老年高血压患者治疗依从性分析及干预措施探讨  

ANALYSIS ON THE DOCTOR WORDS AND THE INTERVENTION MEASURES OF NURSING TO TREATMENT OF THE CASES OF HYPERTENSION FOR OLDER

作　　者：孟共林[1] 谢亮球[1] 

机构地区：[1]湖南省邵阳医学高等专科学校附属医院临床护理教研室,邵阳422000

出　　处：《现代预防医学》2011年第14期2739-2741,2747,共4页Modern Preventive Medicine

基　　金：湖南省教育厅科学研究项目(09c43)

摘　　要：[目的]分析老年高血压患者治疗依从性状况及其影响因素,提出有效干预措施。[方法]采用统一调查表格对294例老年高血压患者依从性情况进行调查,调查内容为患者一般情况、患病情况、治疗情况与服药依从性情况。[结果]男性患者应服药(659.5±47.2)次,实服药(457.1±23.4)次,漏服药(202.1±7.8)次;女性患者应服药(671.3±61.8)次,实服药(587.9±20.7)次,漏服药(83.7±5.2)次,差异有统计学意义(t=50.3399、150.2641,P﹤0.001);不同年龄、不同地区、不同文化程度、不同病程患者治疗依从性差异均有统计学意义(χ2=42.38;t=20.8982、35.4139;χ2=20.40;χ2=32.93;P﹤0.01)。[结论]老年高血压患者治疗依从性与患者性别、年龄、地域、文化程度和病程密切相关;对老年高血压患者进行系统管理和督导服药等综合干预措施,是提高患者治疗依从性的重要手段。[Objective] To analyze the compliance and the influence factors of high hypertension cases,and provide effective intervention measures.[Methods]By a unified form,294 cases were investigated about hypertension,the questionnaires included general situation,sick situation,treatment situation and drugs situation.[Results]The average drugs times were 659.5±47.2 in male patients,actual drugs were 457.1±23.4 times and leak drugs were 202.1±7.8 times,drugs times were 671.3±61.8 times of women patients,actual drugs were 587.9±20.7 times and leak drugs were 83.7±5.2 times,the differences had statistically significant significance（t = 50.339 9,150.264 1,P﹤0.001）;The different age,different area,different cultural level and different compliance had statistically significant significance（χ2 = 42.38;t = 20.898 2,35.413 9;χ2 = 20.40;χ2 = 32.93;P﹤0.01）.[Conclusion]The older hypertension cases treatment doctor words and patients gender,age,area,cultural level and incidence times were closely related,comprehensive intervention measures should be taken for older hypertension cases,including system management and look drugs,and improve the compliance of patients.

关 键 词：高血压 治疗 依从性 干预措施 

分 类 号：R544.1[医药卫生—心血管疾病]