分析青年高血压患者药物治疗时的遵医嘱服药概率以及影响因素  

Probability and Influencing Factors of Taking Medicine with Doctor's Advice in Young Hypertensive Patients during Drug Therapy

作　　者：徐文文[1] 于飞 王侃侃[1] 杨阳[1] 闫晓红[1] 高金祥[1] XU Wenwen;YU Fei;WANG Kankan;YANG Yang;YAN Xiaohong;GAO Jinxiang(Department of General Medicine,the Affiliated Hospital of Binzhou Medical College,Binzhou,Shandong Province,256600 China)

机构地区：[1]滨州医学院附属医院全科医学科,山东滨州256600

出　　处：《中外医疗》2024年第1期46-49,共4页China & Foreign Medical Treatment

基　　金：滨州医学院科技计划项目(BY2021KJ09)。

摘　　要：目的研究和分析青年高血压患者药物治疗时的遵医嘱服药概率及影响因素。方法随机选取2022年1—12月滨州医学院附属医院就诊并接受降血压药物治疗的100例高血压患者为研究对象,根据服药时是否遵医嘱的调查结果分为研究组(遵医嘱服药,81例)和对照组(未遵医嘱服药,19例),对于两组之间的临床资料进行分析,以明确导致青年高血压患者在药物治疗中未遵医嘱服药的危险因素。结果经单因素分析,两组患者的文化程度、疾病认知度、药物不良反应、焦虑评分、抑郁评分对比,差异有统计学意义(P均<0.05)。经多因素分析显示,文化程度(OR=2.457,95%CI=1.193~3.107)、疾病认知度(OR=2.369,95%CI=1.207~3.114)、药物不良反应(OR=2.561,95%CI=1.489~3.082)、焦虑评分(OR=2.468,95%CI=1.347~3.119)、抑郁评分(OR=2.406,95%CI=1.352~3.069)是导致青年高血压患者在应用降血压药物治疗期间未遵医嘱服药的危险因素(P均<0.05)。结论青年高血压患者在应用降血压药物治疗时,存在不遵医嘱服药情况,患者是否遵医嘱服药主要与文化程度、疾病认知度、药物不良反应等因素有关。Objective To study and analyze the probability and influencing factors of taking medicine with the doc⁃tor's advice in young patients with hypertension.Methods A total of 100 patients with hypertension who were treated with antihypertensive drugs in the Affiliated Hospital of Binzhou Medical College from January to December 2022 were randomly selected as the research objects.According to the survey results of whether to follow the doctor's ad⁃vice when taking the medicine,they were divided into the study group(taking the medicine according to the doctor's advice,81 cases)and the control group(not taking the medicine according to the doctor's advice,19 cases).The clinical data between the two groups were analyzed to identify the risk factors for young patients with hypertension not taking the medicine according to the doctor's advice during drug treatment.Results After single factor analysis,there were statistically significant differences in education level,disease awareness,adverse drug reactions,anxiety score and depression score between the two groups(all P<0.05).Multivariate analysis showed that education level(OR=2.457,95%CI=1.193-3.107),disease awareness(OR=2.369,95%CI=1.207-3.114),adverse drug reactions(OR=2.561,95%CI=1.489-3.082),anxiety score(OR=2.468,95%CI=1.347-3.119),and depression score(OR=2.406,95%CI=1.352-3.069)were risk factors for young patients with hypertension who did not follow the doctor's advice during the treatment with antihypertensive drugs(all P<0.05).Conclusion When young hypertensive patients are treated with antihypertensive drugs,there are cases of non-compliance with the doctor's advice.Whether the patients comply with the doctor's advice is mainly related to the factors such as education,disease awareness and adverse drug reactions.

关 键 词：青年 高血压 药物治疗 遵医行为 危险因素 

分 类 号：R4[医药卫生—临床医学]