沈阳市社区高血压患者服药依从性现状及影响因素分析  

A Survey of Situation and Influencing Factors of Medication Compliance among Patients with Hypertension in Communities of Shenyang

作　　者：李坤[1] 梁会营[2] 李恂[3] 陈建平[3] 赵琳[3] 吕艺[3] 杨妍[3] 周宝森[1] 

机构地区：[1]中国医科大学流行病学教研室,辽宁沈阳110001 [2]广州市疾病预防控制中心传染病预防控制科,广东广州510080 [3]沈阳市疾病预防控制中心慢性非传染病预防控制科,辽宁沈阳110031

出　　处：《中国慢性病预防与控制》2010年第6期584-586,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解沈阳市社区高血压患者服药依从性现状及其影响因素,为社区医疗机构开展积极有效的健康干预提供可靠的科学依据。方法于2009年4—9月,采用多阶段整群随机抽样的方法,在沈阳市市内五区抽取年龄为18岁以上的社区居民,通过问卷调查,选取自述患有高血压并进行药物治疗的837例病人为研究对象,分析其服药依从性及影响因素。结果 837例可评价服药依从性的患者中,服药依从性好者占33.9%,依从性差者最主要的不依从方式为不能按医嘱长期坚持服药(44.9%)。影响患者服药依从性的主要因素是高血压健康知识知晓程度,社会主观支持,积极应对方式以及不良生活事件影响(P<0.05)。结论沈阳市社区高血压患者服药依从性较低,开展社区健康教育,加强家庭、社会对病人的主观支持水平,控制不良生活事件发生有助于提高服药依从性。Objective To investigate the situation and influencing factors about compliance of patients with antihypertensive therapy in communities of Shenyang. Methods With multi-stage cluster random sampling, 837 hypertensive patients with antihypertensive medication were selected from residents （age≥18） of five communities and asked to fill in questionnaires on the assessment of compliance and relevant factors. Results Good compliance rate in patients was 33.9%, and the main reason for poor compliance was not adhere to the long-term medication directed by prescription. The main impact factors on compliance were health knowledge awareness, social support, positive coping style and negative life events （P0.05）. Conclusion Compliance of patients with antihypertensive therapy in Shenyang community is relatively low. Providing health education in community, enhancing the level of subjective support from family and society, controlling the occurrence of negative life events will help hypertension patients to improve their medication compliance.

关 键 词：高血压 依从性 社区 药物治疗 

分 类 号：R544.1[医药卫生—心血管疾病]