农村高血压患者管理依从性调查

Study on Management Compliance of Patients with Hypertension in Rural Areas

目的 了解农村高血压患者管理依从性情况。方法 对 2 5 6例农村高血压患者进行了问卷调查。结果 患者初诊用药依从率为 71 3% ,长期依从率仅 6 6 4 %。医生告知者中对主要管理措施依从率平均依次分别为低盐饮食2 8 2 6 % ,定期测血压 2 4 87%、减轻体重 5 0 8%、生活规律 5 0 3%、低脂肪饮食 4 30 %、坚持用药 3 33% ,不抽烟少饮酒 1 14 %。结论 影响患者依从性的主要因素是卫生宣传、病人认识、经济和社会服务。管理措施告知与依从不成正比 ,农村患者依从率低于城市。

Objective To explore the situation in management compliance of hypertensive patients in rural areas.Methods The 256 hypertnesion patients were investigated with questionnaire at Xiangyan County.Results The rate of using agents was 71 3% in first visit cases,only 6.64% patients persisted in using agents for long-term.The compliance rate of patients to antihypertensive measure told by doctors respectively lowering salt 28.26%,measure blood pressure regularly 24.87%,reducing weight 5 08%,life regularity 5 03%,lower fat 4 30%,adherence to use medicine 3 33%,no smoking and liquor 1 14%.Conclusion The factors of impacting compliance were hygiene advertisements,patient's knowledge,economic and societal service.These results indicated that compliance rate of treatment management in rural areas were evidently lower than that in city.