社区高血压患者用药依从性及影响因素研究  

Study on the Medication Compliance and the Influence Factors of the Patients with Hypertension

作　　者：童海宁 张竞超[1] 

机构地区：[1]天津医科大学,天津300070

出　　处：《中国药房》2015年第11期1571-1573,共3页China Pharmacy

摘　　要：目的:为进一步提高社区高血压患者用药依从性及治疗效果提供参考。方法:随机抽取200例社区高血压患者进行问卷调查,针对数据中用药依从性情况、依从性差的原因,进行单因素和Logistic回归分析。结果:在抽取的200例患者中用药依从性好的有61例,占30.5%;用药依从性差的有139例,占69.5%。用药依从性差的原因主要表现在:觉得没有必要服药(26.62%)、经济上难以负担(18.18%)、总是忘记服药(16.23%)、天天服药太麻烦(13.64%)。调查发现,有无并发症、文化程度、高血压知识、经济状况、病情严重程度、高血压病程、就诊频率等7项因素对社区高血压患者用药依从性有影响,差异有统计学意义(P<0.05)。高血压病程、经济状况、病情严重程度、就诊频率及高血压知识等5项因素为社区高血压用药依从性的危险因素。结论:临床应采取一定的干预措施来提升社区高血压患者的用药依从性,从而提高其治疗效果。OBJECTIVE：To provide reference for improving medication compliance and treatment efficacy of the community patients with hypertension. METHODS：200 community patients with hypertension were randomly selected and investigated by questionnaire survey. Medication compliance and reasons for poor medication compliance were analyzed with single factor and logistic regression analysis. RESULTS：Among the 200 patients,there were 61 patients with good medication compliance（30.50%）,139 patients with poor medication compliance（69.5%）. Among the 139 patients,there were 84 patients with lower medication compliance（30.50%）;41 cases thought it was no need to take medicine（26.62%）;28 cases had economic difficulty（18.18%）;25 cases always forgot to take medicine（16.23%）and taking medicine every day was very tiring（13.64%）. It was found complications,literacy,hypertension knowledge,economy,severity of illness,course of hypertension and treatment frequency can influence medication compliance. There was significant difference（P〈0.05）. CONCLUSIONS：Clinic should take intervention measures to improve medication compliance of community patients with hypertension to improve treatment efficacy.

关 键 词：高血压 用药依从性 影响因素 

分 类 号：R969.3[医药卫生—药理学]