西安市老年高血压患者在药店的购药意向与用药问题的调查分析

Investigation and Analysis on Drug-Purchasing Preference in Pharmacy and Drug Use of Elderly Hypertension Patients

目的:为下一步对老年高血压患者采取相应药学服务提供参考。方法:采用问卷调查法,于2009年4-6月随机调查西安市在药店购药或测量血压的100名老年高血压患者。结果:回收有效问卷99份,老年高血压患者血压值知晓率和2周内服药比例调查结果较为满意。医师处方、以往自我用药经验和药店药师意见是左右老年高血压患者购药意向的主要因素。多数老年高血压患者能坚持医嘱用药,对自身疾病的重视程度较高。但也有部分受访者经常自行调整药物,用药的风险意识不够强。只有少数患者在用药过程中得到过药店药师的帮助,药店药学服务工作不到位。学历越高,对于药物调整越慎重;患病时间越长,更倾向于凭借自我经验用药,并且价格对于购药意向的影响也越大。结论:西安市药店购药的老年高血压患者血压控制情况较为理想,但患者自我药疗风险较高,药店药学服务有待加强。

OBJECTIVE： To provide reference to the correct pharmacy service for the elderly hypertension patients in the next step. METHODS： By questionnaire survey, 100 elderly hypertension patients who purchased drugs and received blood pressure measurement were randomly collected from Xi＇an from April to June, 2009. RESULTS： 99 questionnaires were recovered. The awareness rates of elderly hypertension patients and treatment of 2 weeks were satisfactory. The main factors that influenced drug-purchasing preference included physician prescription, experience of drug use and pharmacists＇ suggestion. Most of patients took drugs in accordance to medical order, and they paid high attention to hypertension. The respondents often adjusted drugs by themselves, and their risk consciousness was weak. Only a small number of patients got help from pharmacists, reflecting communi- ty pharmaceutical care is under-developed. The higher in education, the more careful in adjustment of drugs; the longer the illness, the more likely to practice self-medication; and the impact of prices on drug purchase was great. CONCLUSIONS： Blood pressure control in elderly hypertensive patients buying drugs through a retail pharmacy in Xi＇an is satisfactory, but self-medication in hypertension patients is associated with a high risk, and community pharmaceutical care needs to be strengthened.