| 何方方,杜彬彬,王艺敏,李妙端,牛建平,纪勇.中国老年高血压患者服药依从性调查[J].济宁医学院学报,2024,47(4):281-285 |
| 中国老年高血压患者服药依从性调查 |
| The medication compliance of elderly hypertensive patients in China |
| 投稿时间：2024-02-02 |
| DOI：10.3969/j.issn.1000-9760.2024.04.003 |
| 中文关键词: 老年人;高血压;服药依从性 |
| 英文关键词: The elderly;Hypertension;Medication compliance |
| 基金项目:国家自然科学基金项目(82171182) |
| 作者 | 单位 | E-mail | | 何方方 | 厦门医学院附属第二医院神经内科, 厦门 361021 | | | 杜彬彬 | 厦门医学院附属第二医院神经内科, 厦门 361021 | | | 王艺敏 | 厦门医学院附属第二医院神经内科, 厦门 361021 | | | 李妙端 | 厦门医学院附属第二医院神经内科, 厦门 361021 | | | 牛建平 | 厦门医学院附属第二医院神经内科, 厦门 361021 | | | 纪勇 | 首都医科大学附属北京天坛医院神经内科, 北京 100050 | jiyongusa@126.com |
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| 中文摘要: |
| 目的 调查我国65岁以上老年高血压患者的现状,研究影响高血压服药依从性的相关因素,为提高老年高血压控制有效率提供依据。方法 采用多中心横断面调查的研究方法,由调查团队制定标准化问卷,在知情同意的基础上,由经过统一培训的医护人员对中国境内江苏、福建、海南等11个省市部分街道(村庄)共9046名65岁以上老年人进行入户面对面调查。测量其血压并记录老年高血压人群的服药依从性情况,同时记录调查对象的性别、年龄、婚姻状况、受教育水平、职业、高血压病程、高血压知晓与否、MMSE评分及ADL评分等资料,并分析这些因素与高血压服药依从性之间的关系。结果 本次参加调查的总人数为9046人,剔除73人数据不完整,符合条件的参与调查人数总共8973人,其中高血压患者 4132人(46.05%),包括男性1736人(19.35%)、女性2396人(26.70%),年龄(74.69±6.83)岁。在参与调查的老年高血压人群中,低龄老年人服药依从性优于高龄人群(χ2=8.976,P＜0.05),受教育水平高的(χ2=24.038,P＜0.05)及患高血压病程长的(χ2=209.780,P＜0.05)更好,对高血压的知晓者明显高于不知晓者(78.97% vs 46.36%;χ2=184.738,P＜0.05),患有老年痴呆(倾向)者明显低于精神状态正常者(72.86% vs 77.77%;χ2=11.737,P＜0.05)。性别、利手、职业、婚姻状况和日常生活能力等因素对老年高血压患者的服药依从性影响不明显(P均＞0.05)。结论 中国65岁以上老年高血压人群中,高血压病程、受教育水平及高血压知晓是影响老年高血压服药依从性重要的保护性因素,而年龄和MMSE评价是影响服药依从性的危险因素。 |
| 英文摘要: |
| Objective To investigate the current situation of elderly patients with hypertension over 65 years in China,and to study the relevant factors affecting medication complicance of hypertension patients,so as to provide a basis for improving the effectiveness of hypertension control in the elderly. Methods Using the research method of multi-center cross-sectional survey,a standardized questionnaire was developed by the investigation team,on the basis of informed consent,a face-to-face survey was conducted among 9046 people over 65 years old in some streets (villages) of 11 provinces,including Jiangsu,Fujian and Hainan et al.The blood pressure was measured and the medication compliance of elderly hypertension was recorded.At the same time,the data of gender,age,marital status,education level,occupation,duration of hypertension,awareness of hypertension,MMSE score and ADL score were recorded,and the relationship between these factors and medication compliance of hypertension was analyzed. Results The total number of participants aged 74.69±6.83 years in this survey was 9046,excluding 73 participants with imcomplete date,and a total of 8973 people were eligible for the survey,including 4132 patients with hypertension (46.05%),1736 males (19.35%) and 2396 females (26.70%).Among the elderly hypertensive population who participated in the survey,the medication compliance of the yonnger elderly individuals was better than that of older individuals (χ2=8.976,P＜0.05),and the medication compliance of those with high education level (χ2=24.038,P＜0.05) and those with long duration of hypertension (χ2=209.780,P＜0.05) was better,with significant differences.In elderly patients with hypertension,those who knew about hypertension were significantly higher than those who did not (78.97% vs 46.36%,χ2=184.738,P＜0.05),and those with senile dementia (tendency) were significantly lower than those with normal mental state (72.86% vs 77.77%,χ2=11.737,P＜0.05).Factors such as gender,handedness,occupation,marital status and activities of daily living had no significant influence on the medication compliance of elderly hypertension patients(P＞0.05). Conclusion sAmong the elderly hypertensive people over 65 years old in China,long course of hypertension,higher education level,and knowledge of hypertension were important protective factors affecting medication adherence in the elderly with hypertension,while age and MMSE evaluation were risk factors. |
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