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一组原发性高血压出院中国患者的用药知识水平

Medication Literacy in a Cohort of Chinese Patients Discharged With Essential Hypertension.

作者信息

Zhong Zhuqing, Ma Guiyue, Zheng Feng, Duan Yinglong, Ding Siqing, Luo Aijing

机构信息

Third Xiangya Hospital, Central South University, Changsha, China.

Key Laboratory of Medical Information Research, Central South University, College of Hunan Province, Changsha, China.

出版信息

Front Public Health. 2020 Jan 9;7:385. doi: 10.3389/fpubh.2019.00385. eCollection 2019.

Abstract

In recent years, research on medication literacy has increased in many countries. Medication literacy in patients with essential hypertension affects the management and prognosis of hypertension. This is a cross-sectional study of 147 discharged patients with essential hypertension who were treated at a tertiary hospital in Changsha, Hunan, China, between March and June 2016. The demographic and clinical data of the patients with hypertension were obtained from the medical records. The Chinese version of the Medication Literacy Questionnaire was applied to measure the medication literacy of hypertensive patients from 7 to 30 days after discharge by structured interview. Data were analyzed using SPSS version 19.0. Multiple linear regression was used to analyse the meaningful determinants of medication literacy. The medication literacy of discharged patients with hypertension was poor. More than 70% of patients had no substantial knowledge of the effects and side effects of the medications they were taking, more than 30% of patients did not know the name or dose of the medication, and more than 20% of patients did not know how often to take the medication. It is necessary to conduct targeted health education for discharged patients with essential hypertension to reduce the risks of low medication literacy based on the determinants obtained in this study.

摘要

近年来,许多国家对用药知识水平的研究有所增加。原发性高血压患者的用药知识水平影响高血压的管理和预后。这是一项对2016年3月至6月在中国湖南长沙一家三级医院接受治疗的147例原发性高血压出院患者的横断面研究。高血压患者的人口统计学和临床数据从病历中获取。采用中文版用药知识水平问卷,通过结构化访谈对高血压患者出院后7至30天的用药知识水平进行测量。使用SPSS 19.0版软件进行数据分析。采用多元线性回归分析用药知识水平的有意义决定因素。高血压出院患者的用药知识水平较差。超过70%的患者对所服用药物的疗效和副作用了解甚少,超过30%的患者不知道药物名称或剂量,超过20%的患者不知道服药频率。有必要根据本研究得出的决定因素,对原发性高血压出院患者进行有针对性的健康教育,以降低用药知识水平低的风险。

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