原发性高血压患者治疗依从性行为特征及影响因素分析.docVIP

原发性高血压患者治疗依从性行为特征及影响因素分析 唐红英，朱京慈，何海燕，钱春荣，杨燕妮 （400038重庆，第三军医大学护理学院基础护理学教研室） [摘要] 目的 探讨重庆市社区原发性高血压患者治疗依从性行为特征及血压控制情况，并分析人口社会学因素对依从性的影响。方法 采用目的抽样方法，使用自行编制的原发性高血压患者治疗依从性量表，对重庆市3家社区卫生服务中心患者Behavioral characteristics of therapeutic adherence in patients with essential hypertension and factors influencing the adherence Tang Hongying，He Haiyan，Department of fundamental nursing，of Nursing，Third Military Medical University of PLA，Chongqing400038，China） [Abstract] Objective To explore the behavioral characteristics of therapeutic adherence and the hypertension control rate in the patients with essential hypertension in Chongqing, China, to analyze the socio-demographic factors that influence the therapeutic adherence, and to provide basis for the pertinent intervention measures. Methods A survey was conducted using a self-designed therapeutic adherence scale for the patients with essential hypertension. This survey involved 317 patients with essential hypertension, who were the outpatients and inpatients (within 24 h after admission) in 3 community health service centers and 3 grade-A general teaching hospitals in Chongqing. Multi-variable stepwise regression was used to analyze the socio-demographic factors influencing the therapeutic adherence of the patients. Results The hypertension control rate of the patients was 34.4%. The patients with controlled hypertension had a significantly higher therapeutic adherence than those without controlled hypertension (P(0.01). The multi-variable stepwise regression showed that sex, household monthly per capita income, and mode of medical payment were the main factors that influenced the therapeutic adherence of the patients (P(0.01, P(0.05). Conclusion The hypertension control rate of the patients with essential hypertension is low in Chongqing, and the therapeutic adherence of the patients is poor. Intervention emphasis should be put on the male patients, patients with low family income, patients without medical insurance, pati