不同人群高血压患者用药依从性和影响因素的研究.pdf

Abstract objective：Hypertension，one of the COnllnon diseases，is a risk factor of stroke and coronary heart disease．The key of controlling blood pressure iS adherent to hypertensive treatment．While reported drug compliance rate tO hypertensive is only 20％～50％．Tb study the compliance status and influence factors in the different group of patients with hypertension and give some suggestions for improvement of the compliance，we conduct this investigation． Methods：A questionnaire survey and blood pressure measure were conducted in the three group of hypertensive patients from a rural village，an urban cornnlunity and a research institute．ne data investigated included：social demography data，hypertension and therapy conditions，the knowledge about hypertension and attitude to hypertension．t-test，chi—square test and multivariate Logistic regression analysis were used for the analyses of the general condition and influence factors of compliance． Results： 1．The rate of high blood control is 11．9％and drug compliance rate is 36．1％in 194 eligible questionnaires from a village(mean age：61．59；median duration of disease course：4．0 yearS)．The multiple Logistic regression analysis shows that knowledge about hypertension and course of disease are significant factors of drag compliance． 2．rnle rate ofhighblood controlis 27．7％anddrug compliance rateiS 51．1％iIl 184 eligible questionnaires from a city community(mean age：70．76；median of disease courser 11．0 years、．硼1e multiple Logistic regression analysis shows that pattern of medical expanse and frequency of blood pressure measure are significant factors of drug compliance． 3．The rate of hi2粗blood control is 55．5％and drug compliance rate is 55．5％in 245 eligible questionnaires from a research institute(mean age：56．49； median of disease course：10．0 years)．111e multiple Logistic regression analysis shows that age，frequency of blood pressure meaStll℃，drug effect， influence to the daily life and understand to hypertensive harm are significant fa