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社区居民高血压控制状况及服药依从性分析 被引量:7

Analysis of hypertension control status and medication adherence among community residents
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摘要 目的了解社区居民高血压患病及控制状况,并对居民服药依从性的影响因素进行分析,为居民高血压的控制和干预提供参考依据。方法自行设计问卷,对武汉市社区居民高血压患病及控制状况进行抽样调查,使用SPSS22.0软件进行统计分析,采用Logistic回归模型进行多因素分析。结果本调查的有效样本数为1290名,其中男632名(49.0%),女658名(51.0%),平均年龄(55.6±13.6)岁。社区居民高血压自我报告率、治疗率分别为21.4%和70.3%。自报有高血压的居民中,79.3%采取了控制措施,坚持服药的人数最多,为191名(69.2%),采取其他措施的人数较少。多因素Logistic回归分析结果显示,相对年龄60岁及以上的患者,18~44岁(OR=9.562,95%CI:4.184~21.854)和45~59岁(OR=2.359,95%CI:1.143~4.870)的患者更有可能不遵医嘱服药。结论武汉市社区居民高血压的控制措施以按医嘱服药为主,对于药物治疗之外的综合干预措施接受程度不高,患者整体服药依从性较好,应重点加强较年轻高血压患者的健康教育。 Objective To investigate the prevalence and control status of hypertension among residents,to analyze the influencing factors of medication adherence,to provide a reference for making preventive measures.Methods Residents meeting the inclusion criteria were enrolled in this study.Self-designed questionnaire was adapted to investigate the prevalence and control of hypertension.Statistical analysis was performed by using SPSS22.0.Multivariate Logistic regression model was used to analyze the associated factors with medication adherence.Results A total of 1290 residents were investigated validly.632(49.0%)of the subjects were male,658(51.0%)were female,and the average age was(55.6±13.6)years.The self-reported prevalence and treatment rate of hypertension was 21.4%and 70.3%,respectively.Among the residents who reported high blood pressure,79.3%had taken control measures.the patients who insisted on medicating were 191(69.2%),and fewer people took other measures.The results of the multivariate Logistic regression analysis showed that comparing with patients aged≥60 years,18-44 years old(OR=9.562,95%CI:4.184-21.854)and 45-59 years old(OR=2.359,95%CI:1.143-4.870)patients were less likely to take medicines consistently as directed by their doctors.Conclusion The control measures of hypertension among community residents in Wuhan are mainly based on taking medication as prescribed by doctors.The acceptance of comprehensive intervention measures is not enough.The medication adherence of patients is overall good.Health education for young hypertensive patients should be emphasized.
作者 肖琛嫦 蒋清青 郭孟兰 翟萌曦 燕虹 XIAO Chenchang;JIANG Qingqing;GUO Menglan;ZHAI Mengxi;YAN Hong(City College,Wuhan University of Science and Technology,Hubei,Wuhan 430083,China;Wuhan University School of Health Sciences,Hubei,Wuhan 430071,China)
出处 《中国医药科学》 2020年第19期20-22,32,共4页 China Medicine And Pharmacy
基金 湖北省教育厅科研计划项目(B2018407) 武汉科技大学城市学院院级科学研究项目(2018CYZDKY005)。
关键词 高血压 控制措施 服药依从性 LOGISTIC回归分析 Hypertension Control measures Medication adherence Logistic regression analysis
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