高血压患者服药依从性及其影响因素调查分析

Patients with Hypertension Medication Compliance and its Influencing Factors Research

目的:了解莆田市原发性高血压患者服药依从性的情况及其影响因素。方法:选择167例原发性高血压(1年以上)患者,其中市区组(92例),农村组(75例)。采用高血压病人服药依从性Moriky-Green测评表对患者入院时及出院后6个月比较两组患者的服药依从性情况。结果:原发性高血压患者服药依从性较差,总体入院时及出院后6个月服药依从性的调查结果分别是16.4%、51.3%。出院后6个月市区组的服药依从性佳的比率高于农村组,两者之间差异存在统计学意义(χ2=9.27,P<0.01)。结论:高血压患者服药依从性一直处于一个相对较低的水平,提高患者对高血压病相关知识的认知,对高血压的防治有一定的促进作用。建议社会及医院应加强对高血压相关知识的教育及普及,从而达到提高高血压患者的生活质量,降低高血压病的致残率及致死率。

Objective：Putian city patients with essential hypertension medication adherence and its influencing factors. Methods ：167 patients with essential hypertension （more than 1 year） urban group （92 cases） and rural group （75 cases）. Hypertension medication the compliance Moriky-Green evaluation form on the patients admitted to hospital and discharged after 6 months the two groups were compared in patients with medication adherence. Results： Patients with essential hypertension medication compliance is poor, the overall admission and 6 months after hospital discharge medication compliance findings were 16.4;, 51.3%. Urban group of 6 months good medication compliance after discharge is higher than the rural group, the difference was statistically significant （χ2= 9.27, P ; 0.01） between. Conclusion.. Medication compliance in patients with high blood pressure has been at a relatively low level,to improve the knowledge level in patients with hypertension prevention and treatment of high blood pressure certain role in promoting. Recommended that the social and hospitals should strengthen education and popularization of knowledge of hypertension, so as to improve the quality of life of patients with high blood pressure and reduce the morbidity and mortality of hypertension.