145例高血压患者规范化管理现状调查分析  

Investigation and Analysis of Standardized Management of 145 Patients with Hypertension

作　　者：胡安新[1] 姚荣 刘旭杰 杜霞 徐冬梅[1] HU An-xin;YAO Rong;LIU Xu-jie;DU Xia;XU Dong-mei(The Third People's Hospital of Jinan,Jinan 250132,China;Community Health Service Center of Guodian Sub-District Office,Licheng District,Jinan 250109,China)

机构地区：[1]济南市第三人民医院,济南250132 [2]济南市历城区郭店街道办事处社区卫生服务中心,济南250109

出　　处：《中国合理用药探索》2021年第11期22-28,共7页Chinese Journal of Rational Drug Use

基　　金：济南市卫生和计划生育委员会科技计划项目(2018-2-13)。

摘　　要：目的:调查高血压患者规范化管理现状,为科学管理高血压提供依据。方法:选取符合条件的高血压患者145例,由临床药师对患者一般情况、疾病知识知晓度、药物治疗知识知晓度、用药依从性、知晓率、服药率、控制率、抗血小板药物、他汀类药物治疗等使用情况进行调查并对调查结果进行分析。结果:患者疾病知识不理解者132例(91.0%);对药物治疗知识不理解者133例(91.7%);对用药依从性不理解者64例(44.1%)、较差49例(33.8%);知晓自己患高血压者145例(100.0%)、服药114例(78.6%)、控制2例(1.4%);符合一级预防人群阿司匹林使用率2.8%、他汀类药物使用率0;控制静息心率药物使用率6.9%。进行秩相关分析发现,高血压病史、年龄与用药依从性呈正相关(P<0.05);文化程度与药物治疗知识知晓度呈正相关(P<0.05);Mann-Whitney U秩和检验发现血压控制组疾病知识知晓度、药物治疗知识知晓度高于未控制组(P<0.05);服药组用药依从性优于未服药组,高血压病史、年龄大于未服药组(P<0.05)。结论:本研究入组患者规范化管理较差,提示应加大社区居民卫生健康教育;临床药师应以此为切入点加强患者及其临床治疗干预,使患者掌握高血压的防治知识和技能,促进临床规范治疗。从而提高患者用药依从性、降压达标率,减少并发症发生,提高患者生活质量。Objective:To investigate the status of standardized management of hypertension patients and provide the basis for scientific management of hypertension.Methods:145 eligible patients with hypertension were selected,and the clinical pharmacists investigated the general situation,disease knowledge awareness,drug treatment knowledge awareness,drug treatment compliance,awareness rate,antihypertensive medication rate,control rate,antiplatelet drugs and statin treatment use,and the survey results were analyzed.Results:132 cases(91.0%)with poor disease knowledge;133(91.7%)with poor drug treatment knowledge;poor drug compliance 64 cases(44.1%),bad drug compliance 49 cases(33.8%).145 cases(100.0%)were aware of the status of hypertension,114 cases(78.6%)were taking antihypertensive drugs,2 cases(1.4%)whose blood pressure were under good control.The rate of aspirin use was 2.8%,rate of statin use was 0,rate of resting heart rate control drugs were 6.9%.A rank-related analysis revealed a positive correlation of hypertension,age and medication compliance(P<0.05);it also revealed a positive correlation of the level of education and drug treatment knowledge awareness(P<0.05).Mann-Whitney U rank and test found that disease knowledge and drug therapy knowledge in blood pressure in control group were higher than those in uncontrolled group(P<0.05);medication group had better compliance than untreated group,and the age and history of hypertension in the medicine group were higher than that in the untreated group(P<0.05).Conclusion:The status of standardized management of enrolled patients in this study is poor.The government should increase health education for rural residents.Clinical pharmacists should take this as the starting point to strengthen the intervention of the patients and their clinical treatment,so that patients can master the knowledge and skills of hypertension prevention and control,and promote the clinical standardized treatment.Through various efforts,the patient s medication compliance and the rate of reach mark

关 键 词：高血压 社区 规范化管理 现状 调查分析 

分 类 号：R95[医药卫生—药学]