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Chronic Kidney Disease Medication Adherence and its Influencing Factors: An Observation and Analysis

机译:慢性肾脏病用药依从性及其影响因素的观察与分析

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This study observes the medication adherence of chronic kidney disease patients and analyzes its related factors. Methods: Data were collected from chronic kidney disease patients who had first visited the Chronic Disease Management Clinic at the Nephrology Department of the Guangdong Provincial Hospital of Chinese Medicine between March 2014 and April 2017. Data included patients' basic information, the Morisky compliance scale, accompanying diseases, laboratory test results, what types of medication were being taken, etc. Results: 210 CKD patients were enrolled in this study. Round 1: 97 patients were considered to have good adherence, 113 were considered to have poor adherence. Round 2: 91 patients were considered to have good adherence, 119 were considered to have poor adherence. 38 of the 97 good-adherent patients changed their medication adherence from good to poor, and 32 of the 113 poor-adherent patients changed their medication adherence from poor to good. Over 75% of the patients often forget to take medication and or often do not pay attention to taking their medication. In addition, the comparison between patients with good adherence and those with poor adherence, differences between groups in age, self-care, current residence and education level were statistically significant. Conclusion: Chronic kidney disease patients have low medication adherence rates. Time has little impact on overall adherence, but has some effect on personal adherence. Younger age, higher education levels, living outside of Guangzhou city limits, and selfcare each led to worse medication compliance. Corresponding clinical measures should be taken to improve patient compliance.
机译:本研究观察慢性肾脏病患者的用药依从性,并分析其相关因素。方法:收集2014年3月至2017年4月间首次访问广东省中医院肾脏病科慢性病管理诊所的慢性肾脏病患者的数据。这些数据包括患者的基本信息,Morisky依从性量表,结果:210名CKD患者参加了这项研究。第1轮:依从性良好的患者97例,依从性不良的患者113例。第2轮:有91例依从性良好,有119例依从性较差。 97位依从性良好的患者中有38位将药物依从性从良好改为不良,而113位依从性较弱的患者中有32位将药物依从性从不良变为良好。超过75%的患者经常忘记服药或经常不注意服药。此外,依从性良好的患者与依从性较差的患者之间的比较,年龄,自我护理,当前居住地和受教育程度之间的组间差异具有统计学意义。结论:慢性肾脏病患者的药物依从率较低。时间对整体依从性影响不大,但对个人依从性有一定影响。年龄较小,受教育程度较高,居住在广州市区以外的地区以及自我保健都会导致药物依从性恶化。应采取相应的临床措施以改善患者依从性。

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