Tianjin Journal of Nursing ›› 2023, Vol. 31 ›› Issue (4): 395-399.DOI: 10.3969/j.issn.1006-9143.2023.04.004

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Analysis on medication compliance of targeted therapy and influencing factors in patients with non-small cell lung carcinoma

XU Junhui, FENG Lin, ZHAO Jun, LIU Hongbo   

  1. (Tianjin Chest Hospital, Tianjin 300222)
  • Online:2023-08-28 Published:2023-08-29

非小细胞肺癌患者靶向治疗服药依从性及影响因素分析

徐鋆卉 冯琳 赵俊 刘红波   

  1. (天津市胸科医院,天津 300222)
  • 基金资助:
    天津市卫生健康委员会科技项目(ZC20076)

Abstract:

Objective: To investigate the medication compliance of targeted therapy in patients with non-small cell lung carcinoma and analyze its influencing factors, so as to provide reference for improving the compliance of targeted therapy.Methods: A total of 208 patients with non-small cell lung carcinoma who received targeted therapy were included from February 2021 to July 2021 by convenient sampling method. The general information questionnaire, medication compliance scale, drug literacy questionnaire of discharged patients and social support evaluation scale were used for the survey.Results: The score of medication compliance of targeted therapy in patients with non-small cell lung carcinoma was 4.52±1.58, high compliance accounted for 2.9%, medium compliance accounted for 18.3%, and low compliance accounted for 78.8%. Multiple regression analysis showed that the influencing factors of the medication compliance of targeted therapy in patients with non-small cell lung carcinoma were drug literacy, social support, age,residence, and mode of residence.Conclusion: The compliance of targeted therapy in patients with non -small cell lung carcinoma is low. Medical staff should encourage family members to give more attention and support to patients, actively build a communication platform for patients with non-small cell lung carcinoma, enhance support among patients, further develop continuous nursing and provide medication guidance and consultation for discharged patients, so as to improve drug literacy and medication compliance of patients.

Key words: Lung carcinoma, Targeted therapy, Medication compliance, Social support, Drug literacy

摘要: 目的:调查非小细胞肺癌患者口服靶向药的服药依从性,并分析其影响因素,为提高患者靶向治疗依从性提供参考。 方法:采用便利抽样法,选取 2021 年 2 月至 7 月 208 例接受口服靶向药治疗的非小细胞肺癌患者作为调查对象,采用一般资料调查表、服药依从性量表、出院患者药物素养调查问卷和社会支持评定量表进行调查。 结果:肺癌患者靶向治疗依从性得分为(4.52±1.58)分,高依从性占 2.9%,中依从性占 18.3%,低依从性占 78.8%。 多因素回归分析显示,影响肺癌患者靶向治疗依从性的主要因素为药物素 养、社会支持、年龄、居住地及居住方式。结论:非小细胞肺癌患者口服靶向药治疗依从性较低。医护人员应鼓励家属给予患者更多的关注和支持,同时积极为肺癌患者搭建沟通交流的平台,增进患者间的支持,并进一步发展延续性护理,发挥自身专业优势,为院外患 者提供用药指导和咨询,帮助患者提高药物素养,从而提高患者服药依从性。

关键词: 肺癌, 靶向治疗, 服药依从性, 社会支持, 药物素养