连云港农村地区高血压患者用药依从性及影响因素  

Study on the compliance of patients with antihypertensive therapy and its influencing factors in rural areas of Lianyungang

作　　者：张梦如[1] 唐磊[2] 王晓慧[1] 胡传琪 唐根富[1] 

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032 [2]安徽医科大学第一临床学院,安徽合肥230032

出　　处：《南京医科大学学报（社会科学版）》2017年第5期354-358,共5页Journal of Nanjing Medical University（Social Sciences）

基　　金：国家"十一五"科技支撑计划"高血压病综合防治研究"(2006BAI01A03)

摘　　要：目的:调查连云港农村地区高血压患者用药依从性及其影响因素,为当地高血压的综合防治提供依据。方法:采取二阶段抽样方法,使用一般资料调查表和Morisky依从性问卷,对连云港农村地区患有高血压并进行药物治疗的1 306例患者进行问卷调查。通过χ2检验筛选相关因素后,进行二分类Logistic回归分析,得到高血压患者用药依从性的影响因素。结果:当地高血压患者的用药依从性为27.8%。高血压患者的性别、年龄、文化程度、职业、月收入、有无伴侣、家族史、患病年限是用药依从性的影响因素。结论:连云港农村地区高血压患者用药依从性较差,应综合考虑各因素对高血压患者用药依从性的影响,并采取针对性的干预措施,以提高高血压患者的用药依从性。Objective：To investigate the status of hypertension compliance as well as their influence factors in hypertensive rural residents of Lianyungang so as to provide evidences for the prevention and treatment.Methods：With two-stage sampling,1 306 hypertensive patients with antihypertensive medication fromLianyungang were surveyed with a general data questionnaire and the Morisky adherence questionnaire（MAQ）.Univariate χ-2 test and binary logistic regression model were used to analyze all kinds of key factors.Results：The compliance of patients with hypertension was 27.8%.The logistic regression analysis showed that the main effect factors influencing the compliance were gender,age,degree of education,career,monthly income,marital status,family history of hypertension and course of disease.Conclusion：The rate of compliance is relatively low in rural areas of Lian Yungang.Hypertension treatment should consider all factors and take the right intervention measures to improve the compliance of patients with hypertension.

关 键 词：高血压 依从性 影响因素 

分 类 号：R195[医药卫生—卫生统计学]