健康教育对社区高血压患者服药依从性影响的系统评价.doc

健康教育对社区高血压患者服药依从性影响的系统评价 黄 昊, 孟 开 【摘要】 目的 系统评价健康教育对高血压患者坚持服药依从性影响。方法 采用描述性的定性研究和Meta分析的系统评价方法。在Sinomed中文文摘数据库检索，在Cnki、万方中文全文数据库搜索并获取全文。根据纳入排除标准，纳入16篇中文文献。 结果 采用Meta分析亚组分析，得出健康教育等干预措施的效果是不实施任何干预措施的1.89～2.45倍（RR值为2.15，95%置信区间为[1.89,2.45]），是一般健康宣教的1.68～2.03倍（RR值为1.84，95%置信区间为[1.68,2.03]），干预组与对照组两组之间在坚持服药的依从性上有显著差异性。结论 健康教育等干预是一项经济且有效的干预措施，对高血压患者坚持用药依从性有着比较大的影响，应该提倡并深入实施。 【关键词】 健康教育; 高血压; 依从性; 服药; 系统评价 Systematic Review of The Influence of Health Education on Medicine-Taking Compliance of Hypertensive Patients in City Communities// HUANG Hao , MENG Kai School of Health Management and Education，Capital Medical University，Beijing 100069，China 【Abstract 】 Objective Aim to evaluate the pre-cise influence of health education for medicine-taking compliance of hypertensive patients in city communities by systematic review. Methods Descriptive research for qualitative investigation and Meta-analysis for quantitative study were used. The SINOMED database was searched for abstracts and the CNKI and WanFang database was searched for full text. According to the selection criteria and exclusion criteria we set, 16 relevant Chinese studies were selected and included. Results Health education compared with no intervention, the effect of medicine-taking compliance of hypertensive patients in city communities is 1.89~2.45 times (RR=2.15,95% CI [1.89,2.45]). Health education compared with health publicity, the effect of medicine-taking compliance of hypertensive patients in city communities is 1.68~2.03 times (RR=1.84,95% CI [1.68,2.03]).The difference between intervention and control is significant. Conclusions Health education is a economic and effective intervention for medicine-taking compliance of hypertensive patients, so, it should be advocated [Keywords] Health education; Hypertension; Compliance; Medicine-taking; Systematic Review 根据2010年全国卫生统计年鉴，在大城市居民年龄别疾病别死亡率中，心脑血管疾病已经成为第一大死因，死亡率占265.77/10万，超过了癌症的死亡率175.84/10万[1]。如今，在心脑血管疾病中，脑卒中的死亡率是最高的，并且还有不断