芜湖市社区高血压患者服药依从性现状及影响因素分析  

Status and influencing factors of medication compliance in patients with hypertension in community of Wuhu city

作　　者：陈雪[1] 齐宜维 景巍[1] 彭博[1] 李远珍[1] 

机构地区：[1]皖南医学院护理学院,芜湖241002

出　　处：《中华现代护理杂志》2016年第33期4775-4778,共4页Chinese Journal of Modern Nursing

基　　金：国家级大学生创新创业训练计划项目（201410368007）;志谢感谢护理学院科研实验站刘欢同学和芜湖市华强社区、黄果山社区、藕香园社区、红星社区、弋矶山社区服务站的医务人员对本研究的帮助.

摘　　要：目的了解社区居民高血压服药依从性现状和特点，并对其影响因素进行分析，为制定提高服药依从性针对性策略提供理论依据。方法采用整群随机抽样方法选取符合研究标准的芜湖市社区高血压患者166例，运用自行设计的基本资料问卷和Morisky服药依从性调查量表评估患者服药依从性现状，并分析其相关影响因素。结果在所调查的166例社区高血压患者中，Morisky服药依从性平均得分（3.05±1.311）分，服药依从性好94例（56.6%），服药依从性差72例（43.4%）；运用SPSS 20.0统计分析16个相关因素，其中年龄、有无其他疾病、是否定期去医院复查、对治疗效果满意程度各组间比较，差异有统计学意义（P〈0.05）。结论政府应加强社区卫生服务中心对社区高血压患者的监控，密切观察其血压的控制情况，并采取一定的措施加以干预。Objective To know the status and characteristics of medication compliance in patients with hypertension in communities, and analyze its influencing factors, so to provide theoretical basis for improving the medication compliance. Methods Totally 166 patients with hypertension in Wuhu communities were selected as the research object by cluster sampling method, then the self-designed general information questionnaire and Morisky medication compliance survey were used to assess the current status of medication compliance of patients, and related factors were analyzed. Results In 166 cases of patients with hypertension in the communities, the average score of Morisky medication compliance was （3.05 ±1. 311 ） points; the medication compliance of 94 cases was good （56.6%） ; and the compliance of 72 cases was poor （43.4%）. SPSS 20.0 statistical analysis was used to analyze 16 related factors. The age, whether suffering other diseases, whether have a regular return review, and the satisfaction degree to therapeutic effect were compared between two groups （P〈 0.05 ）. Conclusions The government should strengthen the community monitoring of hypertension in community health service centers, closely observe the blood pressure control, and take some intervention measures.

关 键 词：社区 高血压 药物治疗依从性 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]