190例农村老年高血压患者治疗依从性影响 因素的分析.PDFVIP

慢病管理专题 Topical Issues 190例农村老年高血压患者治疗依从性影响 因素的分析 李亚楠 张静 徐淑秀 [ 摘 要] 目的：了解农村地区老年高血压患者治疗依从性的水平及其相关影响因素，为制定干预措施提供依据。方法：采 用便利抽样的方法，使用一般资料调查表，高血压治疗依从性量表，高血压治疗态度与信念量表对190 名农村老年高血压患者 2 进行调查，应用SPSS 17.0 统计软件进行数据的分析。通过 χ 检验筛选相关因素，进行多因素 Logistic回归分析得到影响高 血压患者治疗依从性的因素。结果：老年高血压患者的治疗依从性总均分为（85.16±9.40) 分，占问卷总分的 68.128%，农村老 年高血压患者整体治疗依从性水平较低，与年龄、高血压病程、服药时间及高血压治疗的态度与信念等有关（P0.05）。结论： 农村社区医务人员应该对患者进行有针对性的健康教育，并选择个体化治疗方案，提高其治疗依从性。 [ 关键词 ] 农村；老年高血压；治疗依从性 [中图分类号] R544.1 [DOI] 10.3969/j.issn.1672-1756.2015.03.014 Analysis of influencing factors of the treatment compliance of the elderly hypertensive patients in the countryside / LI Yanan, ZHANG Jing, XU Shuxiu // Department of Nursing, Bengbu Medical College, Anhui 233030 China /// Chinese Nursing Management- 2015,15(3): 304-308 [Abstract] Objective: To investigate the treatment compliance level of the elderly hypertensive patients in the countryside and its influencing factors, so as to provide reference for instituting specific intervention measures. Methods: One hundred and ninety elderly hypertensive patients in the countryside were selected and questionnaire including patients general condition, therapeutic adherence scale for hypertensive patients (TASHP), antihypertensive therapy related attitudes and beliefs scale (ATRABS) were used. SPSS 17.0 statistical software was used for data analysis.Univariate 2 χ test and multiple logistic regression model were used to analyze all kinds of key factors. Results: The score of the treatment compliance in the elderly hypertensive patients in the countryside was (85.16±9.40), 68.128% of total scores. The influencing factors of poor compliance including age, dis