高血压病患者药物治疗依从性影响因素研究.docVIP

高血压病患者药物治疗依从性影响因素研究 　　[摘要] 目的 通过了解高血压病患者药物依从性情况，对其影响因素进行探讨，以提高高血压病患者的治疗依从性。方法 选择2010年5月～2012年5月某小区已经被确诊为高血压病的患者350例，开展问卷调查，内容包括是否长期坚持用药、是否遵照医嘱服药等，分析患者药物治疗依从性、高血压分度与药物治疗依从性的关系，并对影响因素进行Logistic回归分析。 结果 350例患者中依从性较好者125例（35.7%），依从性差者225例（64.3%），具体表现为不坚持长期用药、不遵照医嘱服药次数服药、不遵照医嘱服药剂量服药、不遵照医嘱按时用药等。多因素Logistic回归分析结果显示，患者主动终止用药、忘记用药、就医不便、药物副作用、是否从事医疗工作以及主观健康评估差等因素，对药物治疗依从性具有很大影响。 结论 高血压患者接受临床治疗的依从性比较差，尤其是用药依从性，以不长期用药多见，加强对高血压患者的健康教育，可以提高患者药物治疗的依从性。 　　[关键词] 高血压病；药物治疗依从性；影响因素 　　[中图分类号] R544.1 [文献标识码] B [文章编号] 1673-9701（2015）12-0058-03 　　The study on the compliance and influence factors of patients with antihypertensive therapy 　　SONG Shenliang 　　Department of Pharmacy，Shandong Province Zibo City Central Hospital，Zibo 255036，China 　　[Abstract] Objective To understand the drug compliance of patients with hypertension， and to explore its influencing factors in order to improve the treatment compliance of patients with essential hypertension. Methods From May 2010 to May 2012， selected 350 cases with hypertension， including whether the long-term adherence to medication， whether prescription medication compliance and so on， analyzed patients medication compliance， indexing and hypertension medication adherence relationship and influencing factors by Logistic regression analysis. Results Among 350 cases of patients， patients with good adherence 125 patients（35.7%）， poor compliance 200 cases （64.3%）， specific performance was adhere to long-term medication， Failure to comply with the number of medication prescribed medicine， did not follow the prescribed medicine dosage of medication， medication， etc. did not follow doctors orders on time. Logistic regression analysis showed that patients forget medication， medical inconvenience， drug side effects， whether engaged in medical work and poor subjective health assessment factors， medication adherence had a significant impact. Conclusion Hypertensive patients receiving clinical treatment compliance is poor， especially in medication c