健康信念对高血压患者服药依从性的影响研究  

Association between health belief and medication adherence in hypertensive patients

作　　者：赵越[1] 戚玮琳[2] 王斌 

机构地区：[1]复旦大学附属华山医院药剂科,上海200040 [2]复旦大学附属华山医院心内科,上海200040

出　　处：《中华全科医师杂志》2015年第4期261-265,共5页Chinese Journal of General Practitioners

摘　　要：目的 探讨健康信念对高血压患者服药依从性的影响.方法 按照门诊就诊顺序随机入选2013年10月至2014年5月间就诊于某医院心内科门诊的原发性高血压患者,采用Morisky药物依从性量表测量评价患者的服药依从性,采用HBM健康信念问卷测量评价其健康信念,分析患者健康信念对其服药依从性的影响.结果 共纳入232例高血压患者,依从性低的患者61例（26.3％）,依从性中的患者51例（22.0％）,依从性高的患者120例（51.7％）.不同依从性水平的高血压患者的健康信念中严重性感知、易感性感知、益处性感知、阻碍性感知得分差异均有统计学意义（均P＜0.01）.Logistic回归分析显示患者的健康信念维度中易感性感知（P ＜0.001）、阻碍性感知（P＜0.001）和行动线索（P=0.004）显著影响患者的服药依从性,且易感性感知、益处性感知水平越高,服药依从性水平越好;阻碍性感知水平越高,服药依从性水平越低.结论 有效的服药依从性干预措施需要提高患者的严重性感知、易感性感知以及行动线索,并且降低患者的阻碍性感知.Objectives To investigate the association between health belief and medication adherence in hypertensive patients.Methods A total of 232 hypertensive patients who visited Outpatient Department of Huashan Hospital between October 2013 and May 2014 were recruited in this cross-section study.The degree of medication adherence was measured with Morisky scale and health belief was evaluated with questionnaires of Health Belief Model （HBM）.Results Of the 232 participants,61 （26.3%）,51 （22.0%） and 120 （51.7%） showed low,medium and high medication adherence in Morisky scale,respectively.Logistic analysis showed that the perceived susceptibility （P 〈 0.001）,and cues to action （P =0.004） were positively correlated,and perceived barriers （P 〈 0.001） was negatively correlated with medication adherence of patients.Conclusion Effective interventions to improve antihypertensive medication adherence should increase perceived susceptibility,cues to action,and reduce the barriers to medication adherence of patients.

关 键 词：高血压 病人依从 健康行为 

分 类 号：R473.5[医药卫生—护理学]