原发性高血压患者的服药依从性研究

Research on Medication Adherence of Patients with Primary Hypertension

目的调查原发性高血压患者的服药依从性状况,并探讨其影响因素。方法采用一般资料问卷、高血压知识问卷、服药依从性问卷对100例住院的原发性高血压患者进行调查,并采用Wilcoxon秩和检验、Kruskal-Wallas秩和检验、多元有序Ordinal回归对患者服药依从性的影响因素进行分析。结果患者服药依从性差,完全依从的仅为30%;回归结果提示年龄、病程、高血压知识、实际服药次数和种类、服药相关信念是服药依从性的影响因素(P<0.05)。结论原发性高血压患者的服药依从性差,应特别关注老年及病程长的患者,并针对高血压知识、服药相关信念给予干预,以提高其服药依从性,达到有效控制血压,降低脑卒中发生的目的。

Objective To investigate the medication adherence of primary hypertension patients and explore its influence factors. Methods General data questionnaire, hypertension knowledge questionnaire, medication adherence questionnaire are used to investigate 100 primary hypertension patients. Wilcoxon rank - sum test, Kruskal - Wallis rank - sum test , Ordinal regression are used to analyze the data about medication adherence and influence factors. Results The patients＂ medication adherence is poor . Only 30% patients can absolutely take medicine as advised by the doctors. The results suggest that age, course of the disease,.hypertension knowledge ,the actual amount and varie- ty of drug , drug - related beliefs are the influence factors of medication adherence （P 〈 0.05）. Conclusion The medication adherence of primary hypertension patients is poor. Special attention should be paid to old and long disease duration patients. In order to improve the pa- tients medication adherence, control blood pressure effectively and reduce the occurrence of cerebral apoplexy, intervention should be given to increase hypertension knowledge and drug- related belief.