少数民族地区老年原发性高血压患者慢性病资源利用与服药依从性的相关分析

Influence of chronic disease resource utilization on medication adherence among elder patients with primary hypertension in minority areas

目的 了解少数民族地区老年原发性高血压患者慢性病资源利用、服药依从性现状,分析慢性病资源利用与服药依从性的相关性.方法 采用便利抽样法,于2016年4—5月,选择西宁市城北区、城中区6个街道的老年原发性高血压患者为研究对象.采用慢性病资源问卷和Morisky问卷对其进行调查.结果 老年原发性高血压患者慢性资源利用得分为（68.72±10.26）分,各维度得分由高到低分别为医护人员、家人朋友、自我调节、媒体政策、社会团体、社区邻里;服药依从性得分为（11.32±3.52）分;服药依从性与慢性病资源利用各维度均呈正相关（P〈0.05）.结论 少数民族地区老年原发性高血压患者的慢性病资源利用及服药依从性处于中等水平,其资源利用水平越高,服药依从性越高.应从改善患者资源利用角度,提高少数民族地区老年高血压患者服药依从性,从而提高其治疗效果.

ObjectiveTo explore the status of chronic disease resource utilization and medication adherence among elder patients with primary hypertension in minority areas, and to analyze the influence of chronic disease resource utilization on medication adherence.Methods By convenience sampling method, from April to May 2016, elder patients with primary hypertension were selected from 6 communities in central zone and north zone in Xi＇ning city, and were surveyed by questionnaire on chronic disease resource and Morisky Questionnaire.Results Scores of chronic disease resource utilization among elderly patients with primary hypertension were （68.72±10.26）, with scores of various dimensions in descending order as follows： medical staff, family ＆amp; friends, self-adjustment, media policy, social organizations, and community neighborhood. Scores of medication adherence were （11.32±3.52）; medication adherence was positively correlated with chronic disease resource utilization （P〈0.05）.Conclusions Chronic disease resource utilization and medication adherence among elder patients with primary hypertension in minority areas are in the medium level. The higher level chronic disease resource utilization is, the higher level medication adherence is. Medication adherence among elder patients with primary hypertension in minority areas can be improved by bettering resource utilization of the patients, so that treatment effect can be ensured.