A型行为老年高血压病患者遵医行为的调查研究

Influence of Type A Character on Medical Compliance in Elderly Hypertensive Patients

目的 了解A型行为对老年高血压病患者遵医行为的影响 ,为采取促进患者遵医行为的护理对策提供依据 ,以提高疗效。方法 采用调查问卷及A型行为评定量表进行测试。结果 高血压病患者A型行为占 6 2 .5 % ,A型行为高血压组不完全遵医行为及自动减药、自动停药、自动换药的发生率明显高于非A型行为高血压组 (P <0 0 5 )。结论 高血压患者不遵医行为与其性格类型密切相关 ,针对A型行为特点采取相应措施可帮助患者实现治疗的最佳效果。

Objective To investigate the effect of type A character on tendency of medical compliance in elderly hypertensive patients so as to provide evidence for improving nursing care.Methods Questionnaire and a rating scale of type A character were used for test.Results Type A character accounted for 62.5% of hypertensive patients in our series, whose tendency of incomplete medical appliance,automatic drug discontinuation and drug alteration was significantly higher than that in non type A character hypertensive patients(P<0.05).Conclusions Non medical compliance in hypertensive patients is closely related to their personality type.Appropriate measures specific to type A hypertensive patients should help such patients achieve optimal therapeutic outcomes.