海口市老年高血压患者生活质量与用药依从性研究

doi:10.12183/j.scjpm.2021.0449

摘要/Abstract

摘要： 目的了解海口市老年高血压患者生活质量与用药依从性情况,分析影响患者用药依从性的相关因素,为提高老年高血压患者的用药依从性及血压控制效果提供依据。方法以2018年3月至2019年6月在海南省某干部疗养院体检中心进行体检的≥60岁高血压患者为研究对象进行生活质量及用药依从性问卷调查,采用描述流行病学分析方法对该人群生活质量及用药依从性进行分析,并采用单、多因素分析方法对用药依从性影响因素进行分析。结果本研究共对1 014例海口市≥60岁高血压患者进行调查,男性582例,女性432例,年龄60~83岁,平均年龄（68.20±5.74）岁,病程6个月至27年,平均病程（7.20±3.74）年。用药依从性好的老年高血压患者为432例,用药依从好比例为42.60%。生活质量总体得分为（60.21±13.54）分。用药依从性好的老年患者各个生活质量维度评分及总体得分均高于用药依从性差患者（均P<0.01）。年龄越大（OR=0.715）、病程越长（OR=0.266）、月均就诊频率≥1次（OR=0.674）、合并其他疾病（OR=0.588）的老年高血压患者用药依从性好的可能性较低,文化程度越高（OR=1.948）、无药物不良反应（OR=2.768）、生活质量评分越高（OR=2.077）的老年高血压患者用药依从性好的可能性较大。结论海口市≥60岁高血压患者用药依从性较差,采取相应的针对性措施对相关影响因素进行有效干预有助于提高老年高血压患者生活质量及用药依从性。

关键词: 老年高血压, 生活质量, 用药依从性, 影响因素

Abstract: Objective To understand the quality of life and medication compliance of elderly patients with hypertension, and analyze the related factors affecting medication compliance, so as to provide basis for improving medication compliance and blood pressure control of elderly patients with hypertension. Methods A questionnaire survey was conducted on the quality of life and medication compliance of hypertensive patients ≥ 60 years old who underwent a physical examination in a medical examination center of a cadre sanatorium in Hainan Province from March 2018 to June 2019.The quality of life and medication compliance were analyzed by descriptive epidemiological analysis, and univariateand multivariate analysis methods were used to analyze the influencing factors of medication compliance. Results In this study, a total of 1014 hypertensive patients ≥60 years old in Haikou City were investigated. There were 582 males and 432 females, aged 60-83 years old, with an average age of （68.20±5.74） years, and the course of disease was 6 months to 27 years, with an average course of disease of（7.20±3.74） years. There were 432 elderly hypertensive patients with good medication compliance, accounted for 42.60%. The overall score of quality of life was （60.21±13.54）. The scores of each quality of life dimension and the overall scores of elderly patients with good medication compliance were higher than those of patients with poor medication compliance （all P<0.01）. Elderly hypertensive patients who wereolder （OR=0.715）, longer course of disease （OR=0.266）, more than one visit per month （OR=0.674） and combined with other diseases （OR=0.588） were less likely to have good medication compliance. The higher the education level （OR=1.948）, no adverse drug reactions （OR=2.768） and the higher the quality of life score （OR=2.077） were more likely to have good medication compliance. Conclusion Hypertensive patients ≥60 years old in Haikou City have poor medication compliance.Taking corresponding targeted measures to effectively intervene the related factors will help to improve the quality of life and medication compliance of elderly patients with hypertension.

Key words: Elderly hypertension, Quality of life, Medication compliance, Influencing factor

中图分类号:

R195

许秋月, 符昭君, 王霞. 海口市老年高血压患者生活质量与用药依从性研究[J]. 华南预防医学, 2021, 47(4): 449-452.

XU Qiu-yue, FU Zhao-jun, WANG Xia. Quality of life and medication compliance of elderly patients with hypertension in Haikou[J]. South China Journal of Preventive Medicine, 2021, 47(4): 449-452.

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