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作 者:张梅竹 徐黎[2] 刘菁华[1] 徐哲 张婧[1] 赵兴山[3] 王景红[1] ZHANG Meizhu;XU Li;LIU Jinghua;XU Zhe;ZHANG Jing;ZHAO Xingshan;WANG Jinghong(Department of Pharmacy,Wangjing Hospital,China Academy of Chinese Medical Science,Beijing 100102,China;Department of Radiology,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Cardiology,Beijing Jishuitan Hospital,Beijing 100035,China)
机构地区:[1]中国中医科学院望京医院药学部,北京100102 [2]北京积水潭医院放射科,100035 [3]北京积水潭医院心内科,100035
出 处:《重庆医学》2021年第21期3736-3739,共4页Chongqing medicine
基 金:国家科技支撑计划课题(2013BAI05B04)。
摘 要:目的研究社区中老年高血压患者用药依从性与疗效相关性并分析相关因素。方法采用问卷调查方式随机对131例就诊于北京某社区卫生服务站的中老年高血压患者进行用药依从性的调查,并对影响用药依从性的因素进行相关性分析。结果131例患者中用药依从性好者占33.6%。用药依从性好者血压控制满意率(<140/90 mm Hg)明显高于用药依从性差者。影响患者用药依从性的相关因素包括性别、对高血压知识掌握程度、是否根据经验服药、出现不适反应时是否继续服药、是否自行换药、是否有规律的锻炼身体等,其中影响用药依从性的独立相关因素是对高血压知识掌握程度、是否规律锻炼身体、是否自行换药等。结论提高中老年高血压患者用药依从性对高血压的治疗至关重要,建议加强对社区医务人员的培训,对中老年高血压患者开展高血压及用药知识的教育,并进行生活方式和心理健康指导。Objective To study the correlation between the medication compliance and curative effect of community middle-aged and elderly patients with hypertension,and to analyze the related factors.Methods The questionnaire survey mode was adopted to conduct the survey on the medication compliance in 131 middle-aged and elderly hypertensive patients visiting in a community health service center of Beijing.The factors affecting the medication compliance conducted the correlation analysis.Results Among 131 patients,the patients with good compliance accounted for 33.6%.The control satisfactory rate of blood pressure(<140/90 mm Hg)in the patients with good medication compliance was significantly higher than that in the patients with poor medication compliance.The related factors influencing the medication compliance of the patients included the gender,mastering degree of hypertension knowledge,whether to take medicine according to experience,whether to continue taking medicine when appearing the discomfort reaction,whether to replace the medication by oneself,whether to exercise regularly,etc.,in which the independent related factors affecting the medication compliance were the mastering degree on the knowledge of hypertension,whether to exercise regularly,whether to replace the medication by oneself,etc.Conclusion It is critical to improve the medication compliance of middle-aged and elderly hypertensive patients for the hypertension treatment.It is suggested to strengthen the training of community medical staff,carry out the education of hypertension and medication knowledge for middle-aged and elderly hypertensive patients,and conduct the lifestyle and mental health guidance.
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