摘要
目的探讨山东省农村地区高血压患者服药依从性现状及其影响因素,为山东省高血压患者规范化管理及干预提供参考依据。方法采用分层随机抽样方法,在济南章丘区、滨州滨城区、泰安宁阳县和威海乳山市4个县(市)区随机抽取2个乡镇,每个乡镇随机抽取3个村,每村随机抽取25名高血压患者作为调查对象。通过入户面对面问卷调查收集相关资料。采用χ2检验和多因素Logistic回归进行高血压患者服药依从性影响因素分析。结果511例高血压患者纳入本次分析,其中服药依从性好者187人,占36.59%,服药依从性差者324人,占63.41%。单因素分析显示,不同病程、服药种类、服药频次、药费支付方式及知识知晓度的高血压患者其服药依从性比较,差异有统计学意义(P<0.05);多因素分析显示,小学和初中文化程度、自费支付高血压药费、相关知识知晓程度好的高血压患者服药依从性较好;服药种类越多,患者服药依从性越差(P<0.05)。结论山东省农村地区高血压患者服药依从性较差,文化程度、服药种类、药费支付方式、高血压相关知识知晓程度等是农村高血压患者服药依从性的影响因素。
Objective To explore the status and influencing factors of medication compliance of hypertension patients in rural areas of Shandong province,so as to provide the reference for the standardized management and intervention.Methods Using stratified random sampling method,2towns were randomly selected from Zhangqiu district of Jinan,Bincheng district of Binzhou,Ningyang county of Tai'an and Rushan city of Weihai,3villages were randomly selected from each town,then 25patients with hypertension were randomly selected from each village as the subjects of the survey.The relevant data were collected through face-to-face questionnaire survey.Chi-square test and multivariate Logistic regression were used for statistical analysis of factors influencing medication compliance in patients with hypertension.Results A total of 511patients with hypertension were included in this analysis.Among them,187patients(36.59%)had good medication compliance,while 324(63.41%)had poor medication compliance.Univariate analysis showed that there were statistically significant differences in medication compliance among hypertensive patients with different disease courses,medication types,medication frequency,medication payment methods and knowledge awareness(P<0.05);multivariate analysis showed that hypertensive patients with junior high school education,self-financed payment for hypertension medications,and good awareness of related knowledge had better medication compliance;the more medication types,the worse the medication compliance(P<0.05).Conclusion The compliance of patients with hypertension in rural areas of Shandong province is poor.Education level,types of medications,payment methods of medicines,and awareness of hypertension-related knowledge are the influencing factors of medication compliance in rural hypertension patients.
作者
田雪莹
张丙银
侯家祥
李晋
邓文锴
陈良侠
TIAN Xue-ying;ZHANG Bing-yin;HOU Jia-xiang;LI Jin;DENG Wen-kai;CHEN Liang-xia(Shandong Center for Disease Control and Prevention,Jinan,Shandong,250014,China;不详)
出处
《预防医学论坛》
2020年第10期732-735,共4页
Preventive Medicine Tribune
基金
山东省医药卫生科技发展计划项目(项目编号:2013WS0167)。
关键词
农村
高血压
服药依从性
影响因素
Rural areas
Hypertension
Medication compliance
Influencing factors
