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目的:探讨老年高血压患者用药依从性的影响因素进行调查分析,探讨改进老年高血压患者用药依从性的对策。方法:选择我院2011年5月至2012年2月收治的老年高血压患者100例,采用问卷调查的方式,分析对服药依从性造成影响的原因,并制定相关对策,以改善患者的生活质量。结果:本组100例患者中,对医嘱完全遵循者占12%,长期用药者占33%。未按医嘱用药者为88%,停药者67%,比较差异有统计学意义(P<0.05)。知识缺乏,生理因素,用药监督缺乏,费用高,用药疗程长、次数多、品种多,药物不良反应为对服药依从性造成影响的因素。结论:针对服药依从性影响因素进行分析,需依据患者的经济情况,对药物进行合理选择,并使剂量和种类尽量减少,加强与家属的沟通,以综合提高服药依从性。
OBJECTIVE: To investigate the influencing factors of medication compliance in elderly patients with hypertension and to explore ways to improve medication adherence in elderly patients with hypertension. Methods: One hundred elderly hypertensive patients admitted from May 2011 to February 2012 in our hospital were selected. Questionnaires were used to analyze the reasons for their compliance with medication compliance and to develop relevant measures to improve the quality of life of patients . Results: Of the 100 patients in this group, those who completely followed the doctor’s advice accounted for 12% and those who took the long-term medication accounted for 33%. 88% of patients did not follow the doctor’s advice, and 67% of those who discontinued medicine, the difference was statistically significant (P <0.05). Lack of knowledge, physical factors, lack of drug supervision, high cost, long course of treatment, multiple times, variety, adverse drug reactions to medication compliance factors. Conclusion: According to the analysis of the influencing factors of medication compliance, we need to select the drugs according to the economic conditions of the patients, minimize the dosage and types, and strengthen the communication with family members so as to comprehensively improve the medication compliance.