影响降压药在高血压患者中应用依从性相关因素及预防措施

Compliance Related Factors and Preventive Measures of Antihypertensive Drugs in Hypertension Patients

目的探讨影响降压药在高血压中应用依从性相关因素及预防对策。方法选择江苏省南通市第六人民医院162例应用降压药进行治疗的高血压患者作为研究对象,根据依从性判断标准判断口服降压依从性情况,比较依从性差(观察组)及依从性好(对照组)患者在年龄、性别构成、文化程度、经济收入、降压药物不良反应、高血压疾病知识掌握程度、高血压病程等之间差异。结果随访(1.43±0.22)年,口服降压药依从性好为69.14%,依从性差为30.86%;观察组年龄(68.32±10.67)岁、小学以下文化92.00%、降压药物不良反应74.00%、缺乏高血压知识44.00%高于对照组的(58.96±13.04)岁、71.43%、35.71%、21.43%(P<0.05);观察组患者月收入(2 163.09±327.23)元/月,低于对照组的(2 643.87±445.56)元/月(P<0.05),是影响依从性的相关因素。结论影响高血压患者口服降压药因素多种多样,应针对性影响因素实施有效对策提高其依从性。

Objective To study the factors influencing the blood pressure in hypertensive application compliance related and prevention countermeasures. Methods 162 cases of application of antihypertensive drug for treatment of patients with high blood pressure as the research object, based on adherence to judge standard to judge oral antihypertensive compliance situation, relatively poor compliance（observation group） and patients with good compliance（control group） in age, gender, culture degree, income, antihypertensive drug adverse reactions, high blood pressure disease knowledge to master degree difference between, high blood pressure, duration, etc. Results Followed up（1.43±0.22） years, good oral antihypertensive drug compliance 69.14%, adherence poor 30.86%, observation group Age group（68.32±10.67） years old, primary school culture below 92.00%, antihypertensive drug adverse reactions74.00%, lack of knowledge of hypertension 44.00% higher than that of control group（58.96±13.04） years old, 71.43%, 35.71%, 21.43%（P〈0.05）. Monthly income（2 163.09±327.23） yuan/month is lower than the control group（2 643.87±445.56） yuan/month（P 0.05）, is the related factors of affecting compliance. Conclusion Various factors influencing the hypertension patients of oral antihypertensive drug, should be targeted factors affecting the implementation of effective countermeasures to improve the compliance.