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社区高血压患者降压药物使用依从性及影响因素分析

Analysis on Antihypertensive Drug Use Compliance and Its Influencing Factor of Hypertension Patients in Community
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摘要 目的:探讨社区高血压患者降压药物使用依从性以及影响因素。方法:选取2018年4月—2021年6月北京市朝阳区八里庄第二社区卫生服务中心收治的90例高血压患者作为研究对象。采用问卷调查评估患者的降压药物使用依从性情况,探讨其影响因素。结果:年龄、体重指数、家庭人均月收入、主要照顾者、文化程度、婚姻状态、居住情况和知识来源不是高血压患者降压药物使用依从性的影响因素,差异无统计学意义(P>0.05);性别、高血压认知程度、医保类型是降压药物使用依从性的影响因素,差异有统计学意义(P<0.05)。90例患者中,降压药物使用以氨氯地平为主,其次为美托洛尔和硝苯地平。结论:高血压患者降压药物使用依从性与性别、高血压认知程度和医保类型有一定的关联性,在对患者开展病情干预时,需要强化健康教育,提高患者对高血压的认知,进而提高治疗依从性。 Objective:To explore the antihypertensive drug use compliance and its influencing factor in the hypertension patients in community.Methods:From April 2018 to June 2021,90 hypertension patients admitted to Balizhuang Second Community Health Service Center of Chaoyang District of Beijing were selected as the study subjects.A questionnaire survey was performed to evaluate antihypertensive drug compliance of patients,and the influencing factors were investigated.Results:The age,body mass index,household monthly income per capita,main caregivers,educational level,marital status,residential status and knowledge source were not the factors that affected the compliance of hypertension patients with antihypertensive drugs,and there was no statistical difference(P>0.05).The gender,the cognition level of hypertension and the type of medical insurance were the factors affecting antihypertensive drug use compliance,and the difference was statistically significant(P<0.05).In 90 patients,antihypertensive drugs were mainly amlodipine,followed by metoprolol and nifedipine.Conclusion:The use of antihypertensive drugs in patients with hypertension is related to the gender,the cognition level of hypertension and the type of medical insurance.When carrying out disease intervention for patients,it is necessary to strengthen the health education,increase the patient’s cognition of hypertension,thus improving treatment compliance.
作者 赵芳 Zhao Fang(Balizhuang Second Community Health Service Center of Chaoyang District,Beijing 100123,China)
出处 《中国社区医师》 2023年第12期158-160,共3页 Chinese Community Doctors
关键词 高血压 降压药物 服药依从性 Hypertension Antihypertensive drugs Medication compliance
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