中青年高血压患者治疗依从性现状及其影响因素分析  

Analysis of the current status and influencing factors of treatment compliance of young and middle-aged patients with hypertension

作　　者：游紫为 伍利蓉 周阳 刘娟[2] 左国花 胡红娟 YOU Ziwei;WU Lirong;ZHOU Yang;LIU Juan;ZUO Guohua;HU Hongjuan(School of Nursing,University of South China,Hunan Province,Hengyang421001,China;Department of Vasculocardiology,the First Affiliated Hospital of University of South China,Hunan Province,Hengyang421001,China;People’s Street Community Health Service Center of Shigu District,Hunan Province,Hengyang421001,China;Department of Nursing,the First Affiliated Hospital of University of South China,Hunan Province,Hengyang421001,China)

机构地区：[1]南华大学护理学院,湖南衡阳421001 [2]南华大学附属第一医院心血管内科,湖南衡阳421001 [3]湖南省衡阳市石鼓区人民街道社区卫生服务中心,湖南衡阳421001 [4]南华大学附属第一医院护理部,湖南衡阳421001

出　　处：《中国医药导报》2021年第33期62-67,共6页China Medical Herald

基　　金：湖南省教育厅科学研究项目(19A426);湖南省自然科学基金资助项目(2019JJ50502);湖南省社会科学成果评审委员会课题(XSP20YBC297);湖南省研究生科研创新项目(CX20200966)。

摘　　要：目的了解中青年高血压患者治疗依从性的现状并分析其影响因素。方法2020年5月至6月,采用多阶段抽样法,选取湖南省衡阳市人民街道、雁峰街道、联合街道3所社区卫生服务中心管理的227例中青年高血压患者为研究对象,采用一般资料调查表、高血压知识水平量表、医疗社会支持量表、高血压自我护理动机分量表、高血压治疗依从性量表进行调查,探索高血压患者治疗依从性的影响因素。结果中青年高血压患者治疗依从性得分为(93.00±11.66)分,处于低水平。不同性别、吸烟、喝酒、合并症的中青年高血压患者治疗依从性比较,差异有统计学意义(P<0.05)。高血压治疗依从性与高血压知识(r=0.284)、医疗社会支持(r=0.379)、高血压自我护理动机(r=0.570)呈正相关(P<0.01)。多元逐步回归分析结果显示,吸烟、合并症、高血压自我护理动机、医疗社会支持是影响患者治疗依从性的相关因素(P<0.05),共同解释了高血压治疗依从性37.3%的变异。结论中青年高血压患者治疗依从性处于低水平,吸烟、合并症、高血压自我护理动机和医疗社会支持是中青年高血压患者治疗依从性的影响因素。Objective To understand the current status of treatment compliance of young and middle-aged patients with hypertension and to analyze influencing factors.Methods From May to June 2020,a multi-stage sampling method was adopted to select a total of 227 young and middle-aged hypertensive patients managed by three community health service centers in Renmin Street,Yanfeng Street,and Lianhe Street,Hengyang City,Hunan Province as the research objects.The general information questionnaire,hypertension knowledge level scale,medical social support scale,hypertension self-care motivation subscale,hypertension treatment compliance scale were used to investigate the influencing factors of patients with hypertension treatment compliance.Results The treatment compliance score of young and middle-aged patients with hypertension was(93.00±11.66)points,which was at a low level.There were statistically significant differences in treatment compliance of young and middle-aged hypertensive patients with different genders,smoking,drinking,and comorbidities(P<0.05).Compliance with hypertension treatment was positively correlated with hypertension knowledge(r=0.284),medical and social support(r=0.379),and motivation for hypertension self-care(r=0.570)(P<0.01).The results of multiple stepwise regression analysis showed that smoking,comorbidities,motivation for self-care of hypertension,and medical social support were related factors that affect patient compliance with treatment(P<0.05),which explained the 37.3%variation in hypertension treatment compliance.Conclusion The treatment compliance of young and middle-aged hypertensive patients is at a low level.Smoking,comorbidities,motivation for self-care of hypertension and medical social support are the influencing factors of treatment compliance of young and middle-aged hypertensive patients.

关 键 词：中青年 高血压 能力、机会、动机-行为模型 治疗依从性 

分 类 号：R544[医药卫生—心血管疾病]