高血压病人服药依存性的研究

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

目的探讨高血压病人服药依从性(CPAT)及其相关因素。方法对银川市第一人民医院门诊及银川市富宁街社区中968例确诊的原发性高血压病人进行用药情况及其相关因素的问卷调查及血压测量,采用多元Logistic回归对用药依从性影响因素进行分析。结果原发性高血压病人用药依从性为28.28%,治疗依从性影响因素为高龄、经济收入低、治疗方案复杂及有多种并发症等。结论高血压病人药物治疗的依从性差,应加强健康教育,提高药物治疗的依从性,以达到控制血压,减少高血压相关并发症发生的目的。

Objective To explode the compliance of patient antihypertensive therapy （CPAT） and correlation factor of patient with hypertensive disease. Methods 968 hypertension patients come from the First People＇s Hospital of Yinchuan and community of Funing street were sampled by random cluster sample. The questionnaire about the status of drug therapy and correlation factor were adopted, blood pressure were measured at the same time. The correlation factor of drug therapy were analyzed by Logistic multiple regression. Results The ratio of good the compliance of patient antihypertensive therapy was 28.28%, and the influence factors of CPAT were the elder, low- incoming, complexity of hypertension treatment and complication. Conclusion Health education and health promotion should be strengthened for the bad CAPT in order to control blood pressure and reduce correlative complication.