主动脉瘤合并高血压患者服用降血压药物的依从性及影响因素  

Adherence and influencing factors of antihypotensive agent in patients with aortic aneurysm complicated with hypertension

作　　者：王秋玲 李海燕 陆清声 Wang Qiuling;Li Haiyan;Lu Qingsheng(Department of Vascular Surgery,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院血管外科,上海200433

出　　处：《血管与腔内血管外科杂志》2023年第3期275-280,共6页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨主动脉瘤合并高血压患者服用降血压药物依从性现状及影响因素。方法采取便利抽样法选取2020年2月至2021年3月海军军医大学第一附属医院收治的331例主动脉瘤合并高血压患者,采用中文修订版Morisky服药依从性量表对主动脉瘤合并高血压患者服用降血压药物的依从性进行问卷调查,分析主动脉瘤合并高血压患者服用降血压药物依从性的影响因素。结果331例主动脉瘤合并高血压患者中,96例(29.00%)患者的服药依从性好。单因素分析结果显示,文化程度、是否有人提醒服药、主动脉瘤与高血压关系认知度、主动脉瘤疾病认知度、术后服药认知度、日常自行测血压频次与主动脉瘤合并高血压患者服用降血压药物的依从性均有关(P﹤0.05)。多因素分析结果显示,日常自行测血压频次、婚姻状况、服用降血压药物年限、每日服用降血压药物次数、主动脉瘤疾病认知度均是主动脉瘤合并高血压患者服用降血压药物依从性的独立影响因素(P﹤0.05)。结论主动脉瘤合并高血压患者服用降血压药物的依从性较好,受日常自行测血压频次、婚姻状况、服用降血压药物年限、每日服用降血压药物次数、主动脉瘤疾病认知度的影响,医护人员可针对这些影响因素进行有效干预,提高患者的服药依从性,改善患者的预后。Objective To investigate the current status of adherence and influencing factors of adherence to antihypotensive agent in patients with aortic aneurysm complicated with hypertension.Method A total of 331 patients with aortic aneurysm complicated with hypertension admitted to the First Affiliated Hospital of Naval Medical University from February 2020 to March 2021 were selected by convenience sampling method.The Chinese version of the Morisky medication adherence scale was used to investigate the adherence of antihypertensive drugs in patients with aortic aneurysm and hypertension.The risk factors of adherence to antihypotensive agent in patients with aortic aneurysm and hypertension were analyzed.Result Among the 331 patients with aortic aneurysm and hypertension,96(29.00%)had good compliance.The results of univariate analysis showed that the education level,whether someone reminded to take the drug,the awareness of the relationship between aortic aneurysm and hypertension,the awareness of aortic aneurysm disease,the awareness of postoperative medication,and the frequency of daily self-measurement of blood pressure were all related to the medication compliance of patients with aortic aneurysm and hypertension(P<0.05).The results of multivariate analysis showed that the frequency of daily self-measurement of blood pressure,marital status,years of taking antihypertensive drugs,the number of daily antihypertensive drugs,and the awareness of aortic aortic aneurysm disease were independent influencing factors for compliance with antihypertensive drugs in patients with aortic aneurysm and hypertension(P<0.05).Conclusion Patients with aortic aneurysm complicated with hypertension have good compliance with antihypertensive drugs.Owing to the frequency of daily self-measurement of blood pressure,marital status,years of taking antihypertensive drugs,the number of daily antihypertensive drugs,and the awareness of aortic aneurysm disease,medical staff could effectively intervene for these two risk factors to improve patient

关 键 词：主动脉瘤 高血压 依从性 降血压药物 影响因素 

分 类 号：R543.1[医药卫生—心血管疾病]