高血压患者药物治疗依从性社区干预研究

目的 确定社区高血压药物治疗依从性干预方案与评价干预效果。方法 通过定量与定性调查及文献评阅，确定高血压药物治疗依从性可干预因素，制定针对性的干预措施，包括社区高血压诊治医生的培训，对高血压病人的健康教育，组建高血压自我管理小组和提供免费血压测量与随访等，评估干预的近期效果。结果 高血压人群药物治疗依从性佳的比例由31、1％提高到49．6％。高血压相关知识知晓程度上升，医患关系改善。人群血压控制正常率由26、1％提高到32．8％。血压控制率（收缩压〈140mm Hg和舒张压〈90mm Hg）提高了2513％（P〈0、01）。结论 所确定的社区干预策略近期效果明显，通过对药物治疗依从性的干预，可提高高血压的控制率。

A Study of Community Intervention on Compliance with Antihypertensive Medicine in Patients with Hypertension

Objective To develop the intervention strategy for community intervention on compliance with antihypertensive medicine in patients with hypertension,and to evaluate its effectiveness.Method The changeable influence factors for compliance with antihypertensive medicine in patients with hypertension was identified by quantitative and qualitative survey in community and related literatures was reviewed.Then the intervention strategy was set down and put into practice and evaluated on its short-time effectiveness.Result The rate of good compliance of patients increased from 31.1% to 49.6% through the performance of the interventions such as training primary physicians,health education,setting up self-management group in the patients,providing blood pressure measurement with free charge and following up.There were significant improvements in awareness of related knowledge about high blood pressure.There was a better relationship between physicians and patients.The prevalence of normal blood pressure(Bp<140/90 mm Hg)in hypertensive patients increased from 26.1% to 32.8% and the rate of hypertension control was increased by 25.3%(P<0.01).Conclusion The community interventions showed good short-time effectiveness.It contributed to the improvement in compliance with antihypersive medicine in patients with hypertension and increasing the rate of normal blood pressure in hypertensive patients.