在高血压患者中,免费获得治疗的治疗坚持的预测因素
Felix Kwasi Nyande1, Kennedy Diema Konlan2, Linda Serwaa Asiamah1
1Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Scientific reports
|January 29, 2026
概括
在加纳,高血压的药物服药率很低,即使有免费治疗. 诸如年龄,性别,位置和繁忙的时间表等因素会影响患者的遵从性,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 药物坚持对于管理高血压至关重要,但在没有成本障碍的人群中,预测因素的研究不足.
- 了解非成本因素对于改善加纳高血压患者治疗结果至关重要.
研究的目的:
- 为了比较一般化的线性模型来识别与治疗坚持相关的因素.
- 调查加纳高血压患者在免费治疗中遵守的程度和影响因素.
主要方法:
- 一项涉及254名方便抽样高血压患者的横截面描述性研究.
- 使用双变量和通用线性模型 (逻辑和互补日志回归) 评估坚持预测因素.
- 互补的日志日志回归模型表现出比后勤回归更好的适应性.
主要成果:
- 观察到很高的低坚持率 (88.9%),只有11.1%的人坚持治疗.
- 坚持的重要预测因素包括年龄,性别,位置,繁忙的日程安排,花费的时间和可访问性.
- 补充日志-日志模型显示了更好的数据拟合特性 (较低的AIC/BIC,更高的伪R平方).
结论:
- 尽管可以免费使用,但加纳高血压患者仍然缺乏药物坚持,这表明存在重大非成本障碍.
- 需要进行干预,以解决已识别的因素,如年龄,性别,地理位置和生活方式.
- 进一步的研究和有针对性的战略对于改善加纳高血压治疗的遵守是必不可少的.
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