摘要
目的:调查研究轻度睡眠呼吸暂停综合征合并高血压晨峰现象患者治疗依从性现状及影响因素。方法:选取2014年10月-2016年12月本院收治的90例轻度睡眠呼吸暂停综合征合并高血压晨峰现象患者为研究对象,将其采用Morisky问卷进行治疗依从性的评估,比较不同个人情况(性别、年龄、文化程度、社会支持程度、收入状况、居住地、配偶情况及情绪状态)及疾病治疗情况(高血压分级、高血压病程、付费方式及并发症发生情况)者的评估结果,并采用多因素logistic回归分析处理上述因素与本类患者治疗依从性的关系。结果:90例轻度睡眠呼吸暂停综合征合并高血压晨峰现象患者中,治疗依从性高51例,占56.67%;不同治疗依从性患者个人情况及疾病治疗情况比例比较,差异均有统计学意义(P<0.05);多因素logistic回归分析显示,上述个人情况及疾病治疗情况指标均是轻度睡眠呼吸暂停综合征合并高血压晨峰现象患者治疗依从性的影响因素(P<0.05)。结论:轻度睡眠呼吸暂停综合征合并高血压晨峰现象患者治疗依从性相对较差,且影响因素较多。
Objective:To investigate the treatment compliance status of patients with mild sleep apnea syndrome complicated with morning peak of hypertension and its influence factors.Method:A total of 90 patients with mild sleep apnea syndrome complicated with morning peak of hypertension from October 2014 to December 2016 treated in our hospital were selected as the research objects,and the treatment compliance of patients were evaluated with Morisky questionnaire,then the evaluation results of patients with different personnel situation(gender,age,education degree,social support degree,income situation,residence,spouse and emotional state),disease and treatment situation(classification of hypertension,course of hypertension,payment and complications situation)of two groups were compared,then the relationship between those factors and treatment compliance of these patients were analyzed with multivariate logistic regression analysis.Result:In 90 patients with mild sleep apnea syndrome complicated with morning peak of hypertension,there were 51 cases with high treatment compliance,the rate was 56.67%.And the high treatment compliance rates of patients with different personnel situation,disease and treatment situation were compared,there were statistically significant differences(P<0.05).The multivariate logistic regression analysis showed those personnel situation,disease and treatment situation were the influence factors of treatment compliance of patients with mild sleep apnea syndrome complicated with morning peak of hypertension(P<0.05).Conclusion:The treatment compliance status of patients with mild sleep apnea syndrome complicated with morning peak of hypertension are relatively worse,and the influence factors are more.
作者
庄秋云
黎洁雯
陈金凤
连丽虹
ZHUANG Qiuyun;LI Jiewen;CHEN Jinfeng;LIAN Lihong(People’s Hospital of Zhongshan City,Zhongshan 528400,China;不详)
出处
《中国医学创新》
CAS
2020年第24期5-8,共4页
Medical Innovation of China
基金
中山市科技计划项目(2015B1200)。
