北京市606名高血压患者用药依从性现况分析  

Medicine compliance of 606 Beijing patients with hypertension

作　　者：何敏媚[1] 范长生 曾光[1] 洪学智[1] 董虹孛[1] 董朝晖[3] 

机构地区：[1]北京中医药大学管理学院,北京100029 [2]中域药物经济学发展应用中心,北京100011 [3]人力资源和社会保障部社会保障研究所,北京100029

出　　处：《药品评价》2012年第29期38-42,共5页Drug Evaluation

摘　　要：目的:了解患者用药依从性现况,探讨不依从原因,为更好的防治高血压提供方法和依据。方法:采取方便抽样的方式选取北京市高血压患者606名。结果:①被调查高血压患者患病时间长、血压控制相对较好,但是仍有部分患者高血压危险分级较高;②患者的用药依从性较低,完全依从者仅占56.93%;③在婚患者用药依从性高于非在婚患者(包括丧偶、单身及离异患者),城镇职工医保患者的用药依从性高于城镇居民医保患者,高于公费医疗患者;④忘记、自觉症状缓解或减轻是用药不依从的主要原因。结论:建议相关部门加强健康教育宣传、促进药品的创新,并完善药品流通环节,从而改善用药依从性。Objective： This manuscript tried to find out the situation of medicine compliance of patients with hypertension, and further the reason of bad medicine compliance, to improve hypertension prevention. Methods： The study randomly took 606 samples of patients with hypertension in Beijing, and investigated them on the drug compliance. Results： ① The patients are staying in a long duration of disease with a good control of hypertension, but some of the them are still at a high hypertension risk;②The medicine compliance of these patients is not good, since only 56.93% patients with good compliance; ③Married patients with hypertension have better medicine compliance compared with others （widow/widower, singe/divorced）; The patients with medical insurance for urban workers have better medicine compliance compared with those who have medical insurance for urban residents or government medical care; ④Forgetting and feeling better are the main reasons of patients with bad medicine compliance. Conclusion： Therefore, relative departments should strengthen health education, promote the innovation of medicine and improve drug supply logistics to further improve medicine compliance.

关 键 词：高血压患者 用药依从性 现况分析 

分 类 号：R544.1[医药卫生—心血管疾病]