高血压患者规律服药情况及其影响因素分析(1)
摘要：目的 了解高血压患者规律服药的现状及其影响因素，提高患者的服药依从性。方法 采用随机抽样的方法，选取2018年7月～2019年6月在我院就诊的268例高血压患者，使用Morisky-Green问卷了解患者规律服药的情况。结果 268例患者中规律服药占比38.06%(102/268)。未规律服药占比61.94%(166/268)，未规律服药患者中24.70%因“医务人员未告知规律服药重要性”，22.29%因“不知晓高血压疾病的危害”，16.87%认为“血压正常后没必要继续服药”，13.86%因“担心长期服药的药物副作用”，9.64%因“自觉药物效果不好”，7.23%因“经济情况受限”，4.22%因“经常忘记服药”，1.20%因其他原因未规律服药;不同性别规律服药例数比较，差异无统计学意义(P>0.05)，60岁以下规律服药例数高于60岁及以上(P<0.05)。初中及以下规律服药例数低于高中及以上(P<0.05)。多因素logistic回归分析结果显示，年龄≥60岁、文化程度在初中及以下是未规律服药的独立危险因素。结论 目前高血压患者规律服药的占比偏低，患者缺乏对高血压疾病以及治疗药物的正确认识是未规律服药的主要原因，年龄超过60岁、文化程度在初中及以下患者规律服药的情况越差。医务人员加强患者的健康教育、提高患者对高血压疾病的认知，提高高血压患者服药依从性。
关键词：高血压;规律服药;影响因素
中图分类号：R544.1 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2020.08.050
文章编号：1006-1959(2020)08-0153-02
Abstract：Objective To understand the status quo and influencing factors of patients taking hypertension regularly，and to improve their compliance with taking drugs.Methods Random sampling was used to select 268 patients with hypertension who were treated in our hospital from July 2018 to June 2019，and Morisky-Green questionnaire was used to understand the patients' regular medication.Results Regular medication accounted for 38.06%(102/268)of 268 patients.Non-regular medication accounted for 61.94%(166/268)，24.70% of patients who took irregular medication because"the medical staff did not inform the importance of regular medication"，22.29% because "do not know the dangers of hypertension"，16.87% thought that "blood pressure it is not necessary to continue taking the medicine after it is normal.13.86% did not insist on taking medicine because of "worry about the side effects of taking medicine for a long time"，9.64% did not insist on taking medicine because of "conscientious medicine effect is not good"，7.23% because of "economic constraints"，4.22% because of "regular""forget to take medicine"，1.20% did not take medicine regularly for other reasons;there was no statistically significant difference in the proportion of men and women taking medicine regularly(P>0.05)，and the proportion of taking medicine under 60 years old was higher than that of 60 years old and above(P<0.05).The proportion of taking medicine regularly in junior high school and below was lower than that in high school and above(P<0.05).The results of multivariate logistic regression analysis showed that age ≥60 years old and education level in junior high school and below were independent risk factors for irregular medication.Conclusion At present，the proportion of hypertensive patients taking regular medication is low.The lack of correct understanding of hypertension and treatment drugs is the main reason for non-regular medication.Patients who are over 60 years old and have junior high school education and below are regularly taking medication.difference.Medical personnel strengthen the health education of patients，improve patients' awareness of hypertension， and improve the compliance of patients with hypertension., http://www.100md.com(潘建鑫 江瑾玥)
关键词：高血压;规律服药;影响因素
中图分类号：R544.1 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2020.08.050
文章编号：1006-1959(2020)08-0153-02
Abstract：Objective To understand the status quo and influencing factors of patients taking hypertension regularly，and to improve their compliance with taking drugs.Methods Random sampling was used to select 268 patients with hypertension who were treated in our hospital from July 2018 to June 2019，and Morisky-Green questionnaire was used to understand the patients' regular medication.Results Regular medication accounted for 38.06%(102/268)of 268 patients.Non-regular medication accounted for 61.94%(166/268)，24.70% of patients who took irregular medication because"the medical staff did not inform the importance of regular medication"，22.29% because "do not know the dangers of hypertension"，16.87% thought that "blood pressure it is not necessary to continue taking the medicine after it is normal.13.86% did not insist on taking medicine because of "worry about the side effects of taking medicine for a long time"，9.64% did not insist on taking medicine because of "conscientious medicine effect is not good"，7.23% because of "economic constraints"，4.22% because of "regular""forget to take medicine"，1.20% did not take medicine regularly for other reasons;there was no statistically significant difference in the proportion of men and women taking medicine regularly(P>0.05)，and the proportion of taking medicine under 60 years old was higher than that of 60 years old and above(P<0.05).The proportion of taking medicine regularly in junior high school and below was lower than that in high school and above(P<0.05).The results of multivariate logistic regression analysis showed that age ≥60 years old and education level in junior high school and below were independent risk factors for irregular medication.Conclusion At present，the proportion of hypertensive patients taking regular medication is low.The lack of correct understanding of hypertension and treatment drugs is the main reason for non-regular medication.Patients who are over 60 years old and have junior high school education and below are regularly taking medication.difference.Medical personnel strengthen the health education of patients，improve patients' awareness of hypertension， and improve the compliance of patients with hypertension., http://www.100md.com(潘建鑫 江瑾玥)
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