基于Morisky量表调查某院校学员浅部真菌病用药依从性
投稿时间:2021-07-06  修订日期:2022-04-06  点此下载全文
引用本文:唐人杰,李志勇,王瑞娜,刘佳存,王智,刘海燕,李红磊,王旭,张大志,阎澜.基于Morisky量表调查某院校学员浅部真菌病用药依从性[J].药学实践杂志,2022,40(4):335~338
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作者单位E-mail
唐人杰 解放军总医院京南医疗区, 北京 100072  
李志勇 中国人民解放军海军军医大学药学系, 上海 200433  
王瑞娜 中国人民解放军海军军医大学药学系, 上海 200433  
刘佳存 中国人民解放军海军军医大学药学系, 上海 200433  
王智 解放军总医院京南医疗区, 北京 100072  
刘海燕 解放军总医院京南医疗区, 北京 100072  
李红磊 解放军总医院京南医疗区, 北京 100072  
王旭 中国人民解放军32377部队, 北京 100041  
张大志 中国人民解放军海军军医大学药学系, 上海 200433 13386272621@163.com 
阎澜 中国人民解放军海军军医大学药学系, 上海 200433 ylan20001228@sina.com 
基金项目:上海市科技创新行动计划国际科技合作项目(21430713000);国家自然科学基金资助项目(82173867);上海市浦江人才计划(21PJD081);上海市创新行动计划生物医药领域科技支撑项目(19431901300)
中文摘要:目的 了解某部队院校学员浅部真菌病用药依从性。方法 将8条目Morisky用药依从性量表修改为7条目量表,调查患病学员用药依从性,对修改版Morisky量表进行信度和效度分析。结果 回收243份问卷,其中有效问卷242份,结果显示90.08%的学员采用局部用药治疗,8.68%的学员采用局部用药和全身用药联合治疗;抗真菌药物用药依从性高、中、低的患病学员比例分别为9.09%、23.97%、66.94%;修改版Morisky用药依从性量表信度分析,内部一致性系数(Cronbach’s α)为0.781,调整后Cronbach’s α系数为0.790,信度较好;效度分析KMO值0.798,Bartlett’s球形检验值440.866,P=0.000,效度较好;探索性因子分析提取1个因子,量表因子载荷值均大于0.5,量表条目聚合度较好。结论 修改版Morisky用药依从性量表信度和效度较好,可以推广应用。院校学员浅部真菌病用药依从性水平较低,需采取有效措施,帮助学员加强日常用药管理,改善用药依从性。
中文关键词:浅部真菌病  用药依从性  量表  院校学员
 
Investigation of medication adherence for superficial mycoses among students in a college based on Morisky Medication Adherence Scale
Abstract:Objective To investigate the medication adherence of military academy students with superficial mycoses. Methods A 8-item Morisky medication adherence scale (MMAS) was modified into 7-item scale to evaluate the compliance of antifungal drugs in the sick students. The reliability and validity of the scale were analyzed. Results A total of 243 questionnaires were collected, of which 242 were valid questionnaires. 90.08% of the students took topical medication and 8.68% were treated both with topical and systematic combination. High, medium and low medication adherence rates as assessed by the modified MMAS were 9.09%, 23.97% and 66.94%, respectively. The reliability analysis showed that the internal consistency coefficient (Cronbach’s α ) was 0.781,and the adjusted Cronbach’s α was 0.790, indicating the high reliability of the scale. The KMO value was 0.798, and the Bartlett’s spherical test value was 440.866, P=0.000. One factor was extracted by exploratory factor analysis. The factor loadings of the items were all above 0.5. Therefore, the high convergent validity was good. Conclusion The modified MMAS has good reliability and validity and is applicable for the evaluation of medication compliance for superficial mycoses. In this study, the military students have a low level of medication adherence for superficial mycoses. Effective measures should be taken to help students strengthen their daily medication management and improve compliance.
keywords:superficial mycoses  medication adherence  scale  students
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