中青年原发性高血压患者教育依从性与医疗费用的相关研究

Correlation between health education compliance and medical costs among young adults with essential hypertension

目的 探讨对中青年原发性高血压患者实施健康后,患者的依从程度与医疗费用之间的关系.方法 对140例中青年原发性高血压患者实施相同的科学的强化教育和个性化教育,用自行设计的依从性调查表进行评分,结果分为依从性好组（A组）和依从性差组（B组）,比较两组患者的医疗费用情况.结果 A组患者文化程度、家庭经济收入、享受医疗保障程度高于B组（P＜0.05） A组药物费用显著高于B组（P＜0.01） 并发症及住院总费用则显著低于B组（P＜0.01）,两组监测费用比较差异无统计学意义 A组血压控制情况显著优于B组（P＜0.01）.结论 对中青年原发性高血压患者进行健康知识教育提高其依从性,使长期医疗费用支出降低,血压得到很好的控制,减少了心、脑、肾并发症的发生,并提高了患者的生活质量.

Objective To make clear the relation between health education compliance and medical costs among young adults with essential hypertension. Methods Systemic health education was used among 140 patients with essential hypertension. To evaluate compliance conditions of them by self -designed questionnaire. These patients were divided into better compliance group （ A group, 86 cases） and the worse compliance group （B group, 54 cases ） according to the evaluation results. To compare medical costs between the two groups. Results Conditions about cultural background, family finance and medical care were better in A group than those of in B group（ P 〈 0. 05 ）. Medical costs in A group was significantly higher than that in B group, while the complication -related costs and total medical costs in the A group were lower than those in B group. There was no significant difference between the two group about medical costs. Condition about blood pressure control in A group was satisfactory. Conclusions Health education for young adults with essential hypertension can effectively improve their compliance, decrease medical costs, control blood pressure, decrease morbidities and then ameliorate their duality of life.