社区高血压患者苯磺酸左旋氨氯地平服药依从性的观察

发布时间：2018-02-04 05:25

本文关键词： 社区高血压依从性苯磺酸左旋氨氯地平　出处：《中华高血压杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨服用苯磺酸左旋氨氯地平的社区高血压患者服药依从性及血压控制情况的影响因素。方法纳入2015年9-12月上海市9个社区卫生服务中心管理的710例服用苯磺酸左旋氨氯地平的高血压患者,进行问卷调查和血压检测。应用Logistic回归分析高血压患者服药依从性和血压控制的影响因素。结果服用苯磺酸左旋氨氯地平的患者710例服药依从性佳的比例为71.1%,血压控制率为63.4%。多因素分析结果显示:控制社会人口学特征后,与服药≥2次/d的患者相比,服药1次/d的患者服药依从性更佳(OR=5.99,95%CI 2.46~4.59);自报药物价格越贵、自报服药越不方便,患者服药依从性越差;与未发生不良反应的患者相比,发生不良反应的患者服药依从性差(OR=0.36,95%CI0.13~0.97)。患病年限≥20年(OR=0.48,95%CI 0.30~0.77)、自报服药不方便(OR=0.34,95%CI0.16~0.71)是血压控制的危险因素,服药依从性佳(OR=1.33,95%CI 1.03~1.72)是血压控制的保护因素(均P0.01)。结论患者对药物本身特征的认知可影响患者的服药依从性,服药依从性是影响血压控制的重要因素。
[Abstract]:Objective to explore the influence factors of taking Levamlodipine community hypertension medication compliance and blood pressure control. Methods included in the 2015 9-12 month 9 Shanghai city community health service center management of 710 cases with levoamlodipine besylate in patients with hypertension, questionnaire survey and blood pressure were detected using Logistic regression analysis. Medication compliance of patients with hypertension and blood pressure control effect. The result of taking Levamlodipine besylate in 710 patients with good compliance ratio is 71.1%, the rate of blood pressure control for 63.4%. multivariate analysis results showed that: the control of social demographic characteristics, more than 2 times compared with the drug /d patients, patients with better compliance take the medicine 1 times of /d (OR=5.99,95%CI 2.46~4.59); self-reported drug prices more expensive, self-reported medication is not convenient, the medication compliance of patients with worse; and without adverse reaction Compared with patients, medication compliance of patients with adverse reactions difference (OR=0.36,95%CI0.13~0.97). Duration is more than 20 years (OR=0.48,95%CI 0.30~0.77), self-reported medication is not convenient (OR=0.34,95%CI0.16~0.71) is a risk factor for blood pressure control, medication compliance is good (OR= 1.33,95%CI 1.03~1.72) is a protective factor for blood pressure control (P0.01). Conclusion patients the cognitive characteristics can influence the drug compliance of the patients, medication compliance is an important factor affecting the control of blood pressure.

【作者单位】：复旦大学公共卫生学院复旦大学健康传播研究所;
【基金】：上海卫生系统先进适宜技术推广项目(2013SY006)
【分类号】：R544.1
【正文快照】： 目前我国约有2亿高血压患者,占全球高血压总人数的1/5,调查结果显示:2004-2005年我国高血压知晓率、治疗率和控制率分别为48.4%、38.5%、9.5%,而且治疗控制率也仅有24.0%,均处于较低水平[1]。血压控制不好是导致高血压患者心脑血管事件发生和死亡的重要因素,而服药依从性欠佳

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