甘肃省榆中县夏官营镇老年高血压患者用药依从性调查分析

目的：充分了解影响农村地区老年高血压患者用药依从性的因素，为提高高血压患者用药依从性提供参考。方法：对甘肃省兰州市榆中县夏官营镇912名65岁以上居民进行健康体检，对所筛选出的高血压患者的用药依从性问题进行现场问卷调查。结果：老年高血压患者用药依从性好、尚可、差所占比例分别为36.12%、28.49%和35.04%；用药依从性不佳的主要原因为记忆力减退和家属督促不力；对药物疗效完全了解、部分了解、不了解者分别占50.52%、31.87%和17.61%。结论：甘肃省兰州市榆中县夏官营镇老年高血压患者用药依从性较差，对药物疗效等相关知识了解程度不高，不按时服药的老年高血压患者较多。提示医、药、护人员要深入社区，加强对老年高血压患者的健康教育，对患者家属加强督促，使患者认识到药物治疗对控制血压的重要性，提高用药依从性。

On Medication Compliance of Elderly Patients with Hypertension in Xiaguanying Town of Yuzhong County in Gansu Province

Objective:To fully understand the influencing factors affecting the compliance of medication of the elderly patients with hypertension in rural area in order to provide references for improving the compliance medication. Methods:A total of 912 residents over the age of 65 in Xiaguanying town in Yuzhong county received physical examination. A questionnaire survey on the compliance of medication was conducted among selected patients with hypertension. Results:The proportion of the medication compliance of the elderly patients with hypertension from good, moderate to bad was 28.49% and 35.04%, respectively. The main causes for poor compliance of medication were memory deterioration and poor supervision by family members. Complete understanding, partial understanding and lack of understanding of drug efficacy accounted for 50.52%, 31.87% and 17.61%, respectively. Conclusion:The compliance of medication of the elderly patients with hypertension in Xiaguanying town in Yuzhong county in Gansu Province was bad due to the poor understanding of the drug efficacy and untimely medication of many elderly patients with hypertension. It''s necessary for medical staffs to strengthen health education of the elderly patients with hypertension in rural community and to enhance the supervision of family members so that the elderly patients with hypertension could understand the importance of medication in controlling blood pressure so as to improve the compliance of medications.