基于COM-B模型的痛风患者服药依从性影响因素研究进展
Research Progress on Factors Influencing Medication Adherence in Gout Patients Based on the COM-B Model
DOI: 10.12677/ns.2026.152044, PDF,   
作者: 刘 倩, 陈 敏, 吴海琴, 户议文:贵州中医药大学护理学院,贵州 贵阳;周 静, 韩 珊:贵州中医药大学第二附属医院/贵州省中西医结合医院风湿免疫科,贵州 贵阳
关键词: COM-B模型痛风服药依从性影响因素研究进展COM-B Model Gout Medication Adherence Influencing Factors Research Progress
摘要: 痛风作为一种常见的代谢性疾病,已成为全球范围内一项重大的公共卫生问题。若患者尿酸长期处于较高水平,可增加糖尿病,高血压、尿酸性肾结石等疾病的发生风险,甚至引发肾衰竭。多数痛风患者缺乏正确用药理念,致使尿酸控制欠佳,影响药物的疗效与生活质量。故治疗痛风药物的合理应用已逐渐成为需要关注的重点。多数痛风患者的服药依从性较低,对预后产生不良影响,进而影响患者身体健康。文章旨在通过COM-B (能力、机会、动机–行为)模型,梳理痛风患者服药依从性的影响因素及研究进展。
Abstract: As a common metabolic disease, gout has emerged as a major public health issue worldwide. Prolonged elevation of uric acid levels can increase the risk of diseases such as diabetes, hypertension, uric acid nephrolithiasis, and even lead to renal failure. Many gout patients lack a proper understanding of medication, resulting in suboptimal control of uric acid and adversely affecting drug efficacy and quality of life. Therefore, the rational use of medications for gout has gradually become a focus of attention. Poor medication adherence among gout patients negatively impacts prognosis and overall health. This article aims to review the influencing factors and research progress related to medication adherence in gout patients through the COM-B (Capability, Opportunity, Motivation-Behavior) model.
文章引用:刘倩, 周静, 韩珊, 陈敏, 吴海琴, 户议文. 基于COM-B模型的痛风患者服药依从性影响因素研究进展 [J]. 护理学, 2026, 15(2): 125-133. https://doi.org/10.12677/ns.2026.152044

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