摘要
目的:了解广东省清远市连南瑶族自治县农村高血压患者服药依从性及其影响因素,为农村居民高血压的防治提供科学依据。方法:随机抽取连南瑶族自治县6个乡镇卫生院及村卫生站2016年7月至2016年11月登记在册的高血压患者,进行Morisky量表及问卷调查。结果:实际完成问卷调查的高血压患者共247例,血压控制率为25.51%。Morisky量表平均得分为(1.53±1.38)分,其中依从性佳的31例(12.55%),依从性差的216例(87.45%)。不同性别及民族在服药依从性方面比较,差异均无统计学意义(P>0.05);但文化程度为小学及以下的患者较文化程度为初中及以上的患者服药依从性较差,差异具有统计学意义(P<0.05);依从性差的患者在年龄及病程方面均明显大于依从性佳的患者,差异具有统计学意义(P<0.01)。服药依从性差的最常见原因依次为:无人监督(73.15%)、记忆力差(65.28%)、自觉症状改善后停药(52.31%)。结论:连南瑶族自治县农村高血压患者服药依从性及血压控制率均偏低,与缺乏家庭及医生监督以及自身因素有关,今后基层医务人员在加强便民诊疗措施的同时还应加强对患者及家属的健康指导及宣教,从而提高患者的服药依从性。
Objective To investigate the medication compliance and the influences among rural residents living in Qingyuan Liannan Yao autonomous county, Guangdong province and to provide evidences for prevention and control of hypertension among the patients. Methods Hypertension patients which were registered in township health centers and village clinics from six towns of Liannan Yao autonomous county were selected to be investigated with a Morisky scale and questionnaire survey. Results 247 hypertension patients were completed the investigation, with the blood pressure control rate was 25.51% and Morisky scale score was 1.53 ± 1.38. Among them, 31 patients(12.55%) have well medication compliance, while 216(87.45%) have bad compliance. There were no significant differences in medication compliance between different gender and ethnic pepole(P > 0.05). Whereas, patients which literacy levels were primary school or below primary school have worse compliance than those patients which literacy levels were junior high school or above junior high school(P < 0.05). The ages of patients with bad compliance were older than that of patients with well compliance, and the courses of disease were longer than that of patients with well compliance too(P < 0.01). The common causes for bad medication compliance in sequence were unsupervised(73.15%), poor memory(65.28%), stop taking medicine after aware of symptom improving(52.31%). Conclusion There is a bad medication compliance and low blood pressure control rate in the rural of Liannan Yao autonomous county, which are associated with lacking supervision by families and doctors, and patients' personal factors. Primary healthcare workers should improve patient's medication compliance by adding more convenient medical measures for patients and strengthening the guidance and education to the patients and their families.
出处
《深圳中西医结合杂志》
2017年第24期14-17,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
