社区高血压病人个体特征与药物治疗依从性关系研究

Study on Relation Between Compliance of Patients with Anti-hypertensive Therapy and Individual Characteristics of Patients in Community

目的 探讨社区高血压病人个体特征与药物治疗依从性之间的关系。方法 调查 976名高血压病人个体特征与药物治疗依从性 ,进行Logistic回归分析。 结果 随年龄和受教育程度增长 ,药物治疗依从性相应提高。经济收入水平对药物治疗依从性的影响呈现双向 ,收入低与收入高人群药物治疗依从性好 ,收入水平居中的药物治疗依从性差。同时患其它疾病使药物治疗依从性降低 (OR =0 6 4 )。性别、医药费支付方式、报销有无困难、工作状况、生活习惯、吸烟、饮酒与药物治疗依从性之间无统计学联系。结论 社区高血压药物治疗依从性干预应重点关注年龄介于35～ 5 5岁、受教育程度低、收入水平中等的人群。

Objective To study the relation between the compliance of patients with antihypertensive therapy(CPAT) and individual characteristics of patients.Methods To survey CPAT and individual characteristics of 976 patients and to analyze the association with logistic regression.Results The rate of good CPAT patients is grown with the growth of age and education level of patients.Effects of economic income on the rate of good CPAT patients shows 'U' style.Patients with low economic income or high economic income have good CPAT.Patients with medium economic incom have poor CPAT.Patients with another disease besides hypertension have lower rate of good CPAT(OR=0 64).There are no statistical association between patients of sex,the style of paying for medicine fee,the job state,the habits of living such as smoking,drinking and CPAT.Conclusion Improving CPAT need focus on the hypertensive patients whose age are between 35 and 55 years,or who have lower education level,or who have middle economic incomes.