社区高血压患者心血管疾病风险感知与服药依从性的相关性研究  

Study on the Correlation Between Cardiovascular Disease Risk Perception and Medication Compliance in Patients with Hypertension in Community

作　　者：程晓月 翟清华[2] 王丹丹[1] 梁翠红[1] 卢玉霞[1] CHENG Xiaoyue;ZHAI Qinghua;WANG Dandan;LIANG Cuihong;LU Yuxia(Department of Neurology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,hina;Department of Nursing Teaching and Research Section,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第二附属医院神经内科,河南郑州450000 [2]郑州大学第二附属医院护理教研室,河南郑州450000

出　　处：《中国药物滥用防治杂志》2024年第3期446-449,453,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关疾患项目(编号:LHGJ20210366)。

摘　　要：目的:探讨社区高血压患者心血管疾病风险感知与服药依从性的相关性。方法:选取郑州市6个社区抽取532例高血压患者作为研究对象,采用单条目心血管疾病风险感知评估工具、Morisky服药依从性问卷、高血压患者服药依从性自我效能量表进行调查。结果:532例社区高血压患者心血管疾病绝对风险感知得分3.00(1.00,5.00)分,其中低危293例(55.08%),中危194例(36.46%),高危45例(8.46%)。相对风险感知,社区高血压患者认为其风险远低于、低于、等于、高于、远高于参照标准的分别为86例(16.16%)、93例(17.48%)、172例(32.33%)、125例(23.50%)、56例(10.53%)。服药依从性总分为(5.29±1.84)分,其中依从性不良者238例(44.74%),依从性中等者219例(41.16%),依从性高者75例(14.10%)。高血压患者服药依从性自我效能得分为(29.25±6.21)分。心血管疾病风险感知总分与服药依从性总分及服药依从性自我效能总分均呈正相关(r=0.579、0.655,P<0.001)。结论:社区高血压患者心血管疾病风险感知与服药依从性呈正相关,为加强社区高血压患者规范化管理,医护人员应准确评估并提高患者心血管疾病风险感知水平。Objective:To explore the correlation between cardiovascular disease risk perception and medication compliance in community hypertensive patients.Methods:A total of 532 hypertensive patients from 6 communities in Zhengzhou were selected as the research subjects.The single-item cardiovascular disease risk perception assessment tool,Morisky medication compliance questionnaire,and medication compliance self-efficacy scale for hypertensive patients were used to investigate.Results:The absolute risk perception score for cardiovascular disease in 532 community hypertensive patients was 3.00(1.00,5.00)scores,including 293 low-risk cases(55.08%),194 medium risk cases(36.46%),and 45 high-risk cases(8.46%).In terms of relative risk perception,86 cases(16.16%),93 cases(17.48%),172 cases(32.33%),125 cases(23.50%),and 56 cases(10.53%)of community hypertensive patients believed that their risk was far below,below,equal to,above,and far above the reference standard,respectively.The total score of medication compliance was(5.29±1.84)scores,including 238 cases(44.74%)with poor compliance,219 cases(41.16%)with moderate compliance,and 75 cases(14.10%)with high compliance.The self-efficacy score of medication compliance in patients with hypertension was(29.25±6.21)scores.The total score of cardiovascular disease risk perception was positively correlated with the total score of medication compliance and the total score of medication compliance self-efficacy(r=0.579,0.655,P<0.001).Conclusion:The risk perception of cardiovascular disease in patients with hypertension in the community is positively correlated with medication compliance.In order to strengthen the standardized management of patients with hypertension in the community,medical staff should accurately evaluate and improve the level of risk perception of cardiovascular disease in patients.

关 键 词：社区 高血压 心血管疾病 风险感知 服药依从性 自我效能 

分 类 号：R544.1[医药卫生—心血管疾病]