摘要
目的了解湖北省武汉市社区高血压患者药物依从性及其影响因素,为有效改善高血压药物控制策略效果提供参考依据。方法于2014年8月采用整群随机抽样方法在武汉市35家公有制社区卫生服务中心和35家乡镇卫生院中抽取4 106例高血压患者进行问卷调查。结果武汉市4 106例高血压患者中,有2 007例患者具有药物依从性,药物依从率为48.9%;多因素非条件logistic回归分析结果显示,参保类型为城镇居民医疗保险、新型农村合作医疗保险和其他医疗保险、单纯性收缩期高血压、高血压相关疾病对家庭经济造成负担比较重和非常重是武汉市社区高血压患者药物依从性的危险因素,女性、年龄≥61岁、文化程度小学及以上、高血压Ⅲ期是武汉市社区高血压患者药物依从性的保护因素。结论武汉市社区高血压患者药物依从性较差,性别、年龄、文化程度、职业、家庭平均月收入、参保类型、高血压类型、高血压相关疾病对家庭经济造成负担是高血压患者药物依从性的影响因素。
Objective To study medication adherence and its associated factors among community hypertension pa- tients in Wuhan municipality and to provide evidences for improving the efficiency of hypertension medication. Methods A questionnaire survey was conducted among 4 106 hypertension patients recruited with cluster random sampling at 35 community health service centers and 35 township hospitals in Wuhan municipality. Results Of the patients,48.9% （2 007） reported good adherence to antihypertensive drugs. The results of the multivariate unconditional logistic regres- sion showed that with medical insurance for urban residents, with new rural cooperative medical insurance or other insur- ance system, with isolated systolic hypertension, having hypertension and other disease-related familial economic burden were risk factors of low medication adherence; whereas, female gender, aged 61 years or above, with primary school or higher education, and with the hypertension of stage Ⅲ were protective factors of medication adherence. Conclusion Medication adherence is relatively low and mainly influenced by gender, age, education level, occupation, familial monthly income, type of medical insurance, staging of hypertension, and hypertension-related disease economic burden among community hypertension patients in Wuhan municipality.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2016年第7期920-924,共5页
Chinese Journal of Public Health
基金
华中科技大学自主创新研究基金资助项目(2014YGYL023)
关键词
药物依从性
高血压患者
社区
影响因素
medication adherence
hypertension patient
community
influence factor
