Abstract：Objective To investigate the current status and related factors of medication adherence among patients with hypertensionin Changde Cityso as to provide a basis for implementing effective and targeted intervention in future. Methods Multistage sampling method was used to select 396 patients with hypertension in Taoyuan County and Anxiang County, Changde City in April 2017, and a questionnaire survey was conducted to investigate their information about general socio-demographic characteristics, medication compliance, self-efficacy, awareness of social norms of medication, etc. Single factor Chi-square test and multivariate logistic regression analysis were performed to identify the related factors of medication compliance. Results The results revealed that 61.4% of the patients had poor medication compliance. Multivariate logistic regression analysis indicated that whether or not knowing the name of antihypertensive drug(OR=3.824, 95%CI:2.068-7.069), self-efficacy(OR=0.121, 95%CI:0.067-0.218), patient’s social network size(OR=0.200, 95%CI:0.104-0.382), whether or not discussing hypertension-related topics with other patients (namely, communication social norm) (OR=11.084, 95%CI:5.848-21.008)and the proportion of number of peers with good medication adherence among patients (namely, descriptive social norm)(OR=0.299, 95%CI:0.164-0.544)were the factors correlated with medication compliance. Conclusions Poor medication compliance is still common among patients with hypertension in Changde City in 2017; and hence, effective measures are urgently needed to improve their medication adherence. High score of self-efficacy, patients with large social network size and a large proportion of peers with good medication adherence among patients are the protective factors for poor medication compliance. However, unknowing/ partially knowing the name of antihypertensive drug and having experience of discussing hypertension-related topics with other patients are the risk factors for poor medication compliance. Intervention focusing on patient education and social norms is a new way to improve medication compliance.
朱亚静, 肖慧芳, 刘素念, 刘保湘, 高慧, 潘蓉蓉. 2017年常德市高血压患者用药依从性现状与相关因素调查[J]. 实用预防医学, 2018, 25(1): 54-57.
ZHU Ya-jing, XIAO Hui-fang, LIU Su-nian, LIU Bao-xiang, GAO Hui, PAN Rong-rong. Current situation and related factors of medication compliance among patients with hypertension in Changde City,2017. , 2018, 25(1): 54-57.
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2018, Vol. 25 
