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改良药物依从性量表在评估高血压患者依从性方面的效用研究。

A study on usefulness of modified medication adherence scale in assessing adherence among hypertensive patients.

作者信息

Shankar Sethu Prabhu, Suman Babu I S S, Ramya Neelakandan

机构信息

Department of General Medicine, Aarupadai Veedu Medical College and Hospital, Puducherry, India.

出版信息

Perspect Clin Res. 2019 Oct-Dec;10(4):163-167. doi: 10.4103/picr.PICR_44_18.

Abstract

BACKGROUND

Adherence to medication is important for control of blood pressure (BP) and prevention of its complications. Identifying factors which improve adherence to treatment helps in improving cardiovascular outcome.

AIM

The aim is to study the adherence of hypertensive patients to medication using modified medication adherence scale (MMAS).

MATERIALS AND METHODS

This study was done as a cross-sectional study in the Department of General medicine in Aarupadai Veedu Medical College and Hospital, Puducherry, from May 2017 to October 2017. All adult patients of both sexes diagnosed to have hypertension were included in the study after obtaining informed consent. Adherence to hypertension was assessed using MMAS and results were analyzed. SPSS 22 software (International Business Machines Corporation, Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY) was used for statistical purposes.

RESULTS

A total of 150 patients were included in the study. There were 83 males and 67 females in the study. Good adherence was observed in 74 (49%) out of the total 150. Forty-nine (59%) males and 25 (37%) females were found adherent to treatment. Patients with monotherapy had a good adherence compared to those with polytherapy. Patients with good adherence had a good control of BP.

CONCLUSION

MMAS is a simple and useful tool for assessing medication adherence among hypertensive patients.

摘要

背景

坚持服药对于控制血压(BP)及其并发症的预防至关重要。识别改善治疗依从性的因素有助于改善心血管结局。

目的

旨在使用改良药物依从性量表(MMAS)研究高血压患者的服药依从性。

材料与方法

本研究于2017年5月至2017年10月在本地治里阿鲁帕代维杜医学院和医院的普通内科作为横断面研究进行。在获得知情同意后,所有诊断为高血压的成年男女患者均纳入研究。使用MMAS评估高血压的依从性并分析结果。使用SPSS 22软件(国际商业机器公司,2013年发布。适用于Windows的IBM SPSS Statistics,版本22.0。纽约州阿蒙克)进行统计分析。

结果

本研究共纳入150例患者。研究中有83名男性和67名女性。150名患者中共有74名(49%)依从性良好。发现49名(59%)男性和25名(37%)女性坚持治疗。与接受联合治疗的患者相比,接受单一疗法的患者依从性良好。依从性良好的患者血压控制良好。

结论

MMAS是评估高血压患者药物依从性的一种简单且有用的工具。

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