甘肃省农村高血压患者药物治疗依从性研究及影响因素分析

Research of compliance of pharmacotherapy in rural patients with hypertension and analysis of its influencing factors in Gansu Province

目的探讨甘肃省西和县农村高血压患者药物治疗依从性(CPAT)的影响因素及其对策。方法抽取22个行政村所有高血压患者1 227人,采用自行设计量表,调查药物治疗依从性与个体特征,进行Logistic回归分析农村高血压患者药物治疗依从性的影响因素。结果 1 161例高血压患者中,依从性好者310例,占26.7%;个体特征分析结果显示,性别、吸烟、饮酒、医疗费支付方式、医药费报销有无困难等指标与CPAT之间差异无统计学意义(P>0.05);而年龄65岁及以上、文化程度低、离婚或丧偶、人均月收入低于1 000元、高血压知识知晓率差、家人提醒服药差、医患关系不好、同时患有其他疾病为农村高血压患者CPAT差的影响因素(P<0.05)。结论应针对农村高血压患者CPAT影响因素,采取相应的综合防治措施,以提高患者的药物治疗依从性。

Objective To study influence factors of compliance of pharmacotherpay in rural patients with hypertension and its countermeasures. Methods All 1 227 hypertension patients in 22 villages were sampled to carry out survey of compliance of pharmacotherapy and individual characteristics with self-designed scale. Influencing factors of patients＇ compliance were analyzed with Logistic regression. Results Out of the 1 161 hypertension patients, 26.7% had good compliance. There were no statistical difference in the indices such as sex, smoking, drinking, the way of paying for medicine fee and the compliance（P〉0.05）. However, 65 year-old or older, low educational level, divorced or widowed, per capita income less than 1 000 yuan, low awareness rate of hypertension knowledge, failing to remind medication by families, poor doctor-patient relationship, also suffering from other diseases were influencing factors of poor compliance in rural patients（P〈0.05）. Conclusions Corresponding comprehensive prevention and control measures should be taken to improve the compliance by aiming at the influencing factors of poor complicance in rural patients.