110例高血压患者药物治疗依从性相关因素分析

Analysis on the Related Factors of Medication Compliance of 110 Hypertensive Patients

[目的]探讨影响高血压患者药物治疗依从性的相关因素。[方法]根据依从性评判标准对110例高血压患者应用降压药物治疗情况评价，分析依从性好与依从性差两组患者性别、年龄、高血压知识、对医疗水平信任程度、高血压病程、药物副作用、服药种类等方面的差异。[结果]110患者中口服降压药物依从性好60例（54．54％），依从性差50例（45．45％）；依从性差组缺少高血压知识（42．00％）、对医疗水平不信任（34．00％）、存在降压药物不良反应（38．00％）、年龄[（63．45＆#177;12．89）岁]、服药种类[（2．12＆#177;0．52）种]分别高于依从性好组的16．67％、10．00％、8．33％、（50．45＆#177;13．67）岁、（1．45＆#177;0．29）种（ P ＜0．05），是影响药物治疗依从性的相关因素。[结论]高血压患者药物治疗依从性差，影响因素复杂，应加强对患者相关药物治疗宣教，尽可能降低用药方案的复杂性以提高依从性。

[Objective] To explore the related factors affecting the medication compliance of patients with hypertension .[Methods] On the basis of the compliance criteria ,antihypertensive drug treatment situation of 110 patients with hypertension was evaluated .The difference in sex ,age ,hypertension knowledge ,trust de-gree to medical level ,duration of hypertension ,drug adverse reaction and medication types between the group with good compliance and the group with poor compliance was analyzed .[Results]Among 110 patients ,60 pa-tients（54 .54% ） had good compliance to oral antihypertensive drugs ,and 50 patients（45 .45% ） had poor com-pliance .In the group with poor compliance ,42% of patients had the lack of hypertension ,and 34 .00% of pa-tients had mistrust to medical level ,and 38 .00% of patients had drug adverse reactions .The age[（63 .45 ＆#177; 12 .89） years old] and the type of medication（2 .12 ＆#177; 0 .52） in the group with poor compliance were higher than those in the group with good compliance1[6 .67% ,10 .00% ,8 .33% ,（50 .45 ＆#177; 13 .67） and （1 .45 ＆#177; 0 .29） ,P＆lt;0 .05] ,and were the relative factors affecting the compliance .[Conclusion] Patients with hypertension has poor medication compliance ,and the influential factors are complex .The education of drug therapy in patients should be strengthened .The complexity of medication scheme should be reduced as for as possible in order to improve medication compliance .