乌鲁木齐南山牧区哈萨克族高血压患者遵医行为与生存质量的观察

The discussion of compliance and quality of life of Hazak patients with hypertension in Urumqi Nanshan

目的探讨乌鲁木齐南山牧区哈萨克族高血压患者遵医行为与生存质量之间的关系。方法采用随机整群抽样的方法,对乌鲁木齐南山甘沟乡900例确诊高血压病的哈萨克族高血压患者进行遵医行为、生存质量问卷调查。结果服药依从性佳者占4.1%,门诊随访率佳者占3.9%,生活方式依从性均好的病人仅占2.3%。哈萨克族高血压患者生存质量总得分为(413.98±146.31)分。服药依从性与生存质量各个因子呈正相关(r=0.145～0.199,P<0.01);门诊随访与生存质量各个因子呈负相关(r=-0.108～-0.129,P<0.05);戒烟、戒酒、饮食、运动、控制体重等5项生活方式依从性与生存质量各个因子呈正相关(r=0.114～0.204,P<0.05)。结论乌鲁木齐南山牧区哈萨克族高血压患者遵医行为与生存质量间存在密切相关关系。

Objective： To study on relevance between compliance and quality of life of Hazak patients with hypertension in Urumqi Nanshan pastoral area.Methods By using random cluster sampling method,we selected 900 cases Hazak patients with hypertension as research objects and carried on a thorough survey and research for their compliance status quality of life.Results Patients with good medication compliance accounted for 4.1%;patients with good out-patient follow-up rate accounted for 3.9%;patients with five good compliances only accounted for 2.3%.The quality of life scores of Hazak patients with hypertension in Urumqi Nanshan pastoral area generally accounted for（413.98±146.31）.Medication compliance and all factors of quality of life（r=0.145～0.199,P0.01） were positively correlated;out-patient follow-up and all factors of quality of life were negatively correlated（r=-0.108～-0.129,P0.05）;the compliance of quit smoking etc,five kinds of lifestyle and all factors of quality of life（r=0.114～0.204,P0.05） were positively correlated.Conclusion Compliance is significantly associated with QOL in patients with hypertension in Urumqi Nanshan pastoral area.