University of Alabama, Birmingham, AL, USA.
Workplace Health Saf. 2012 Jun;60(6):265-71. doi: 10.3928/21650799-20120523-18.
Despite the availability of effective medications, hypertension remains inadequately managed in the United States. It has been established that medication adherence is a major strategy for controlling blood pressure. Combined interventions to promote adherence are promising, but further research is needed to understand which behaviors to target. The frequency of self-monitoring of blood pressure among municipal workers is unknown, and the literature is limited regarding assessing individuals' readiness and confidence to engage in medication adherence. The purpose of this study was to determine the prevalence of medication adherence, readiness, self-efficacy, self-monitoring of blood pressure, and blood pressure control among hypertensive municipal workers. The study population was enrolled in a wellness program established more than 20 years ago to promote health and safety for a work force in a large southeastern U.S. city. The majority of the study participants (75.7%) demonstrated controlled blood pressure, reported adherence to antihypertensive medication (70%), and self-monitored blood pressure (70%).
尽管有有效的药物可用，但高血压在美国仍未得到充分治疗。已经确定，药物依从性是控制血压的主要策略。综合干预措施以提高依从性是有希望的，但需要进一步研究以了解要针对哪些行为。市政工人自我监测血压的频率尚不清楚，有关评估个人参与药物依从性的准备和信心的文献也有限。这项研究的目的是确定高血压市政工人的药物依从性、准备状态、自我效能、自我监测血压和血压控制的患病率。该研究人群参加了一个 20 多年前成立的健康计划，旨在促进美国东南部一个大城市劳动力的健康和安全。大多数研究参与者（75.7％）的血压得到控制，报告称他们服用了降压药物（70％），并且自我监测了血压（70％）。
