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中国6省7家县级公立医院高血压患者用药依从性及影响因素研究 |
Research on medication adherence and impact factors of hypertension patients in some county-level public hospitals in China |
投稿时间:2020-07-08 修订日期:2021-01-19 |
DOI: |
中文关键词: 高血压 依从性 影响因素 |
英文关键词: hypertension adherence affecting factors |
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中文摘要: |
目的:了解中国部分县级公立医院高血压患者用药依从性现状并探究其影响因素。方法:采用方便抽样,对6省7家县级公立医院高血压患者进行问卷调查,应用Morisky-4用药依从性量表调查患者用药依从性,采用多因素Logistic回归模型分析相关因素。结果:共回收问卷1685份,纳入有效问卷1378份,其中依从性好的高血压患者878例(63.7%),使高血压患者用药依从性更好的主要因素包括参保城镇职工医保(OR= 1.932,95%CI:1.239~3.013)、不喝酒(OR=2.389 ,95%CI:1.654~3.450)、年龄较大(OR=1.409 ,95%CI:1.075~1.845)和身体质量指数较大(OR= 1.913,95%CI:1.292~2.833),使高血压患者用药依从性更差的主要因素包括不与子女同住(OR=0.633 ,95%CI:0.492~0.813)、生活不能自理(OR= 0.228,95%CI:0.153~0.340)、性别为女性(OR=0.714 ,95%CI:0.543~0.938)和收入较高(OR=0.564 ,95%CI:0.420~0.756)。结论:改善高血压患者用药依从性应加强对年轻患者高血压相关知识的教育和宣传,提高医保保障能力,鼓励患者家庭成员加大配合和支持力度,并督促患者养成健康的生活习惯。 |
英文摘要: |
OBJECTIVE: To understand the situation of medication adherence of hypertension patients in some county-level public hospitals in China and explore its influencing factors. METHODS: A questionnaire survey was conducted on hypertension patients in 7 county-level public hospitals in 6 provinces by using a convenient sampling method. Four-Item Morisky Medication Adherence Scale was used to investigate patient medication adherence. A multi-factor Logistic regression model was used to analyze related factors. RESULTS: A total of 1685 questionnaires were collected, and 1378 valid questionnaires were included. Among them, 878 patients (63.7%) with hypertension had good medication adherence. Logistic regression analysis showed that patients with the following characteristics have better medication adherence, including have basic medical insurance system for urban employees(OR= 1.932,95%CI:1.239~3.013), no drinking (OR= 2.389 , 95%CI: 1.654~3.450), being older than 65 (OR=1.409 ,95%CI:1.075~1.845)and have larger BMI (OR= 1.913,95%CI:1.292~2.833). And patients with the following characteristics have worse adherence, including living without children(OR=0.633 ,95%CI:0.492~0.813),can’t take care of himself(OR= 0.228,95%CI:0.153~0.340), female(OR=0.714 ,95%CI:0.543~0.938)and high income(OR=0.564 ,95%CI:0.420~0.756). CONCLUSIONS: To improve the medication adherence of hypertensive patients, it is necessary to strengthen the education and increase publicity of hypertension-related knowledge of young patients, improve the level of medical insurance, encourage the family members of patients to increase cooperation and support, and urge patients to develop healthy habits. |
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