老年高血压患者用药依从性对血压控制、生活质量、心理状态的影响

Effect of Medication Compliance on Blood Pressure Control,Quality of Life and Psychological State in Elderly Patients with Hypertension

目的分析老年高血压患者用药依从性对血压控制、生活质量、心理状态的影响。方法回顾性选取2022年1月—2023年12月昭通市第一人民医院收治的131例老年高血压患者的临床资料,治疗方式为口服阿托伐他汀钙联合苯磺酸氨氯地平。依据是否遵医嘱用药分为用药依从性良好组(92例)和用药依从性不佳组(39例),比较两组血压控制情况、不良反应发生情况、生活质量评分、心理状态评分。结果用药依从性良好组舒张压、收缩压控制情况优于用药依从性不佳组,差异有统计学意义(P均<0.05)。用药依从性良好组不良反应发生率低于用药依从性不佳组,差异有统计学意义(P<0.05)。用药依从性良好组总体生活质量评分为(52.79±4.75)分,高于用药依从性不佳组的(48.36±4.18)分,差异有统计学意义(t=5.052,P<0.05)。用药依从性良好组焦虑自评量表、抑郁自评量表评分均低于用药依从性不佳组,差异有统计学意义(P均<0.05)。结论用药依从性差会导致老年高血压患者血压控制效果不佳,不良情绪增加,生活质量降低,临床应采取针对性干预来提高老年高血压患者用药依从性。

Objective To analyze the impact of medication compliance on blood pressure control,quality of life and psychological status in elderly hypertensive patients.Methods The clinical data of 131 elderly patients with hypertension admitted to the Zhaotong First People's Hospital from January 2022 to December 2023 were retrospectively selected,and were treated with oral atorvastatin calcium combined with amlodipine benzenesulfonate.They were divided into the good medication compliance group(92 cases)and poor medication compliance group(39 cases)based on whether or not they complied with the medication prescribed by the doctor,and the two groups were compared in terms of blood pressure control,adverse reactions,quality of life scores,and psychological status scores.Results The control of diastolic blood pressure and systolic blood pressure in the good medication compliance group were better than those in the poor medication compliance group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the good medication compliance group was lower than that in the poor medication compliance group,and the difference was statistically significant(P<0.05).The overall quality of life score of the good medication compliance group was(52.79±4.75)points,which was higher than(48.36±4.18)points of the poor medication compliance group,and the difference was statistically significant(t=5.052,P<0.05).The scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the good medication compliance group was lower than those in the poor medication compliance group,and the differences were statistically significant(both P<0.05).Conclusion Poor medication compliance can lead to poor blood pressure control,increased adverse emotions,and reduced quality of life in elderly hypertensive patients,and targeted clinical interventions should be taken to improve medication compliance in elderly hypertensive patients.