基于信息化延续护理的缺血性脑卒中患者出院后二级预防用药依从性研究

目的：了解信息化延续护理中缺血性脑卒中患者出院后的二级预防用药依从性及相关影响因素。方法：设立延续护理中心，构建出院脑卒中患者健康教育管理模型，使用信息化平台对283例出院后缺血性脑卒中患者进行二级预防用药依从性监测，收集人口统计学资料。按照8项Morisky量表总分分级标准分为低、中和高用药依从性组3组，采用单因素分析比较3组患者的人口统计学资料、采用多因素有序Logistic回归分析影响患者出院后二级预防用药依从性的主要因素。结果：（1）单因素分析结果显示：文化程度较高的患者、合并有高血压的患者、口服降压药的患者、口服抗血小板聚集药的患者、服药频次较高的患者及有较长随访周期的患者具有较高的用药依从性。（2）多因素有序Logistic回归分析结果显示：服药频次、文化程度、随访周期、有无合并高血压是影响接受访问的缺血性卒中患者出院后用药依从性的主要因素。结论：接受访问的缺血性卒中患者的二级预防用药依从性受随访周期时长、文化程度、服药频次及有无合并高血压等因素的影响，可针对以上影响因素进一步开展干预研究来改善缺血性脑卒中患者出院后二级预防用药依从性。

Study on compliance of secondary preventive medicine for ischemic stroke patients after discharge based on informatization continuous nursing

OBJECTIVE To explorer the compliance of secondary preventive medication and related influencing factors of ischemic stroke patients after discharge in information-based continuous nursing. METHODS A continuing care center was set up, and a health education management model for discharged stroke patients was established. Totally 283 patients with post-discharge ischemic stroke were monitored for compliance with secondary preventive medication using an information platform, and demographic data were collected. According to the total score grading standard of the 8 Morisky scales, the patients were divided into three groups:low, medium and high medication compliance group. The demographic data of the three groups were compared by single factor analysis, and the main factors affecting the compliance of secondary preventive medication after discharge were analyzed by multi-factor ordered logistic regression. RESULTS (1) The results of single factor analysis showed that patients with higher education level, patients with hypertension, patients with oral antihypertensive drugs, patients with oral anti-platelet aggregation drugs, patients with higher medication frequency and patients with longer follow-up period had higher medication compliance. (2) The results of multivariate logistic regression analysis showed that frequency of medication, educational level, follow-up period and presence or absence of hypertension were the main factors affecting medication compliance of ischemic stroke patients interviewed after discharge. CONCLUSION The compliance of secondary preventive medication of ischemic stroke patients interviewed is affected by the following factors such as the length of the follow-up period, educational level, frequency of medication and the presence or absence of hypertension. Further intervention research can be carried out to improve the compliance of secondary preventive medication of ischemic stroke patients after discharge.