河南省老年人高血压服药情况及影响因素分析  

Hypertensive medication situation and influencing factors among elderly in Henan

作　　者：李皓洁 陈雪娇 胡雪琪 范军星 贺坤 时松和[1] LI Hao-jie;CHEN Xue-jiao;HU Xue-qi;FAN Jun-xing;HE Kun;SHI Song-he(School of Public Health,Zhengzhou University,Zhengzhou,Henan 450000,China;不详)

机构地区：[1]郑州大学公共卫生学院,河南郑州450000 [2]河南省卫生和计划生育委员会统计信息中心

出　　处：《现代预防医学》2022年第7期1264-1268,共5页Modern Preventive Medicine

基　　金：第六次国家卫生服务调查河南省数据分析(20200013A);国家重点研发计划重大慢性非传染性疾病防控研究(2017YFC1307705)。

摘　　要：目的 了解河南省老年人高血压患者服药情况及影响因素,为河南省老年人高血压患者的用药管理提供依据。方法 基于第六次全国卫生服务调查,采用多阶段分层整群随机抽样方法从河南省18个省辖市抽取60岁及以上患高血压的老年人进行问卷调查,采用SPSS 24.0软件进行x;检验和多因素logistic回归模型分析。结果 本研究共纳入3 183名高血压患者,高血压患者服药依从率为67.99%,城市患者遵医嘱服药的可能性是农村患者的1.478倍(95%CI:1.223~1.786,P<0.001)、BMI超重和肥胖的患者遵医嘱服药的可能性分别是BMI正常患者的1.336倍(95%CI:1.122~1.590,P=0.001)和1.474倍(95%CI:1.158~1.877,P=0.002)、参加大病统筹患者遵医嘱服药的可能性是未参加患者的1.575倍(95%CI:1.342~1.847,P<0.001)、离退休患者遵医嘱服药的可能性是在业患者的1.676倍(95%CI:1.265~2.222,P<0.001)。结论 本次调查对象的服药依从性较好,但仍不理想。可基于影响因素特点,对重点人群进行干预进一步提高服药依从率。Objective : To explore the medication situation and influencing factors of elderly patients with hypertension in Henan Province, and to provide a basis for medication management of elderly patients with hypertension in Henan Province. Methods : Based on the sixth National Health Service Survey, the elderly aged 60 and above with hypertension were selected from 18 cities in Henan province by multi-stage stratified cluster random sampling. SPSS 24.0 software was used for x;test and multivariate logistic regression analysis. Results : A total of 3 183 hypertensive patients were included in this study, and the medication compliance rate of hypertensive patients was 67.99%.The results showed that urban patients were 1.478 times(95%CI:1.223-1.786, P<0.001) more likely to take medicine as instructed than rural patients. Overweight and obese patients were respectively 1.336 times(95%CI: 1.122-1.590, P=0.001) and 1.474 times(95%CI:1.158-1.877, P=0.002) more likely to take medication as prescribed by doctors than patients with normal BMI. Also, patients who participated in the major disease pooling were 1.575 times(95%CI:1.342-1.847, P<0.001) more likely to take medicine as prescribed by the doctor than those who did not participate, and patients who were retired were 1.676 times(95%CI:1.265-2.222, P<0.001) more likely to take medicine as prescribed by the doctor than those who were employed. Conclusion : The medication compliance of the survey subjects is good, but still not ideal. Based on the characteristics of influencing factors, intervention can be carried out in key populations to further improve medication compliance rate.

关 键 词：老年人 高血压 服药依从性 影响因素 

分 类 号：R161.7[医药卫生—公共卫生与预防医学] R544.1