高血压患者服药依从性的影响因素分析与干预措施探讨

Analysis of Influencing Factors of Medication Compliance in Patients with Hypertension and the Intervention Measures

目的研究探讨高血压患者服药依从性的影响因素与干预措施。方法方便选取2012年11月-2015年11月该院所收治的188例高血压患者作为研究对象，调查患者的服药依从性情况及其影响因素，包括年龄、性别、婚姻状况、职业、文化程度、医保情况、收入、病程与高血压知识等。结果高血压患者的服药依从率为45．7％。患者性别、患病时长与高血压知识是服药依从性的影响因素（95％CI=O．112～0．892，P=O．028；95％CI=O．082～0．647，P=O．003；95％C1：1．463-9．772，P=O．002；P〈0．05）。结论高血压患者服药依从性较差，主要与患者性别、患病时长与高血压知识有关。因此，需要高度重视，采取针对性强且科学的干预措施，提高患者服药依从性，提高疗效。

Objective To study the influencing factors and intervention measures of medication compliance in patients with hypertension. Methods Convenient selection seclected 188 cases of hypertensive patients admitted to our hospital from November 2012 to November 2015 were selected as the study subjects. Investigated the medication compliance of patients and its influencing factors, included age, gender, marital status, occupation, education, health care, income, duration and hypertension knowledge, etc. Results the medication compliance rate of patients with hypertension was 45.7%. Patient sex, duration of illness and high blood pressure were the influencing factors of medication compliance （95% CI=0.112-0.892,P= O.028;95%CI=O.082-0.647,P=O.OO3;95%CI=1.463-9.772,P=O.OO2;P〈O.05）. Conclusion The medication compliance of patients with hypertension is poor, mainly related to the sex of the patients, the length of the disease and the knowledge of hypertension. Therefore, we need to attach great importance to take targeted and scientific intervention measures to improve patients＂ medication compliance, improve the curative effect.