文献类型：期刊文献

中文题名：在院高血压患者中药物治疗者服药依从性分析

英文题名：Logistic regression analysis on the compliance among hospitalized patients with anti-hypertension therapy

作者：许瑞[1];李应东[2]

第一作者：许瑞

机构：[1]甘肃中医学院护理学院;[2]甘肃中医学院中西医结合学院

第一机构：甘肃中医药大学护理学院

年份：2014

卷号：41

期号：16

起止页码：2905

中文期刊名：现代预防医学

外文期刊名：Modern Preventive Medicine

收录：CSTPCD;;北大核心:【北大核心2011】；

基金：甘肃中医学院中青年科研基金项目(2012-20)

语种：中文

中文关键词：高血压患者;服药依从性;调查;Logistic回归分析

外文关键词：Patients with hypertension; Compliance in patient with anti-hypertension therapy; Investigation; Multivariate logistic regression analysis

摘要：目的调查分析入院高血压患者的治疗方式和药物治疗者的服药依从性,为医护人员有针对性地开展科学的健康教育提供依据。方法采用多阶段抽样的方法,抽取兰州市5所三甲医院入院患者中的604例高血压患者,通过问卷调查其治疗方式,对其中523例药物治疗者的服药依从性进行分析。采用卡方检验和多因素Logistic回归分析。结果被调查的604例高血压患者中有86.6%(523名)的患者接受药物治疗,其中27.3%(143名)的患者能严格遵医嘱规律服药。Logistic回归分析结果显示:婚姻状况(P0.009)、高血压急症(亚急症)发病率(P0.000)和自我管理能力(P0.000)均与服药依从性达到极显著相关性(P0.01),高血压控制率(P0.029)与服药依从性有相关性(P0.05)。结论高血压患者的治疗方式单一,药物治疗者的服药依从性差。婚姻状况、高血压控制率、高血压急症(亚急症)发病率和自我管理能力是服药依从性的主要影响因素。实施健康教育与促进,有助于提高患者的药物依从性,提高高血压控制率,减少高血压急症等并发症的发生。
Objective The aim of this study was to investigate the compliance in patient with anti-hypertension therapy, and to provide scientific basis for doctors and nurses to carry out reasonable health education in disease prevention and treatment. Methods The multi-stage sampling methodology and a questionnaire survey were used. Compliance in patient with anti-hypertension therapy among 604 hospitalized patients in five three-A-level hospitals in Lanzhou city were investigated and the influencing factors were analyzed. The data were analyzed by chi-squaxe test and multivariate logistic regression analysis. Results Among the 604 hospitalized patients with anti-hypertension therapy, 86.6% of them （523） took antihypertensive drugs to control blood pressure. Among the 523 patients subjected to drug treatment, only 27.3% of them （143） could take strict compliance rules, and 72.7% could not. Logistic regression analysis results showed that the married patients group had maximum compliance in patient with anti-hypertension therapy, the widowed patients group had minimum medication compliance, with significant differences （P=-0.009） between the two group. Emergency incidence rate （/9=-0.000） and self management （P=0.000） were all significantly correlated with compliance in patient with anti-hypertension therapy （P〈0.01）. Hypertension control rate （P=0.029） was correlated to compliance in patient with anti-hypertension therapy （P〈0.05）. Conclusion The current problems are that the therapy methodology for hospitalized patients with hypertension is simple and the patients show very poor compliance. The marital status of the patients, the controlling rate of hypertension, the incidence of hypertensive emergency （or urgency） and the self-management skills were the common factors affecting compliance in patient with anti-hypertension therapy. Therefore, strengthening scientific and reasonable health education for the hospitalized patients with hypertension by doctors and nurses, improving the compliance to anti-hypertension therapy and tracking the medical compliance behaviors are effective strategies to control hypertension, improve the control rate of hypertension and decrease the incidence rate of hypertensive emergency and other complications.