Influencing Factors of Medication Compliance for Stable Angina Pectoris Based on Health Belief Model_West China Medical Journal

Authors：

 MAYan

The Second Community Health Service Center of Guanzhuang, Chaoyang District, Beijing 100024, P. R. China;

Corresponding author：

Keywords：

Stable angina pectoris; Health belief model; Medication compliance; Influence factors

DOI：

10.7507/1002-0179.20140255

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Objective To analyze the influence factors of the stable angina pectoris patients' medication compliance based on health belief model. Methods From January to December, 2013, 107 patients with stable angina pectoris were interviewed using the self-design questionnaires, and multiple stepwise linear regression statistical was used to analyze. Results The influence factors of increasing medication compliance were as follows:"myocardial infarction can lead to death", "patients with stable angina pectoris may suffer a sudden myocardial infarction", "over the past year the number of the angina pectoris", "standard treatment is good for prevention of myocardial infarction", "suffering myocardial infarction, even if not dying, there is no more chance to live", "take medicine on time can get family's praise", and "among the people that I know there are patients who die of myocardial infarction". The partial regression coefficients were 0.245, 0.251, 0.248, 0.099, 0.234, 0.162, 0.095, respectively; while "worry about side effects of the drugs", "can't afford the medicine", the partial regression coefficients were -0.164 and -0.114. Conclusion Health belief model is helpful for general practitioners to evaluate the effect factors of medication compliance on stable angina pectoris.

Citation： MAYan. Influencing Factors of Medication Compliance for Stable Angina Pectoris Based on Health Belief Model. West China Medical Journal, 2014, 29(5): 835-837. doi: 10.7507/1002-0179.20140255 Copy

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1. 中华医学会心血管病学分会, 中国康复医学会心血管病专业委员会, 中国老年学学会心脑血管病专业委员会, 等. 冠心病康复与二级预防中国专家共识[J]. 中华心血管病杂志, 2013, 41(4):267-275.
2. 刘俊娥, 刘俊红, 郭海平. 冠心病伴高血压患者二级预防用药依从性及其影响因素分析[J]. 医学综述, 2013, 19(16):2999-3001.
3. 聂建军. 冠心病患者用药依从性影响因素的调查研究[J]. 中国医药导报, 2010, 7(24):125-126.
4. 段笑那, 程玲, 李广, 等. 养老机构冠心病患者服药依从性现状及影响因素[J]. 医学与哲学, 2013, 34(12):46-48.
5. 彭晓梅, 卢佩兰, 邓丽, 等. 冠心病患者实施健康信念模式干预效果评价研究[J]. 国际医药卫生导报, 2013, 19(16):2623-2625.
6. 蒋华. 采用健康信念模式开展健康教育对老年冠心病患者生活质量的影响[J]. 中国医药导报, 2012, 9(21):137-138, 141.
7. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model[J]. Health Educ Q, 1988, 15(2):175-183.
8. 邹川, 吴柏杨, 廖晓阳. 高血压服药依从性的研究进展[J]. 心血管病学进展, 2013, 34(1):131-134.
9. Kyngäs H, Duffy ME, Kroll T. Conceptual analysis of compliance[J]. J Clin Nurs, 2000, 9(1):5-12.
10. 罗建平, 李春明. 健康信念模式对社区高血压患者服药行为的影响[J]. 中国老年学杂志, 2013, 33(6):1359-1361.
11. 冯静, 顾晔. 心血管疾病患者实施院外健康教育效果的调查[J]. 现代预防医学, 2013, 40(3):507-509.
12. 姚亮, 刘申, 胡敏, 等. 个体化健康教育对老年高血压患者社区管理的效果分析[J]. 上海医药, 2013, 34(20):35-37.
13. 何晓俐, 陈可欣, 解蓉. 综合医院门诊开展多形式健康教育的效果[J]. 华西医学, 2013, 28(2):295-297.
14. 董艳, 赵玉, 唐剑霞. 高压氧治疗不依从性的原因分析[J]. 华西医学, 2012, 27(7):1067-1068.
15. 王海燕, 刘敏, 陈茜. 老年慢性阻塞性肺疾病患者家庭氧疗影响因素的调查分析[J]. 华西医学, 2013, 28(10):1611-1613.

West China Medical Journal

Influencing Factors of Medication Compliance for Stable Angina Pectoris Based on Health Belief Model

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