影响原发性高血压患者药物治疗遵医行为的因素分析  

Analysis on the Influence of Primary Hypertension and Obedience to Medical Advice

作　　者：孙自杰[1] 李健[2] 王小渠 

机构地区：[1]渠县人民医院护理部 [2]渠县人民医院心血管内科,四川渠县635200

出　　处：《川北医学院学报》2008年第6期619-621,共3页Journal of North Sichuan Medical College

摘　　要：目的了解住院原发性高血压患者遵医嘱用药状况。分析影响原发性高血压患者遵医行为的原因。方法应用自行设计的问卷,对300例原发性高血压患者的遵医行为进行调查,并对结果进行分析。结果本组患者遵医行为率为34.33%,不遵医嘱服药率为65.67%。年龄越大其遵医行为越好,差异有统计学意义(p<0.01)。不遵医嘱服药的原因主要是好转而停药、忘记服药、不知道高血压需长期服药、害怕药物的不良反应等。结论护士要有针对性的对患者进行健康教育,改变患者不正确的治疗观念,不断提高患者的遵医行为。Objective To understand the situation of the patients with primary hypertension and their obedience to doctors＇orders and to analyzes their reasons. Methods Using the questionnaire deliberately designed by our hospital, we investigated 300 examples in the hospital and analyzed the results. Results The percentage of patients who obeyed doctors＇ instructions is 34.33% while the opposite is 65.67%. This makes a great difference . It proves that the older patients behaved better. It has great statistical meanings（p 〈 0.01）. The main reason is that after they felt a litter better, they stopped taking or forgot to take medicines and some don＇t know that they need to take medicines for a long time and they are afraid of side effects and so on. Conclusion The nurse should educate the patients properly and correct their treatment ideas and then improve their behaviors.

关 键 词：原发性高血压 药物治疗 遵医行为 

分 类 号：R473.5[医药卫生—护理学]