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目的了解山东省慢性病患者用药意识影响因素,为慢性病患者掌握正确的用药观念以及合理用药提供相关建议。方法采用多阶段分层随机抽样方法在山东省济南、济宁、日照、临沂、德州市抽取的1 518户居民进行问卷调查,对其中516例近半年确诊的慢性病患者进行用药意识及其影响因素的分析。结果 516例慢性病患者中:有84.69%的患者进行了治疗;有67.31%的患者用药意识较差;用药意识问题中,认为“新药肯定比老药效果好”、“药物价格越高效果越好”、“患病时几种药物合用肯定比单用1种好”的患者分别占23.38%、24.94%、59.23%;多因素非条件logistic回归分析结果显示,农业劳动者(OR=2.969,95%CI=1.716~5.139)以及信任广告(OR=3.048,95%CI=1.123~8.269)是慢性病患者用药意识较差的危险因素。结论山东省慢性病患者用药意识较差,职业类型和是否信任广告是影响慢性病患者用药意识的主要因素。
Objective To understand the influencing factors of medication awareness in patients with chronic diseases in Shandong Province and to provide relevant suggestions for patients with chronic diseases to master the correct medication concept and to use drugs rationally. Methods A total of 1 518 households sampled from Jinan, Jining, Rizhao, Linyi and Dezhou of Shandong Province were surveyed by stratified random sampling method. Among them, 516 cases of chronic diseases diagnosed in nearly six months were evaluated on their medication awareness and its influencing factors analysis. Results Among 516 patients with chronic diseases, 84.69% were treated; 67.31% patients were less aware of medication; in the drug-use question, they considered “the new drug is better than the old drug” and “the higher the drug price The effect is better, ”“ when the disease affirmed that the combination of several drugs is better than a single good ”patients accounted for 23.38%, 24.94%, 59.23%; multivariate non-conditional logistic regression analysis showed that agricultural laborers (OR = 2.969, 95% CI = 1.716-5.139) and trust ads (OR = 3.048, 95% CI = 1.123-8.269) were risk factors for poor medication awareness in patients with chronic diseases. Conclusion The patients with chronic diseases in Shandong Province have poor awareness of medication, and the types of occupations and whether to trust advertisements are the main factors influencing the medication consciousness of patients with chronic diseases.