2021 年第 12 期 第 16 卷

冠心病介入治疗术后患者药物素养与自我效能感的相关性研究

Correlation between medication literacy and self-efficacy in patients with coronary atherosclerotic heart disease after interventional therapy

作者：王月平殷文彩喻芳詹玲曹教育魏艳施超马礼坤

英文作者：Wang Yueping Yin Wencai Yu Fang Zhan Ling Cao Jiaoyu Wei Yan Shi Chao Ma Likun

单位：中国科学技术大学附属第一医院心血管内科，合肥230001

英文单位：Department of Cardiovascular Medicine the First Affiliated Hospital of University of Science and Technology of China Hefei 230001 China

关键词：冠心病(冠状动脉粥样硬化性心脏病)；经皮冠状动脉介入；自我效能感；药物素养

英文关键词：Coronaryatheroscleroticheartdisease;Percutaneouscoronaryintervention;Self-efficacy

• 摘要：

• 目的 探讨冠心病（冠状动脉粥样硬化性心脏病）经皮冠状动脉介入（PCI）治疗术后患者药物素养与自我效能感的相关性。方法 采用便利抽样法，选取2021年2—3月在中国科学技术大学附属第一医院南区心血管内科接受PCI治疗的150例冠心病患者作为调查对象。采用一般资料调查表、药物素养调查问卷及自我效能评定量表于患者PCI治疗术后进行问卷调查。采用Pearson相关性分析方法分析患者药物素养与自我效能感的相关性。多元线性回归方法分析患者药物素养水平的影响因素。结果  冠心病患者PCI术后药物素养总分为（4.73±1.37）分。Pearson相关性分析表明，调查对象的药物素养与自我效能感呈正相关（r=0.357，P＜0.001）。多元线性回归分析表明，自我效能总分越高的冠心病患者，药物素养水平越高（回归系数=0.067，95%置信区间：0.031～0.103，P＜0.001）；家庭年收入为>3万～5万元的患者，药物素养水平明显高于年收入＜1万元的患者（回归系数=0.927，95%置信区间：0.319～1.535，P=0.003）；住院科室为冠心病监护病房（CCU）的冠心病患者，药物素养水平明显低于普通病房的患者（回归系数=-0.636，95%置信区间：-1.076～-0.196，P=0.005）。结论  冠心病患者PCI治疗术后药物素养处于中等水平，其中家庭年收入水平较低、住院科室为CCU的患者药物素养相对较差。患者的自我效能感与药物素养呈正相关。

• Objective To explore the correlation between medication literacy and self-efficacy in patients with coronary atherosclerotic heart disease after percutaneous coronary intervention (PCI). Methods Convenient sampling method was used to select 150 patients with coronary atherosclerotic heart disease who underwent PCI in Department of Cardiovascular Medicine, South District of the First Affiliated Hospital of University of Science and Technology of China from February to March 2021. General information questionnaire, medication literacy questionnaire and self-efficacy scale were used to investigate the patients after PCI. Pearson correlation analysis was used to analyze the correlation between medication literacy and self-efficacy. Multivariate linear regression analysis was used to analyze the influencing factors of medication literacy of patients. Results The total score of medication literacy in patients with coronary atherosclerotic heart disease after PCI was (4.73±1.37). Pearson correlation analysis showed that there was a positive correlation between medication literacy and self-efficacy (r=0.357, P＜0.001). Multivariate linear regression analysis showed that patients with higher total score of self-efficacy had higher medication literacy level (regression coefficient=0.067, 95% confidence interval: 0.031-0.103, P＜0.001); patients with annual family income of >30 000-50 000 yuan had higher medication literacy level than patients with annual income of ＜10 000 yuan (regression coefficient=0.927, 95% confidence interval: 0.319-1.535, P=0.003); patients in coronary care unit (CCU) had lower medication literacy level than that in general ward (regression coefficient=-0.636, 95% confidence interval: -1.076--0.196, P=0.005). Conclusions   The medication literacy of patients with coronary atherosclerotic heart disease after PCI is in the middle level, and the medication literacy of patients with low annual family income and in CCU department is relatively poor. There is a positive correlation between patients′ self-efficacy and medication literacy.