社区高血压患者心理一致感与服药依从性的关系研究

Relationship between Sense of Coherence and Medication Adherence in Community Patients with Hypertension

为了解社区高血压患者心理一致感及服药依从性现状,并探讨二者关系,本研究采用心理一致感量表、Morisky服药依从性量表对济南市214例社区高血压患者进行调查。结果显示,社区高血压患者服药依从性良好率仅为18.7%;心理一致感总分为58.78±10.44,处于中等水平,各维度条目均分由低至高依次为可理解感(4.36±0.94)、可控制感(4.47±1.00)及意义感(4.77±0.94);不同心理一致感水平的患者其服药依从性差异具有统计学意义(P<0.01),高心理一致感的患者服药依从性最好,且心理一致感是患者服药依从性的保护性因素。因此,社区高血压患者的心理一致感能够影响其服药依从性,故应重视患者心理一致感的培养,以改善服药依从性。

To understand the current situation of hypertensive community patients＇ sense of coherence and medication adherence and to explore their relationships, 214 hypertensive community patients in Jinan were investigated with Sense of Coherence Scale and Morisky Medication Adherence Scale. Results showed that patients＇good rate of medication adherence was only 18.7%. The total score of patients＇sense of coherence was 58.78±10.44 which was in the middle level, and dimension divide entries were comprehensibility （4. 36±0.94）, manageability （4.47±1.00） and meaningfulness （4.77± 0.94 ） in the ascending order. The diversity of patients＇medication adherence in different level of sense of coherence had sta tistical significance （P〈0.01）, and patients who had the highest sense of coherence had the best medication adherence, and also the sense of coherence was the protective factor to medication adherence. So patients＇sense of coherence could affect their medication adherence, and we should pay attention to the cultivation of patients＇sense of coherence in order to improve their medication adherence.