冠心病PCI术后病人药物素养的潜在类别分析及影响因素研究

    Analysis of latent class and influencing factors of medication literacy in patients with coronary heart disease after PCI

    • 摘要:
      目的: 探究冠心病经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后病人药物素养的潜在类别及其影响因素,为精准干预提供指导。
      方法: 采用便利抽样法,于2023年7月至2024年1月选取安徽省某三甲医院住院的260例冠心病PCI术后病人作为研究对象,采用一般资料调查表、药物素养量表、用药差错量表对其进行调查。采用Mplus8.3进行潜在类别分析,并运用SPSS26.0探究不同药物素养类别的影响因素。
      结果: PCI术后病人药物素养可分为:低药物素养型(23.5%),中等药物素养型(48.5%)、高药物素养型(28.0%)3个潜在类别。病人药物素养受文化程度、是否有冠心病家族史、因冠心病住院次数、用药差错的影响(P < 0.05~P < 0.01)。
      结论: PCI术后病人药物素养可分为3个类别。医护人员应早期识别病人的药物认知水平,并给予个体化的用药指导,以提高病人药物素养水平,改善治疗结局。

       

      Abstract:
      Objective To explore the latent class and influencing factors of medication literacy in patients with coronary heart disease after PCI (percutaneous coronary intervention), and provide guidance for precise intervention.
      Methods A total of 260 patients with coronary heart disease after PCI in a Grade-A hospital in Anhui Province from July 2023 to January 2024 were selected by convenience sampling method. The patients were investigated using the general data questionnaire, drug literacy scale and medication error scale. Mplus8.3 was used for potential category analysis, and SPSS26.0 was used to explore the influencing factors of different drug literacy categories.
      Results The medication literacy of patients after PCI could be divided into the low medication literacy type (23.5%), medium medication literacy type (48.5%) and high medication literacy type (28.0%). The influencing factors of medication literacy included the education level, family history of CHD, number of hospitalizations due to CHD and medication errors (P < 0.05).
      Conclusions The medication literacy of patients after PCI can be divided into three categories. Medical staff should identify the drug cognition level of patients early, and give individualized medication guidance to improve the medication literacy level of patients and treatment outcome.

       

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