社区高血压病人药物治疗依从性与影响因素分析

目的：评价高血压病人药物治疗依从性水平并探讨其影响因素。方法：问卷调查社区１５６５名血压高于１４０／９０ｍｍＨｇ的高血压病人。结果：高血压人群药物治疗依从性佳的比例为３１．２％。影响因素Ｌｏｇｉｓｔｉｃ回归分析：知晓药物副作用（ＯＲ＝１．８８，９５％ＣＩ１．１９～２．９７）、医患共商治疗方案（ＯＲ＝１．６３，９５％１．６３，９５％ＣＩ１．１９～２．２３）、家人提醒服药（ＯＲ＝２．２５，９５％ＣＩ１．５９～３．１７）、人均月收入高于５００元（ＯＲ＝１．５３，９５％ＣＩ１．０６～２．２１）均有助于提高病人的依从性。分别治疗前血压水平对依从性的影响显示无统计学意义。依从性佳血压控制正常率为３０．２％，不佳组为２５．７％，但末显示出统计学差异。结论：高血压病人药物治疗的依从性较低，病人的健康教育仍需加强，同时也应加强社

The Study on the Compliance of Patients with Antihypertensive Therapy and Influence Factors in Community

Objective:To evaluate the compliance of patients with antihypertensive therapy(CPAT) and analyze its influence factors.Methods:1 565 patients with hypertension(over 140/90 mmHg) were interviewed using the questionnaire of compliance.Results:The ratio of good CPAT is 31 2%.The Logistic regression analysis results showd:the factors significantly helping to improve CPAT are knowing the side effects of the medicine ( OR =1 88,95%CI 1.19~2.97),discussing and reaching an agreement on treatment regimen between physicians and patients( OR =1 63,95%CI 1.19~2.23),taking medicine by family's numbers reminding ( OR =2 25,95%CI 1.59~3.17),the average income of family numbers over 500 Yuan a month( OR =1 53,95%CI 1.06~2.21).There is no significant diffe rence between the value of primary blood pressure and CPAT.There is no significant diffe rence in the rate of blood pressure below 140/90 mmHg between good CPAT group(30 2%) and bad CPAT group(25 7%).Conclusion:The rate of good CPAT is lower.Health Education on hypertensive patients need to be strengthened.Meanwhile,training community physicians also need to be strengthened in treating hypertension.