高血压患者治疗依从性行为特征分析-第三军医大学学报.DOCVIP

PAGE PAGE 4 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，为制定有针对性的干预措施提供依据。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及3所三级甲等医院门诊和入院24h内的317例高血压患者进行调查。采用多元逐步回归分析患者人口社会学因素对依从性的影响。结果 患者血压控制率为34.4%，血压控制达标者的依从性得分比未达标者高（P?0.01）。逐步回归分析显示，性别、家庭人均月收入、医疗费用支付方式是影响高血压患者依从性的主要因素（P?0.01，P?0.05）。结论 重庆市社区高血压患者血压控制率较低，对治疗的依从性较差。应将男性、家庭收入低、无医疗保险、在职、居住农村的高血压患者作为干预的重点对象。 [关键词] 原发性高血压；依从性；药物；生活方式 [中图法分类号] [文献标志码] A Behavioral characteristics of therapeutic adherence and its influencing factors in essential hypertension patients Tang Hongying，Zhu Jingci，He Haiyan，Qian Chunrong，Yang Yanni （Department of fundamental nursing，School of Nursing，Third Military Medical University of PLA，Chongqing，400038，China） [Abstract] Objective To explore the behavioral characteristics of therapeutic adherence and blood control rate in essential hypertension patients in Chongqing community. To analysis the different socio-demographic factors influence on adherence. Methods Self-designed therapeutic adherence scale for hypertensive patients was used. A total of 317 patients with hypertension in outpatient department and admission to hospital in 24hs in 3 community health service centers and 3 grade-A general teaching hospitals were selected by purposive sampling were studied. Multi-variable stepwise regression was used to analysis the influence socio-demographic factors on adherence. Results The rate of blood pressure control was 34.4%. There is much higher scale scores in successful blood pressure control group than in uncontrolled group（P?0.01）.The multi-variable stepwise regression showed the main influence factors on adherence were sex, family member’s average monthly income, the way of medical cost payment（P?0.01，P?0.05）. Conclusion The rate of blood pressure control was low in Chongqing community. Hypertensive patients adhere to therapy was very poor. The obj