高血压患者的坚持,持久性和血压控制:罗马尼亚Mureș县的横截面研究
Radu Tatar1, Marius-Stefan Marusteri2, Dragos-Gabriel Iancu1,2
1Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania.
Medical sciences (Basel, Switzerland)
|August 22, 2025
概括
对抗高血压治疗的不坚持是常见的,男性性别和年轻年龄预示着不良坚持. 确保药物可用性和连续性是控制血压和降低心血管风险的关键.
科学领域:
- 心血管医学
- 主要护理
- 药物经济学
背景情况:
- 全球近一半的受治疗患者不坚持抗高血压治疗,导致血压失控和心血管疾病增加.
- 在第一年内,抗高血压治疗的持续率往往低于60%,因此需要对初级保健机构的坚持和持续性进行评估.
研究的目的:
- 评估罗马尼亚Mureș县的初级保健患者对抗高血压治疗的坚持和持续性.
- 识别可修改的不遵守和持续的风险因素,以告知有针对性的干预.
主要方法:
- 在罗马尼亚的Mureș县进行了一项涉及399名高血压成年人 (≥18岁) 接受治疗的跨度研究.
- 使用罗马尼亚验证的高血压治疗标准 (Hill-Bone Compliance to High Blood Pressure Therapy Scale,HBCTS) 评估并通过平均动脉压 (MAP) < 100 mmHg进行确认.
- 多变量逻辑回归和ROC曲线分析确定了坚持的预测因素;通过360天的医疗参与指标评估了持久性.
主要成果:
- 45. 9% 的参与者实现了有效的血压控制 (MAP < 100 mmHg).
- 男性性别 (OR=0. 47) 和年龄较小 (OR=1. 04每年) 独立预测了不良守.
- 治疗覆盖日与血压控制有很强的相关性 (r = -0. 50); 67. 7% 的患者表现出持续性,血压控制更好.
结论:
- 经过验证的HBCTS (≥51分) 是罗马尼亚初级保健的有效查工具.
- 治疗覆盖日是血压控制最强的可修改预测指标,强调药物可用性.
- 针对男性和年轻患者的有针对性的干预,以及药物连续性监测,可以减少心血管疾病的发病率.
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