张苗苗，孙莹，等.以自我管理理论为核心的云平台健康管理在CKD 患者延续护理中的应用[J].天津护理，2022，30（5）：532-538.
[20]	Bai HH，Nie XJ，Chen XL，et al.Beliefs about medication and their association with adherence in Chinese patients with non-dialysis chronic kidney disease stages 3-5[J].Medicine（Baltimore），2022，101（2）：e28491.
[21]	Lunardi LE，Bennett PN，Hill K，et al.Effect of patient activation interventions on health-related behavioral outcomes in adults with chronic kidney disease：a systematic review protocol[J].JBI Evid Synth，2021，19（12）：3394-3401.
[22]	Mechta Nielsen T，Fr jk Juhl M，Feldt-Rasmussen B，et al.Adherence to medication in patients with chronic kidney disease：asystematicreview ofqualitativeresearch[J].Clin Kidney J，2018，11（4）：513-527.