Wariva Elizabeth, January James, Maradzika Julita
Department of Community Medicine, College of Health Sciences, University of Zimbabwe , Harare, Zimbabwe.
J Public Health Afr. 2014 Apr 29;5(1):304. doi: 10.4081/jphia.2014.304. eCollection 2014 Feb 4.
High blood pressure is a global health concern which is mainly managed by taking anti-hypertensive medications. Although medication is available to control high blood pressure, adhering to treatment is a major problem among hypertensive patients. The purpose of the study was to assess the predisposing, enabling and reinforcing factors to medication adherence among hypertensive patients in Gweru urban aged 40-70 years. A descriptive cross sectional study was used with a sample size of 110 conveniently sampled hypertensive patients. We used an interviewer administered questionnaire designed using phase 4 of the PRECEDE model. The modal age was 70 years and mean age was 58 years (SD=10.29). There were 61.8% females and 38.2% males. Variables associated with medication adherence were: age (P=0.0059), marital status (P=0.015), average monthly income (P=0.0002), support group (P=0.027) and knowledge (P=0.0058). Providing information to patients with high blood pressure and having a good patient-provider relationship improves medication adherence. There is need to focus on the predisposing, enabling and reinforcing factors of medication adherence since demographic and socio-economic factors may be more difficult to change.
高血压是一个全球关注的健康问题,主要通过服用抗高血压药物来控制。尽管有药物可用于控制高血压,但坚持治疗是高血压患者面临的一个主要问题。本研究的目的是评估格韦鲁市40至70岁高血压患者药物依从性的诱发因素、促成因素和强化因素。采用描述性横断面研究,样本量为110名方便抽样的高血压患者。我们使用了一份由访谈员管理的问卷,该问卷是根据PRECEDE模型的第四阶段设计的。众数年龄为70岁,平均年龄为58岁(标准差=10.29)。女性占61.8%,男性占38.2%。与药物依从性相关的变量有:年龄(P=0.0059)、婚姻状况(P=0.015)、月平均收入(P=0.0002)、支持小组(P=0.027)和知识(P=0.0058)。向高血压患者提供信息并建立良好的医患关系可提高药物依从性。由于人口统计学和社会经济因素可能更难改变,因此有必要关注药物依从性的诱发因素、促成因素和强化因素。