秘鲁北部高血压患者中与药物依从性相关的社会人口学因素：一项横断面研究。
Sociodemographic factors associated with medication adherence among hypertensive patients in northern Peru: a cross-sectional study.
作者信息
Cordova-Ruiz Gianina L, Fernández-Rodríguez Lissett J, Bardales-Zuta Victor H
机构信息
Medical School, Universidad Privada Antenor Orrego, Trujillo, La Libertad, Peru.
Hospital Regional de Lambayeque, Ministerio de Salud, Chiclayo, Peru.
出版信息
Arch Cardiol Mex. 2025 Apr 29;95(3):153-159. doi: 10.24875/ACM.24000137.
OBJECTIVE
The objective of this research is to identify sociodemographic factors associated with adherence to antihypertensive medications among hypertensive patients in a public hospital in northern Peru. The factors studied are age, sex, level of education, family functioning, living arrangement, time of disease since diagnosis, stage of hypertension, number of prescribed medications, and comorbidities.
METHODS
We conducted a cross-sectional convenience sample study of 180 patients. Blood pressure was measured to determine the hypertensive state. The degree of adherence to medications and sociodemographic factors were determined by survey.
RESULTS
Independent Chi-square tests and multivariate analysis revealed that older age, longer disease duration, and good family functioning were associated with improved adherence, while the other factors did not reach statistical significance for being associated with adherence. The highest prevalence odds ratio (4.39) was associated with family functioning.
CONCLUSION
Factors associated with adherence to antihypertensive medications were age, time of disease since diagnosis, and family functioning in the population studied. These results suggest that an integral approach is required: one that includes psychological help for families and patients who struggle with adherence.
目的
本研究的目的是确定秘鲁北部一家公立医院中高血压患者坚持服用抗高血压药物的社会人口学因素。所研究的因素包括年龄、性别、教育程度、家庭功能、居住安排、确诊后的患病时间、高血压阶段、处方药物数量和合并症。
方法
我们对180名患者进行了横断面便利抽样研究。测量血压以确定高血压状态。通过调查确定药物依从程度和社会人口学因素。
结果
独立卡方检验和多变量分析显示，年龄较大、患病时间较长和良好的家庭功能与依从性提高相关，而其他因素与依从性相关未达到统计学意义。最高患病率比值比（4.39）与家庭功能相关。
结论
在所研究的人群中，与坚持服用抗高血压药物相关的因素是年龄、确诊后的患病时间和家庭功能。这些结果表明需要一种综合方法：一种包括为在坚持服药方面存在困难的家庭和患者提供心理帮助的方法。
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