原发性高血压患者164例遵医行为的调查

背景原发性高血压患者遵医情况直接影响到病情发展及预后,而遵医行为又受什么因素影响呢?目的分析影响原发性高血压患者遵医行为的因素.设计横断面调查.单位解放军第四军医大学秦都口腔医院外宾病房.对象1998-01/2000-08第四军医大学秦都口腔医院外宾病房收治的原发性高血压患者205例.纳入标准符合WHO高血压诊断标准.排除标准排除糖尿病及其他心血管系统疾病.符合上述标准患者164例,男122例,女42例;平均年龄(51±5)岁.方法采用自编原发性高血压患者遵医行为调查问卷对164例患者进行调查,观察患者性别、文化程度、家庭经济情况、病程长短情况等因素对遵医行为的影响.主要观察指标患者遵医行为相关因素的分析.结果53.0%(87/164)的患者能遵医坚持运动治疗,58.5%(96/164)的患者能遵医坚持合理饮食,51.6%(32/164)患者能遵医戒除烟酒,82.3%(135/164)的患者能遵医坚持定期复查,64.6%(106/164)的患者能遵医坚持药物治疗.患者的性别对遵医行为无明显影响;不遵医行行为发生率较高的为文盲和初中以下文化程度者,高中以上文化程度者的发生率则较低(x2=7.25,P<0.01);人均收入>500元/月者不遵医行为的发生率较<500元/月者低(x2=39.4,P<0.01);病程<1年的患者不遵医行为的发生率较病程>1年的患者低(x2=5.66,P<0.05).结论原发性高血压患者遵医行为较差,患者的文化程度、家庭经济状况及病程长短等因素对遵医行为有显著影响.

Medical order-obeying behavior in 164 patients with essential hypertension

BACKGROUND: Medical order-obeying behavior(MOOB) in patients with essential hypertension(EH) cau directly affect the progression and prognosis of the disease. What factors, in turn, affect MOOB?OBJECTIVE:To analyze factors affecting MOOB in EH patients.DESIGN: Cross-sectional study.SETTING: Foreign Guests Ward of Qindu Stomatological Hospital, Fourth Military Medical University of Chinese PLA.PARTICIPANTS: A total of 205 patients with EH were admitted into the Foreign Guests Ward of Qindu Stomatological Hospital, Fourth Military Medical University of Chinese PLA from January 1998 to August 2000. Inclusion criteria: In accordance with WHO diagnostic criteria for hypertension. Exclusion criteria: Diabetes and other cardiovascular diseases. Altogether 164 patients with the mean age of (51 ± 5) years, 122 men and 42 women , accorded to the inclusion criteria.METHODS: The 164 patients were investigated with the self-designed questionnaire concerning MOOB in EH patients; patients' sex, educational level, family economic conditions, disease duration and other factors affecting MOOB were observed.MAIN OUTCOME MEASURES:Factors related to the patients' MOOB.RESULTS:53.0% (87/164) patients followed the medical orders and persisted in exercise therapy, 58.5 % ( 96 / 164 ) patients followed reasonable diet, 51.6% (32/164)patients quitted smoking and alcohol drinking, 82. 3% (135/164) received regular recheck-up, 64.6% (106/164) followed the medicinal treatment prescribed. Sex did not influence MOOB significantly. The rate of medical-order disobedience was higher in illiterate people and those with education below junior middle school level, but lower in those with education above senior middle school level(x2 =7.25, P < 0.01) . The disobedience rate was lower in patients with the mean income of > 500 yuan/month than in those with < 500 yuan/month(x2 = 39.4, P < 0.01),and was also lower in patients with disease duration < 1 year than those with disease duration > 1 year (x2 =5.66, P < 0.05).CONCLUSION; Medical order-obeying behavior in EH patients is poor, and it is significantly influenced by patients' educational level, family economic conditions and disease duration.