高血压患者社会支持与药物治疗依从性的关联  

Association between Social Support and Medication Compliance in Patient with Anti-Hypertension Therapy

作　　者：亓小燕[1] 尉敏琦[2] 王健[2] 余峰[2] 戴俊明[1] 

机构地区：[1]复旦大学公共卫生学院,公共卫生安全教育部重点实验室,上海200032 [2]上海市闵行区疾病预防控制中心,上海201101

出　　处：《环境与职业医学》2012年第12期753-756,共4页Journal of Environmental and Occupational Medicine

基　　金：“十一五”国家科技支撑计划项目(编号:2009BAI77B06);闵行区自然科学基金项目(编号:2011MHZ02)

摘　　要：[目的]了解高血压患者药物治疗依从性现状,探讨高血压患者社会支持和药物治疗依从性的关系。[方法]以横断面调查中的简单随机抽样方法选取上海某区符合条件的调查对象1068名,以调查对象自填问卷为主的方式进行,采用MORISKY推荐的高血压患者药物治疗依从性问卷、社会支持量表对患者的药物治疗依从性、社会支持情况进行调查。[结果]调查对象中70.4%药物治疗依从性佳;正在服药的高血压患者社会支持量表的社会支持总得分为(39.63±7.17)分,主观支持、客观支持和支持利用度的得分分别为:(24.25±4.73)分、(8.49±2.57)分、(6.91±2.21)分;Spearman秩相关分析显示,支持利用度与药物治疗依从性呈正相关,rs=0.85,P=0.005;多因素非条件logistic回归分析显示,支持利用度高、高血压病程长、家庭人均月收入高是药物治疗依从性的促进因素,OR及95%CI分别为:1.57(1.178-2.086)、2.01(1.415-2.866)、1.76(1.223-2.538)。[结论]高血压患者社会支持利用度高者药物治疗依从性佳,构建有效的社会支持系统,提高患者社会支持利用度,并着重对高血压病程短和家庭人均月收入低者进行干预,对提高患者的药物治疗依从性更有意义。[ Objective ] To probe into the present status of medication compliance in patients with anti-hypertension therapy and to explore the association between social support and medication compliance. [ Methods ] By simple random sampling method, 1 068 patients were selected from a district of Shanghai. A cross-sectional survey was conducted with self- administered questionnaires, containing Morisky Scale and Social Support Rating Scale. [ Results ] The questionnaire findings highlighted that 70.4% of the respondents with good compliance. The scores of social support, subjective support, objective support, and supportutilization were 39.63 ± 7.17, 24.25 ± 4.73, 8.49 ± 2.57, and 6.91 ± 2.21, respectively. The results of Spearman rank correlation analysis showed that social support utilization was significantly correlated with medication compliance （rs=0.85, P=0.005）. The results of multivariate logistic analysis indicated that support utilization [ odds ratio （OR）=1.57; 95% confidence interval （CI）： 1.178-2.086 ], hypertension course （OR=2.01; 95%CI： 1.415-2.866）, and per capita monthly family income （OR=1.76; 95%CI： 1.223-2.538） were impact factors of medication compliance. [ Conclusion ] Patients with higher support utilization show better medication compliance. Establishing a comprehensive and effective social support system, improving utilization level of social support, and making special care to patients suffering from a shorter course of hypertension or a lower economic level may increase medication compliance in hypertensive patients.

关 键 词：高血压 社会支持 药物治疗依从性 社会支持量表 

分 类 号：R544[医药卫生—心血管疾病]