社区高血压患者用药依从性及影响因素分析

Study on medication compliance and influencing factors of hypertension patients in community

目的分析社区高血压患者用药依从性现状,探寻社区高血压患者用药依从性存在的问题及原因,并提出可行性建议。方法采用单纯随机抽样方法,随机抽取昌乐县高血压患者150例进行问卷调查;运用SPSS19.0软件进行数据录入,运用χ~2检验和二项Logistic回归分析等方法对数据进行统计描述分析。结果调查发现,昌乐县社区高血压患者用药依从率(29.1%)较低;二项Logistic回归分析显示,低文化程度、就医不便利、不定期复诊、对高血压疾病认知度低和不知道高血压需终身服药的高血压患者用药不依从发生概率较大;药物治疗特征与患者家人关怀因素不影响高血压患者用药依从率。结论针对高血压患者开展多种形式的用药依从性健康教育,强化患者依从意识;健全医疗机构慢性病管理机制,提高高血压患者复诊率;提高医护人员与患者的交流度,减少高血压患者用药不依从;加强基层医疗机构建设,提高高血压患者就医可及性;充分运用现代信息技术对高血压患者进行教育与管理。

Objective To analyze the situation of medication compliance of community hypertension patients and find out the problem of medication compliance of community hypertension patients for putting forward the feasible proposal. Methods 150 hypertension patients were investigated with questionnaire by simple random sampling. SPSS 19.0 was used to record the data and do statistical analysis. Chi-square method and binary logistic analysis were used to carry on the statistical analysis. Results The medication compliance rate of hypertension patients in community changle was lower,just 29. 1%. The binary logistic analysis showed that the medication compliance rate of hypertension patients was related to poor education level, inconvenience to hospital, irregular visit, low awareness of hypertension disease and drug need lifelong treatment of hypertension patients. The characteristics of patients with drug treatment and family care factor did not affect medication compliance rate of hypertension patients. Conclusion It is necessary to streng then various forms of health education for improving the medication compliance of hypertension patients, to perfect the mechanism of chronic disease management of medical institutions for increasing the revisiting rate of hypertension patients, to improve the medical personnel and patient communication for in- creasing medication adherence of hypertensive patients ;to strengthen the construction of grass-roots medical institutions for medical treatment for improving the accessibility of hypertensive patients ; to make full use of modern information technology to education and management for patients with hypertension.