控制点对高血压患者治疗方案依从性的影响。
The influence of locus control on adherence to treatment regimen among hypertensive patients.
作者信息
Omeje Obiageli, Nebo Chinenye
机构信息
Department of Psychology, Enugu State University of Science and Technology, Enugu, Enugu State, Nigeria.
出版信息
Patient Prefer Adherence. 2011 Apr 20;5:141-8. doi: 10.2147/PPA.S15098.
BACKGROUND
The purpose of this study was to investigate the influence of locus of control on adherence to a treatment regimen among hypertensive patients.
METHODS
The participants were 100 previously diagnosed hypertensive patients drawn from the Ituku-Ozalla University of Nigeria teaching hospital, using a purposive sampling technique. All participants were individually administered the Wallston, Wallston & Devellis (1978), Multidimensional Health Locus of Control (MHLC) scale, and Drug Adherence Questionaire (DAQ) by the researchers. A one-way factorial design and analysis of variance with unequal sample sizes were used to analyze the data.
RESULTS
Internally-oriented patients adhered more to their treatment regimen than externally-oriented patients, F(1.98) = 18.2 (P < 0.01).
CONCLUSION
Locus of control should be taken into consideration in the review of treatment packages for patients. This is because the efficacy of drugs depends to a reasonable extent on adherence to the schedule. If drugs are not taken as prescribed, their potency may be affected or wrongly assessed.
背景
本研究旨在调查控制点对高血压患者治疗方案依从性的影响。
方法
采用立意抽样技术，从尼日利亚伊图库-奥扎拉大学教学医院选取100名先前诊断为高血压的患者作为研究对象。研究人员对所有参与者分别进行了沃尔斯顿、沃尔斯顿和德维利斯（1978年）编制的多维健康控制点（MHLC）量表以及药物依从性问卷（DAQ）的测试。采用单向析因设计和不等样本量的方差分析对数据进行分析。
结果
内控型患者比外控型患者对治疗方案的依从性更高，F(1.98) = 18.2（P < 0.01）。
结论
在审查患者的治疗方案时应考虑控制点。这是因为药物的疗效在很大程度上取决于对服药时间表的依从性。如果不按规定服药，药物的效力可能会受到影响或被错误评估。
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