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投稿时间：2021-07-28 网络发布日期：2022-04-20
投稿时间：2021-07-28 网络发布日期：2022-04-20
中文摘要: 目的 了解类风湿关节炎（RA）患者电子健康素养与服药依从性的现状及其相关性，为制定提高患者服药依从性的干预措施提供理论依据。
方法 采用风湿病用药依从性问卷和电子健康素养量表对2020年11月至2021年4月在广州中医药大学第一附属医院住院的167例RA患者进行调查。
结果 64.1%的RA患者改善病情抗风湿药物（DMARDs）服药依从性高，35.9%患者服药依从性差；患者电子健康素养得分为（14.57±10.05）分；文化程度、医疗费用支付形式、病程时间、对RA疾病的重视程度均对服药依从性有影响（P＜0.05）。Pearson相关性分析显示，患者电子健康素养总分与服药依从性总分呈正相关（r=0.26,P＜0.01）。多元线性回归分析显示，患者服药依从性的主要影响因素是电子健康素养、病程时间、对疾病重视程度（P＜0.05,P＜0.01）。
结论 RA患者服药依从性和电子健康素养均较低，应加强对患者服药方面的健康教育，增强患者对疾病的重视程度，提高其电子健康素养水平，从而提高患者的服药依从性。
Abstract:Objective To investigate the status and correlation of electronic health literacy and medication compliance in patients with rheumatoid arthritis （RA）, and to provide theoretical basis for formulating intervention measures to improve patients' medication compliance.
Methods Using Chinese compliance questionnaire-rheumatology（CCQR） and the electronic health literacy scale, an investigation was performed on 167 RA patients hospitalized in the First Affiliated Hospital of Guangzhou University of Chinese Medicine from November 2020 to April 2021.
Results There was a high compliance of anti-rheumatic drugs ［disease-modifying anti-rheumatic drugs （DMARDs）］ in 64.1% of RA patients and poor compliance in 35.9% of RA patients. The score of patients’ electronic health literacy was （14.57±10.05）. Education level, medical expenses, duration of disease and attention to RA disease all had statistically impacts on medication compliance（P＜0.05）. Pearson correlation analysis showed that the scores of electronic health literacy were positively correlated with medication compliance（r=0.26, P＜0.01）. Multiple linear regression analysis showed that the main influencing factors of medication compliance were electronic health literacy, duration of disease and attention to disease （P＜0.05, P＜0.01）.
Conclusion Both medication compliance and electronic health literacy are lower in RA patients. The health education on patients' medication and attention to diseases should be strengthened to improve the electronic health literacy level and medication compliance of the patients.
文章编号： 中图分类号：R473.5 文献标志码：B
基金项目:2020年广东省哲学社会科学规划项目（GD20CGL06）；广州中医药大学第一附属医院创新强院工程护理科研项目（2020HL01）
| Author Name | Affiliation |
| LUO Hui-fang*, HUANG Yan-yi, SONG Jia-ting, et al | *School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China |
引用文本：
罗辉芳,黄颜怡,宋嘉婷,等.类风湿关节炎患者电子健康素养与服药依从性调查[J].中国临床研究,2022,35(4):534-538.
罗辉芳,黄颜怡,宋嘉婷,等.类风湿关节炎患者电子健康素养与服药依从性调查[J].中国临床研究,2022,35(4):534-538.