影响高血压药物坚持水平的因素:使用Hill-Bone问卷的横截面研究
Randa I Farah1, Izzat Ahmad Alawwa1, Dana Q Khateeb2
1Nephrology Division, Department of Internal Medicine, School of Medicine, University of Jordan, Amman, Jordan.
Patient preference and adherence
|April 25, 2024
概括
这项研究发现,虽然63.8%的患者表现出良好的抗高血压治疗,但年龄较大和高等教育等因素显著改善了药物坚持. 需要进一步的研究来提高坚持率.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 坚持抗高血压治疗对于管理高血压和改善患者的治疗结果至关重要.
- 在全球范围内,低于最佳的坚持仍然是高血压管理的重大挑战.
- 社会人口统计学因素可能会影响患者遵守处方药物治疗方案.
研究的目的:
- 评估患者对抗高血压药物的坚持程度.
- 评估各种社会人口统计学因素对药物坚持的影响.
- 通过Hill-Bone尺度来识别粘附的预测因素.
主要方法:
- 一项涉及390名高血压患者的横截面研究.
- 通过面对面采访收集的数据,使用关于社会人口统计,态度和疾病知识的问卷.
- 用Hill-Bone问卷来评估治疗的坚持程度.
主要成果:
- 在63.8%的参与者中观察到抗高血压治疗的良好坚持 (Hill-Bone平均得分:21.23±4.95).
- 年龄较大 (p=0.03),教育程度较高 (p=0.03),定期血压监测 (p=0.03) 和药物知识 (p=0.02) 与更高的坚持有显著关联.
- 女性占样本的56.9%,而56.4%的年龄为60岁或以上.
结论:
- 在受研究的人群中,药物坚持低于最佳水平.
- 需要有针对性的干预措施,包括加强患者咨询.
- 进一步的研究应探索影响遵守的其他因素,并制定有效的推广策略.
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