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目的探讨影响原发性高血压患者服药依从性的相关因素。方法免费治疗9所开滦矿区的轻、中度原发性高血压患者,采用自设问卷调查方法评价患者依从性。治疗前记录患者一般情况,4年末随访患者血压、心率、服药依从性及相关因素。结果入选轻中度原发性高血压患者829名,完成4年末随访的有796名。完成随访的患者中有16名死亡。失访和死亡病例统计时均按缺失值处理。服药依从组共420人,依从率为53.8%。轻、中体力劳动,中学和大学文化程度是服药依从性的保护性因素,而饮酒和对取药间隔不满意是服药依从性的危险因素(P<0.05)。结论文化程度、职业、饮酒和取药间隔与原发性高血压患者服药依从性有关。
Objective To investigate the related factors that affect medication adherence in patients with essential hypertension. Methods Nine patients with mild to moderate essential hypertension in Kailuan Mining Area were treated by free questionnaires to evaluate patient compliance. The patients were recorded before treatment, 4-year follow-up of patients with blood pressure, heart rate, medication compliance and related factors. Results A total of 829 patients with mild-to-moderate essential hypertension were enrolled, and 796 patients were followed up at the end of 4 years. 16 of the patients who completed follow-up died. Missing and death cases were treated as missing. A total of 420 medication compliance group, compliance rate was 53.8%. Light and manual physical education, secondary education and college education were the protective factors of medication compliance, while alcohol consumption and dissatisfaction with medication interval were the risk factors of medication compliance (P <0.05). Conclusion The educational level, occupation, drinking and taking interval are related to medication compliance in patients with essential hypertension.