西部某市城乡高血压病人服用阿司匹林现状及干预措施分析

Status and Intervention of the Use of Aspirin in Patients with Hypertension of Urban and Rural Areas in a Western City

目的探讨西部某市城乡高血压病人服用阿司匹林药物的现况及干预措施。方法收集西部某市850例高血压病人的临床资料,并对其阿司匹林的服药现状进行问卷调查。结果 850例调查者中,适合服用阿司匹林的593例,其中能规范服用阿司匹林的有357例(60.20%),不规范的34例(5.73%),未服用的202例(34.06%)。男女人群、中青年和老年人群中规律服药、不规律服药以及未服药的病人比例差异均无统计学意义(P>0.05)。二级预防病人规律服药的情况明显好于一级预防病人(P<0.05)。规律服药组患者用药治疗后收缩压和舒张压显著低于对照组患者(P<0.05),且该组患者在日常生活、社会活动、抑郁、烦躁各方面评分及生活质量总评分均明显高于不规律服药组,差异有统计学意义(P<0.05)。结论阿司匹林在西部某市城乡高血压病人中并没有得到广泛的应用,有相当一部分病人存在错误服药和不服药的情况,医师应加强对高血压病人及其家属的健康教育,提高病人的服药依从性,应进一步提高高血压的控制率。

Objectives To study the application of aspirin in patients with hypertension in Western,urban and rural,status and the intervention. Methods Collecting the clinical data of 850 cases of patients with hypertension of a city in the West, according to survey research project building a questionnaire, to investigate the application of aspirin in patients with hypertension of a city in the west. Results Total 850 cases in the survey,taking aspirin for 593 cases, of which 357 cases standard application of aspirin（60.2 % ）, non-standard in 34 cases（5.73 % ）, unused in 202 cases（34.06%）. There was no significant difference in the proportion of patients who were taking medicine,irregular taking and not taking medication of men and women,middle-aged and elderly people（P〉0.05）. The secondary prevention of the patient＇s medication was significantly better than the primary prevention（P〈0.05）. After treatment, the systolic blood pressure and diastolic blood pressure of the regular medication group were significantly lower than that the control group（P〈0.05） ;The scores of all aspects in daily life, social activities, depression and irritability of regular medication group patients were higher than the irregular medication group, statistically significant （P 〈0.05）. The total score of quality of life of regular medication group patients was significantly higher than that of irregular group, which was statistically significant（P〈 0.05）. Conclusions Aspirin has not been widely used in the patients with hypertension of a city in the west. A significant proportion of patients take the medication incorrect or not take the drugs, and physicians should strengthen health education for patients with hypertension, improve patient compliance, so as to further enhance the control rate of hypertension.