门诊高血压患者药物治疗依从性现状及影响因素分析

Outpatient Drug Treatment Compliance in Patients with Hypertension Status and Influencing Factors

目的:了解并分析高血压药物治疗依从性(CPAT)现状和影响因素。方法:采用自行编制的调查表便利抽样法调查130例来院心血管门诊就诊的高血压患者,以Morisky-Green测评表进行依从性的测定,用SPSS 11.5软件统计分析。结果:(1)130例高血压患者CPAT高者为33.8%(44例),中等者为30%(39例),低者为36.2%(47例)。(2)CPAT影响因素:年龄、婚姻状况、受教育程度、家庭月收入、社区医疗服务状况、病程、疾病症状、药物不良反应、治疗重要性认识、药物知识了解、自测血压情况、家属督促服药,这些因素对CPAT的影响有统计学意义(P<0.05)。而性别、在职状况、医疗费用支付方式、高血压分期、服药种类和数量、医患关系对CPAT的影响没有统计学意义(P>0.05)。结论:门诊高血压患者药物治疗依从性总体水平不高的现象在高血压疾病治疗中普遍存在。

Objective： To Understand and analyze the hypertension drug treatment compliance （CPAT） status and influencing factors.Methods： Using self-prepared questionnaire convenience sampling method to investigate 130 cases of cardiovascular hospital hypertension clinic, the Morisky-Green compliance evaluation tbrm for the determination, statistical analysis using SPSS 11.5 software. Results：（1 ） 130 cases of hypertension were 33.8% higher CPAT （44 cases）, moderate by 30% （39 cases）, the lower 36.2% （47 cases）.（2） CPAT factors： age. marital status, educational level, family income, community medical service stares, duration, disease symptoms, adverse drug reactions, understand the importance of treatment, drug knowledge, understanding, self-test blood pressure, family members urge the medication, these the impact of factors on the CPAT was statistically significant （P〈0.05）.And gender, working conditions, payment of medical expenses, hypertension stage, type and quantity of medication, the impact of physician-patient relationship on the CPAT was not statistically significant （P〉 0.05）.Conclusions： Outpatient drug treatment in patients with hypertension the overall level of compliance is not the phenomenon of high prevalence in the treatment of hypertension.