Suppr超能文献

津巴布韦圭鲁老年高血压患者的药物依从性

Medication Adherence Among Elderly Patients with High Blood Pressure in Gweru, Zimbabwe.

作者信息

Wariva Elizabeth, January James, Maradzika Julita

机构信息

Department of Community Medicine, College of Health Sciences, University of Zimbabwe , Harare, Zimbabwe.

出版信息

J Public Health Afr. 2014 Apr 29;5(1):304. doi: 10.4081/jphia.2014.304. eCollection 2014 Feb 4.

Abstract

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.

摘要

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。

相似文献

本文引用的文献

9
Hypertension in the developing world: challenges and opportunities.发展中国家的高血压:挑战与机遇。
Am J Kidney Dis. 2010 Mar;55(3):590-8. doi: 10.1053/j.ajkd.2009.06.044. Epub 2009 Dec 5.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验