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药师干预对老年高血压患者用药依从性影响研究 被引量:1
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作者 杜鹃 李霞 《中外医疗》 2014年第30期153-154,共2页
目的研究讨论临床药师对老年高血压患者用药依从性影响。方法将该院2012年1月—2014年3月诊断为老年高血压患者280例随机分成研究组和对照组各140例,对照组患者常规发药方式,不进行药品使用干预。研究组常规方式发药后,为患者进行高血... 目的研究讨论临床药师对老年高血压患者用药依从性影响。方法将该院2012年1月—2014年3月诊断为老年高血压患者280例随机分成研究组和对照组各140例,对照组患者常规发药方式,不进行药品使用干预。研究组常规方式发药后,为患者进行高血压疾病知识讲解、所用药物作用解释,按时按量、遵医嘱用药重要性。介绍药物在服用方法、时间及过程中可能出现的不良反应及处理方法。采用自制问卷统计患者用药依从性情况,分别对患者用药后一周、两周、一个月、三个月和半年进行回访。结果两组患者在治疗前两周用药依从性相对较高,且组间差异无统计学意义(P>0.05)。但在第1个月回访调查开始,第1个月、第3个月和第6个月对照组用药依从性48例(34.29%)、32例(22.86%)、25例(17.86)明显低于研究组88例(62.86%)、71例(50.71%)、58例(41.43%)。组间对比差异有统计学意义(P<0.05)。结论为患者提供有效实用的,有价值的用药知识,并进行必要干预,是有效的、可行的提高患者用药依从性方法,值得推广。 展开更多
关键词 临床药师 老年高血压患 用药影响
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Sex-specific effects of social networks on the prevalence, awareness, and control of hypertension among older Korean adults 被引量:1
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作者 Jiwon Baek Nam Wook Hur +1 位作者 Hyeon Chang Kim Yoosik Youm 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第7期580-586,共7页
Background Hypertension is a common chronic disease among older adults, and is associated with medical complications and mor- tality. This study aimed to examine the effects of social network characteristics on the pr... Background Hypertension is a common chronic disease among older adults, and is associated with medical complications and mor- tality. This study aimed to examine the effects of social network characteristics on the prevalence, awareness, and control of hypertension among older adults. Methods The Korean Social Life, Health, and Aging Project (KSHAP) interviewed 814 〉 60-year-old residents and their spouses from a rural township between December 2011 and March 2012 (response rate: 95%). We evaluated the data from 595 partici- pants. Multivariate logistic regression models were used to assess the effects of network characteristics on hypertension. Results We ob- served strong sex-specific network effects on the prevalence, awareness, and control of hypertension. Among older women, network density was associated with hypertension awareness [odds ratio (OR): 2.63, 95% confidence interval (CI): 1.03 5.37J and control (OR: 1.72; 95% CI 0.94-3.13). Among older men, large networks were associated with a lower prevalence of hypertension (OR: 0.75; 95% CI: 0.58-0.96). Compared to older women, older men with coarse networks exhibited better hypertension awareness (OR: 0.37; 95% CI: 0.14-0.95) and control (OR: 0.42; 95% CI: 0.19-0.91 ). Network size interacted with density for hypertension control (P = 0.051), with controlled hyperten- sion being associated with large and course networks. Conclusions A large network was associated with a lower risk for hypertension, and a coarse network was associated with hypertension awareness and control among older men. Older women with dense networks were most likely to exhibit hypertension awareness and control. 展开更多
关键词 Hypertension management Sex difference Social density Social network
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POLYMORPHISM OF ANGIOTENSIN I TYPE 1 RECEPTOR GENE IN ELDERLY PATIENTS WITH ESSENTIAL HYPERTENSION
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作者 方宁远 张怡 +3 位作者 陆惠华 郑迪辉 郑道声 邬亦贤 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2003年第1期46-49,共4页
Objective To detect the A/C1165 polymorphism of angiotensin Ⅱ type Ⅰ receptor (AT1-R)gene in essential hypertensive elderly. Methods The A/C1166 polymorphism of AT1-R gene was assessed by polymerase chain reaction-r... Objective To detect the A/C1165 polymorphism of angiotensin Ⅱ type Ⅰ receptor (AT1-R)gene in essential hypertensive elderly. Methods The A/C1166 polymorphism of AT1-R gene was assessed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) in a case-control study of 87 essential hypertensive elders (EH) and 55 normolensive elders (NT). Results The genotype frequencies of AA, AC, CC were 0 .805 , 0.161, 0 .034 in EH group and 0 .927 ,0 .073 ,0 .000 in NT group respectively. The frequency of C61166 allele was higher in EH group (0.115) than in NT group (0 .036 )(P<0 .05 ). Conclusion The resultsindicate that A/C1166 polymorphism of AT1-R gene may be associated with essential hypertension in elderly. 展开更多
关键词 essential hypertension angiotensin t\pe Ⅰreceptor gene polymorphism
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