患有高血压患者药物坚持的心理决定因素:系统审查和元分析
Ziqiang Yao1,2, Yu Wang1,2, Shuangjiao Shi1
1Nursing Department, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan, China.
Journal of behavioral medicine
|February 9, 2026
概括
心理因素,如抑郁症状和自我效能,显著影响高血压患者的药物坚持. 了解这些决定因素是通过有针对性的干预来改善血压控制的关键.
科学领域:
- 心理学 心理学 心理学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 高血压管理依赖于药物治疗,但低于最佳的药物坚持是一个重大挑战.
- 心理因素对高血压患者药物坚持的作用需要进一步调查.
研究的目的:
- 识别和综合证据可修改的心理决定因素的药物坚持高血压患者的证据.
- 为开发改善治疗坚持和血压控制的干预措施提供见解.
主要方法:
- 在多个数据库 (Web of Science,PubMed,EMBASE,CINAHL,PsycARTICLES) 进行了全面的文献搜索,截至2025年9月.
- 对51项符合条件的研究的数据进行了随机效应模型元分析,涉及5,455个最初检索的记录.
主要成果:
- 抑郁症状 (OR=0.86) 和自我有效性 (OR=1.60) 与药物坚持有很强的关联.
- 疾病感知 (β=0.23) 和自我调节 (β=0.34) 也显示出相关性,尽管具有相当大的异质性和有限的稳定性.
结论:
- 可修改的心理因素,特别是抑郁症状和自我效能,在高血压患者的药物坚持中起着至关重要的作用.
- 需要进一步的研究,以阐明潜在的机制,并制定有针对性的干预措施,以提高坚持和改善高血压管理.
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