贫困农村地区高血压患者的用药依从性障碍
Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas.
作者信息
Mamaghani Ebrahim Aliafsari, Hasanpoor Edris, Maghsoodi Esmaiel, Soleimani Farzaneh
机构信息
Department of Nursing, Maragheh University of Medical Sciences, Maragheh, Iran.
Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran.
出版信息
Ethiop J Health Sci. 2020 Jan;30(1):85-94. doi: 10.4314/ejhs.v30i1.11.
BACKGROUND
Poor adherence to medication regimen leads to poor health outcomes, increased medical costs and increased death rate due to hypertension. The aim of this study was to evaluate baseline barriers to medication adherence among hypertensive patients in deprived rural areas.
METHODS
A cross-sectional study was conducted on 238 hypertensive patients living in deprived rural areas of Iran. Data were collected using a questionnaire consisting of demographic information, Morisky medication adherence scale and the barriers to medication adherence that were reliable and valid.
RESULTS
The results of the study showed that medication adherence was significantly decreased and had a significant positive correlation with gender and economic status, while it had a negative correlation with age. Medication Adherence had a positive correlation with the duration of hypertension, while it had a negative correlation with the number of medications used and concurrently with other diseases.
CONCLUSIONS
Based on the present study it can be concluded that enhanced knowledge about illness and treatment in rural communities is improves the medical adherence. Financial supports along with the reduced number of prescribed drugs are also found to be the determining factors in the medical adherence.
背景
对药物治疗方案依从性差会导致健康状况不佳、医疗成本增加以及高血压导致的死亡率上升。本研究的目的是评估贫困农村地区高血压患者药物依从性的基线障碍。
方法
对居住在伊朗贫困农村地区的238名高血压患者进行了一项横断面研究。使用一份包含人口统计学信息、莫利斯基药物依从性量表以及可靠且有效的药物依从性障碍的问卷收集数据。
结果
研究结果表明，药物依从性显著降低，与性别和经济状况呈显著正相关，而与年龄呈负相关。药物依从性与高血压病程呈正相关，而与所用药物数量以及同时患有的其他疾病呈负相关。
结论
基于本研究可以得出结论，农村社区对疾病和治疗的了解增加可提高药物依从性。经济支持以及减少处方药数量也是药物依从性的决定性因素。
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