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目的探讨农村老年高血压患者服药依从性及其影响因素。方法根据Morisky评价标准将1 543例社区高血压患者分为服药依从性好和服药依从性差2组,对比2组患者性别、年龄、病程、学历、经济收入、服药种类、血压控制情况,将具有统计学差异的因素进行二分类Logistic回归分析。结果单因素分析显示,服药依从性与患者年龄、病程、学历、经济收入、服药种类、血压控制情况差异均有统计学意义(P<0.05);多因素分析显示,年龄、病程、学历、服药种类、血压控制情况为独立影响因素(P<0.05)。结论农村老年高血压患者药物治疗依从性较低,影响因素主要有年龄、文化程度、服药种类、血压控制情况,这些因素对于加强健康指导,提高药物治疗效果有重要意义。
Objective To investigate the medication adherence and its influencing factors in rural elderly hypertensive patients. Methods According to the Morisky evaluation criteria, 1 543 community-based hypertensive patients were divided into two groups according to their medication compliance and medication compliance. By comparing the gender, age, course of disease, education, economic income, medication type and blood pressure control, Statistical differences between the two factors Logistic regression analysis. Results Univariate analysis showed that there was significant difference (P <0.05) between medication compliance and patient’s age, course of disease, education level, economic income, medication type and blood pressure control (P <0.05). Multivariate analysis showed that age, course of disease, education, medication The type and blood pressure control were independent influencing factors (P <0.05). Conclusion Elderly patients with hypertension in rural areas adherence to drug therapy is low, the main influencing factors are age, educational level, medication type, blood pressure control, these factors are of great significance for strengthening health guidance and improving the effect of drug treatment.