运用计划行为理论探讨高血压患者遵医服药行为的影响因素  

Exploring Influencing Factors on Medication Compliance Behavior Among the Elderly with Hypertension in Community on the Basis of Planned Behavior Theory

作　　者：万莹[1] 徐红[1] 赵瑾珠[1] 任书华[1] 周涛[1] 孙奕[1] 

机构地区：[1]华中科技大学同济医学院公共卫生学院社会医学与卫生事业管理系,湖北武汉430030

出　　处：《中国社会医学杂志》2012年第4期253-255,共3页Chinese Journal of Social Medicine

摘　　要：目的运用计划行为理论,来探索社区中老年高血压患者遵医服药行为和行为意向的主要影响因素。方法按计划行为理论设计问卷,对武汉市社区卫生服务中心的中老年高血压患者进行调查,用结构方程分析理论各维度对遵医服药行为和行为意向的影响。结果行为态度、主观规范、知觉行为控制对于行为意向的直接影响分别为0.42,0.27和0.28,知觉行为控制、行为意向对于遵医服药行为的直接影响分别为0.59和0.27,整个计划行为理论对遵医服药行为的确定系数(R2)为0.52。结论行为态度是影响高血压患者遵医服药行为意向的主要因素,知觉行为控制则是影响遵医服药行为的最重要因素。Objectives To investigate the influencing factors on medication compliance behavior and behavior intention among the elderly with hypertension in community according to the Theory of Planned Behavior(TPB).Methods Data were collected from the elderly with hypertension in community of Wuhan by using the questionnaire which was designed according to the TPB.Structural equation model was used to analyze the survey result.Results Behavior attitude,subjective norms,perceived behavior control directly affected the behavior intention,and the total effect were separately 0.42,0.27 and 0.28.Perceived behavior control and behavior intention directly affected the behavior,the total effect were 0.59 and 0.27.The R2 of the TPB model on medication compliance behavior was 0.52.Conclusions Behavior attitude is the most important factor influencing the medication compliance behavior intention and perceived behavior control is the decisive factor influencing the medication compliance behavior.

关 键 词：高血压 遵医服药 计划行为理论 

分 类 号：R544.1[医药卫生—心血管疾病]