Objective To analyze influence factor of compliance with statins of elderly patients with coronary heart disease. Methods From December 2010 to December 2014, 1322 patients with coronary heart disease were divided into groups according to result of Mofisky-Green (MG), including good compliance group and bad compliance group. The influencing factors were analyzed. Results There were significant differences in educational level(OR=0.08,95%CI:0.016~0.429), medical care costs(OR=1.27,95%CI:1.123~4.748), doctor-patient relationship(OR=16.13,95%CI:6.575~39.580), numbers of onset(OR=0.87,95%CI:0.001~0.976), knowledge of coronary heart disease(OR=9.49,95%CI:3.637~24.750) and statins (OR=0.90,95%CI:0.0~0.931), follow-up status(OR=0.16,95%CI:0.134~0.620), location (OR=23.61,95%CI:11.120~50.090) and ethnicity(OR=0.01,95%CI:0.001~0.014). Conclusion There were many influencing factors of compliance, interventions should be done for the relevant factors.%目的 分析新疆塔城地区老年冠状动脉粥样硬化性心脏病(冠心病)患者他汀类药物服药依从性的影响因素.方法 回顾性分析2010年12月~2014年12月于解放军第十五医院诊断为冠心病的1322例患者病历资料,其中男性728例,女性594例,年龄60~98岁,平均(67.4±6.9)岁.收集患者病历资料;他汀治疗1年后随访,参考Mofisky-Green(MG)测评表进行依从性评判,分为依从性好(990例)和依从性差(332例)两组.结果 与服药依从性差的患者比较,服药依从性好的患者高中及以上、非自费、医患关系良好、发病次数≥2次、对疾病和他汀药物知识了解、护士随诊、居住在城镇、汉族比例升高,差异有统计学意义(P均<0.05).经多因素Logistic回归分析后发现,文化程度(OR=0.08, 95%CI:0.016~0.429)、医疗费用(OR=1.27,95%CI:1.123~4.748)、医(护)患关系(OR=16.13, 95%CI:6.575~39.580)、发病次数(OR=0.87,95%CI:0.001~0.976)、对冠心病的了解(OR=9.49, 95%CI:3.637~24.750)、他汀类药物知识的了解(OR=0.90,95%CI:0.0~0.931)、护士随诊(OR=0.16,95%CI:0.134~0.620)、居住地(OR=23.61,95%CI:11.120~50.090)、民族(OR=0.01, 95%CI:0.001~0.014)为服药依从性的影响因素.结论 新疆塔城地区老年冠心病患者他汀类药物服药依从性差者影响因素较多,应针对相关因素实施干预.
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