与心力衰竭患者药物治疗不依从相关的因素。
Factors associated with medication non-adherence among patients with heart failure.
机构信息
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
出版信息
Rev Lat Am Enfermagem. 2024 Aug 30;32:e4302. doi: 10.1590/1518-8345.6756.4302. eCollection 2024.
OBJECTIVE
to identify the factors contributing to medication non-adherence among patients with heart failure.
METHOD
cross-sectional and analytical study using the Medida de Adesão ao Tratamento [Treatment Adherence Measure] scale to assess medication non-adherence. Independent variables were collected using the European Heart Failure Self-care Behavior Scale and an instrument developed by the authors based on a previous study. Statistical tests were implemented to analyze data with p≤0.05 statistical significance.
RESULTS
the sample comprised 340 patients, with 9.4% considered non-adherent. The multiple analysis results showed that one unit increase in an individual's self-care score led to an 8% increase in the prevalence of non-adherence; patients with a family income above three times the minimum wage presented a prevalence of non-adherence equal to 3.5% of the prevalence of those with up to one times the minimum wage; individuals consuming alcohol or with depression presented 3.49 and 3.69 times higher prevalence of non-adherence, respectively, than individuals not presenting such history.
CONCLUSION
medication non-adherence was associated with self-care, family income, depression, and alcohol consumption.
目的
确定导致心力衰竭患者药物治疗不依从的因素。
方法
采用横断面和分析性研究，使用 Medida de Adesão ao Tratamento [治疗依从性量表] 评估药物治疗不依从性。使用欧洲心力衰竭自我护理行为量表和作者根据先前研究制定的工具收集独立变量。实施统计检验以分析具有 p≤0.05 统计学意义的数据。
结果
该样本包括 340 名患者，其中 9.4%被认为不依从。多因素分析结果显示，个体自我护理评分每增加一个单位，不依从的患病率就会增加 8%；家庭收入超过最低工资标准三倍的患者，其不依从的患病率等于收入不超过最低工资标准一倍的患者的不依从患病率的 3.5%；有饮酒或抑郁史的个体，其不依从的患病率分别是非饮酒或非抑郁史个体的 3.49 倍和 3.69 倍。
结论
药物治疗不依从与自我护理、家庭收入、抑郁和饮酒有关。
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