深圳社区高血压人群药物治疗依从性及影响因素研究

Study on the compliance of antihypertensive therapy and influence factor of hypertension population in community in Shenzhen

目的分析深圳市社区健康服务中心高血压管理病人药物治疗依从性水平,并探讨其影响因素。方法采取随机整群抽样,抽取了深圳市39个社区健康服务中心中的1 953名高血压病人,并对其进行问卷调查,询问内容有人口学特征、高血压治疗情况及药物治疗依从性。结果调查人群高血压治疗依从性良好者的比例为28. 99%。治疗依从性影响因素依次为高龄(OR=0. 57 )、经济收入低(OR=0. 73)和治疗方案复杂(OR=0. 62)。结论深圳社区健康服务中心高血压管理病人药物治疗依从性较低,应加强健康教育和健康促进力度,提高药物治疗依从性,以达到控制血压、减少高血压相关并发症发生的目的。

ObjectiveTo study the compliance of patient antihypertensive therapy (CPAT) and influence factor of hypertension in community health service centre in Shenzhen. Methods1953 hypertension patients of 39 community health service canters were sampled by random cluster sample, and then a questionnaire survey was practiced including demography character, the status of drug therapy, and CPAT. ResultsThe ratio of good CPAT was 28.99% in the samples, and the influence factors of CPAT were the elder(OR=0.57),low-incoming(OR=0.73),and complexity of hypertension treatment(OR=0.62),respectively.ConclusionHealth educationand health promotionshould be strengthened.