中国农村慢性病老年患者的药物坚持:一个社会生态模型视角
Qiufeng Gao1,2, Meili Liu1,2, Xintong Wang1,2
1Center for Experimental Economics in Education, Shaanxi Normal University, No. 620 West Chang'an Street, Chang'an District, Shaanxi Province, 710119, Xi'an, China.
BMC geriatrics
|January 20, 2026
概括
在中国农村老年慢性病患者中,药物坚持率低于最佳水平. 诸如并发症和获得医疗保健等因素影响了医疗执法,需要多层次干预来改善管理.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球老龄化加剧了老年人的慢性疾病 (CDs) 的关注.
- 药物坚持对于管理CDs至关重要,特别是在农村人口中.
- 中国庞大的老年人口面临着独特的农村药物坚持挑战.
研究的目的:
- 评估中国农村老年人患有CD的药物坚持率.
- 使用社会生态模型 (SEM) 检查影响遵守的多层次因素.
主要方法:
- 在中国山西省调查了700名60岁以上的农村居民.
- 员工面对面采访和统计分析 (t 测试,千平方,后勤回归).
- 在SEM框架内分析了坚持因素.
主要成果:
- 70.86%的参与者患有CDS; 55.04%患有多种疾病.
- 完全遵守药物是59.68%;部分是22.78%;不遵守是17.54%.
- 伴随性疾病,就业,到护理的旅行时间,到医院的距离,以及健康教育获取与坚持相关.
结论:
- 患有CD的农村老年人对药物的坚持是不理想的.
- 坚持受个人,人际,组织和社区因素的影响.
- 干预措施必须解决多层次的影响,以改善资源有限的环境中的遵守和CD管理.
相关概念视频
Social Cognitive Perspective on Personality
994
Social cognitive perspectives on personality emphasize the importance of conscious awareness, beliefs, expectations, and goals in shaping behavior. These perspectives incorporate behaviorist principles, such as learning through reinforcement and conditioning, but extend beyond them by highlighting human reasoning and planning. Unlike traditional behaviorist views, social cognitive theory focuses on how individuals reflect on their past experiences and plan for future outcomes by considering...
994
Ecological Disturbance
20.7K
An ecological disturbance is a temporary disruption in the environment resulting from abiotic, biotic, or anthropogenic factors, causing a pronounced change in an ecosystem. The impact of an ecological disturbance, which can depend on its intensity, frequency, and spatial distribution, plays a significant role in shaping the species diversity within the ecosystem.
20.7K
Drug Dosing: Geriatric Patients
229
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
229
Pharmacodynamics in Geriatric Patients: Effects of Age
191
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
191
Ecological Succession
21.3K
Ecological succession is influenced by the processes of facilitation, inhibition, and toleration. Facilitation occurs when early successional species create more favorable ecological conditions for subsequent species, such as enhanced nutrient, water, or light availability. In contrast, inhibition happens when early successional species create unfavorable ecological conditions for potential successive species, such as limiting resource availability. In some cases, later successional species...
21.3K
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
234
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
234


