ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-03-013 预防医学研究 2026, 2(03): 49-52

老年共病住院患者出院准备度与服药依从性的相关性研究

昆明医科大学第六附属医院

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摘要

目的 研究和分析老年共病住院患者出院准备度与服药依从性之间的相关性。方法 选取在云南省某三甲医院全科医学科接受住院治疗的老年共病患者289例,住院时间为2024年11月至2025年4月,调查和分析患者出院准备度及服药依从性,比较服药依从性较好患者与服药依从性较差患者出院准备度评分并分析老年共病住院患者服药依从性与出院准备度相关性。结果 不同年龄、不同文化状况、不同居住方式、不同婚姻状况、1年内不同住院次数后患者出院准备度得分与服药依从性得分差异均具有统计学意义(P<0.05)。与服药依从性较差患者相比,服药依从性较好患者出院准备度得分显著更高(P<0.05)。老年共病住院患者服药依从性与出院准备度存在正相关性(r=0.412,P<0.05)。结论 老年共病住院患者出院准备度与服药依从性存在正相关性,出院准备度与服药依从性影响因素较多,临床可根据可控性因素早期进行干预,从而使其出院准备度及服药依从性获得显著提高,提升患者出院后康复水平。

Abstract

Objective To investigate and analyze the correlation between discharge readiness and medication adherence in elderly polypharmacy hospitalized patients. Methods A total of 289 elderly polypharmacy patients hospitalized at the Department of General Medicine of a tertiary hospital in Yunnan Province from November 2024 to April 2025 were selected. The discharge readiness and medication adherence of these patients were surveyed and analyzed, and the discharge readiness scores of patients with good medication adherence were compared with those of patients with poor medication adherence. The correlation between medication adherence and discharge readiness in elderly polypharmacy hospitalized patients was analyzed. Results Significant differences were observed in discharge readiness and medication adherence scores among patients with different ages, cultural backgrounds, living arrangements, marital statuses, and varying numbers of hospitalizations within one year(P<0.05). Compared to patients with poor medication adherence, those with good medication adherence exhibited significantly higher discharge readiness scores(P<0.05). A positive correlation was found between medication adherence and discharge readiness in elderly polypharmacy hospitalized patients(r=0.412, P<0.05). Conclusion There is a positive correlation between discharge readiness and medication adherence in elderly polypharmacy hospitalized patients. Given the multiple influencing factors of discharge readiness and medication adherence, clinical interventions can be implemented early based on controllable factors to significantly improve both discharge readiness and medication adherence, thereby enhancing post-discharge recovery levels in patients.

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[1]蔡婵,李应华,马米兰,等.老年共病住院患者出院准备度与服药依从性的相关性研究[J].疾病预防与控制,2026,2(03):49-52.