沈阳市住院高血压患者用药依从性分析  

Medication adherence among hospitalized hypertension patients in Shenyang city

作　　者：宁文奇 李鼎 杨丽萍 张瑜娴 刘红竹 胡锐 陈明珠 孟彤 贾敏 张冉[1] 卢畅 宫建[1] NING Wenqi;LI Ding;YANG Liping;ZHANG Yuxian;LIU Hongzhu;HU Rui;CHEN Mingzhu;MENG Tong;JIA Min;ZHANG Ran;LU Chang;GONG Jian(Research Group of Jian Gong on Pharmacoepidemiology and Clinical Drug Evaluation,Shenyang Pharmaceutical University,Shenyang 110016,China)

机构地区：[1]沈阳药科大学药物流行病与临床药物评价课题组,沈阳110016

出　　处：《中国公共卫生》2024年第12期1511-1514,共4页Chinese Journal of Public Health

摘　　要：目的 为提高高血压患者用药依从性提供参考。方法 随机选择2020年1月1日—2021年1月1日在沈阳市住院治疗的1 000例高血压患者,以依从性评价量表评估患者使用抗高血压药物的依从性。根据患者的依从性水平进行分组分析(依从性良好设为观察组、依从性差设为对照组),以描述性分析比较患者的社会人口学特征等基本信息,并比较患者间依从性的差异。统计分析采用SPSS 22.0统计学软件处理数据。结果 沈阳地区1 000例入院治疗的高血压患者中,药物治疗依从性良好者占35.20%,依从性差者占64.80%;随着患者高血压等级的增高,患者用药依从性的构成比逐渐降低;接受药学服务、社会主观支持、高血压知晓程度、对社会支持的利用程度有利于提高患者依从性。结论 聚焦高血压的知晓程度、可获取的社会主观支持、对社会支持的利用程度、开展药学服务、加强宣传教育等因素,增强患者的主动参与性,提高住院高血压患者的用药依从性。Objective To provide a reference for improving medication adherence among hypertensive patients in Shenyang.Methods One thousand hypertensive patients hospitalized between January 1,2020,and January 1,2021,in Shenyang city were randomly selected.An adherence evaluation scale was used to assess patient adherence to antihypertensive medications.Patients were grouped according to their adherence level(good adherence as the observation group and poor adherence as the control group).Descriptive analysis was used to compare baseline characteristics,including sociodemographic characteristics,and to compare adherence between groups.Statistical analysis was performed using SPSS 22.0 statistical software.Results Among the 1000 hospitalized hypertensive patients in Shenyang city,35.20%showed good medication adherence,while 64.80%showed poor adherence.The proportion of patients with good medication adherence gradually decreased with increasing hypertension grade.Access to pharmaceutical services,perceived social support,awareness of hypertension,and utilization of social support were beneficial in improving patient adherence.Conclusions Focusing on factors such as awareness of hypertension,accessible perceived social support,utilization of social support,provision of pharmaceutical services,and strengthening publicity and education,to enhance patient initiative,can improve medication adherence among hospitalized hypertensive patients.

关 键 词：高血压 用药依从性 药学服务 沈阳市 

分 类 号：R544.1[医药卫生—心血管疾病]