1. School of Nursing and Health Science Henan University, Kaifeng, Henan, 475004;2. Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003;3. Department of Pediatrics, Maternal and Child Healthcare Hospital of Jiaozuo, Jiaozuo, Henan, 454100;4. Henan University of Science of Technology, Luoyang, Henan, 471000
Abstract：Objective To investigate the self-efficacy for appropriate medication use in stroke patients, and analyze related influencing factors. Methods 〓Totally 148 stroke patients who met the inclusion criteria were investigated by using a self-made general information questionnaire, Herth Hope Index, Barthel index(BI)and Self-efficacy for Appropriate Medication Use scale(SEAMS). Results 〓The overall score of SEAMS was(26.56±6.54), and the overall score of Herth Hope Index was(33.14±4.46), which indicated a moderate level of self-efficacy for appropriate medication use. The multiple linear regression analysis showed that the self-efficacy for appropriate medication use of patients was influenced by awareness of disease and taking positive action(P<0.05). Conclusion 〓The self-efficacy for appropriate medication use is affected by multiple factors. It is necessary to carry out regular education and targeted interventions for post-stroke patients, in order to improve their level of hope and self-efficacy for appropriate medication use.
侯献敏,蒋秋焕,蒋恩社,贾艳艳,乔争争. 脑卒中患者合理用药自我效能的影响因素分析[J]. 中西医结合护理（中英文）, 2019, 5(5): 6-9.
HOU Xianmin,JIANG Qiuhuan,JIANG Enshe,JIA Yanyan,QIAO Zhengzheng. Analysis on influencing factors of self-efficacy for appropriate medication use in stroke patients. Nursing of Integrated Traditional Chinese and Western Medicine, 2019, 5(5): 6-9.
[1]王陇德, 刘建民, 杨弋, 等. 《中国脑卒中防治报告2017》概要[J]. 中国脑血管病杂志, 2018, 15(11): 611-617. [2]AL SHAIKH S A, QUINN T, DUNN W, et al. Multimodal interventions to enhance adherence to secondary preventive medication after stroke: a systematic review and meta-analyses[J]. Cardiovasc Ther, 2016, 34(2): 85-93. [3]LAMARCHE L, TEJPAL A, MANGIN D. Self-efficacy for medication management: a systematic review of instruments[J]. Patient Prefer Adherence, 2018, 12: 1279-1287. [4]HUANG Y M, SHIYANBOLA O O, SMITH P D. Association of health literacy and medication self-efficacy with medication adherence and diabetes control[J]. Patient Prefer Adherence, 2018, 12: 793-802. [5]赵振华, 陈璐, 王芳. 121例脑卒中患者出院后2周自我效能现状及影响因素分析[J]. 护理学报, 2018, 25(2): 54-57. [6]赵海平, 王健. 血液透析患者的社会支持和希望[J]. 中华护理杂志, 2000, 35(5): 306-308. [7]JESSICA R, JACOBSON T A, SUNIL K. Development and psychometric evaluation of the Self-efficacy for Appropriate Medication Use Scale(SEAMS)in low-literacy patients with chronic disease[J]. J Nurs Meas, 2007,15(3): 203-219. [8]董小方, 刘延锦, 王爱霞. 合理用药自我效能量表的汉化及信效度检验[J]. 护理学杂志, 2015, 30(11): 47-49. [9]DONG X F, LIU Y J, WANG A X, et al. Psychometric properties of the Chinese version of the Self-Efficacy for Appropriate Medication Use Scale in patients with stroke[J]. Patient Prefer Adherence, 2016, 10: 321-327. [10] 姜娅, 柳韦华. 社区老年人用药安全认知、态度及自我效能调查分析[J]. 护理学杂志, 2017, 32(13): 80-83. [11] 张慧玲. 居家老年心血管病患者参与用药安全管理方案及应用研究[D]. 郑州: 郑州大学, 2017. [12] ALGHWIRI A A. The Correlation between Depression, Balance, and Physical Functioning Post Stroke[J]. J Stroke Cerebrovasc Dis, 2016, 25(2): 475-479. [13] TANG W K, LAU C G, MOK V, et al. Apathy and Health-Related Quality of Life in Stroke[J]. Arch Phys Med Rehabil, 2014, 95(5): 857-861. [14] DONG-HO C, BO-OK J, HEE-JU K, et al. Psychiatric comorbidity and quality of life in patients with post-stroke emotional incontinence[J]. Psychiatry Investig, 2013, 10(4): 382-387. [15] HENDERSON K M, CLARK C J, LEWIS T T, et al. Psychosocial distress and stroke risk in older adults[J]. Stroke, 2013, 44(2): 367-372. [16] 王筱筱, 段宏为, 林航, 等. 社区脑卒中病人自我效能及希望水平的相关性研究[J]. 护理研究, 2018, 32(21): 3438-3440.
