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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

20

期数:

2019年09期

页码:

1307-1310

栏目:

论　著

出版日期:

2019-08-28

文章信息/Info

Title:

Effect of family visit intervention on medication adherence behaviors in elderly patients with hypertension

作者:

文丽萍; 朱灵艳; 刘艳; 付玲; 廖靓雪

自贡市精神卫生中心，四川 自贡 643020

Author(s):

WENLi-ping; ZHULing-yan; LIUYan; FULing; LIAOLiang-xue

ZigongMental Health Center,Zigong, Sichuan643020,China Correspondingauthor:WENLi-ping,E-mail:326118554@qq.com

关键词:

家庭访视干预; 高血压; 服药依从性; 家庭功能

Keywords:

Family visit intervention;  Hypertension;  Drug compliance;  Family function

分类号:

R544.1

DOI:

-

摘要:

目的 探讨家庭访视干预对老年高血压患者服药依从性的影响。方法 选取自贡市某社区卫生服务站的 80例老年高血压患者为研究对象，采用随机数字法将其随机分为两组，每组40例，对照组患者采用社区高血压 疾病常规管理，观察组患者在对照组的基础上进行家庭访视干预。干预6个月后，比较两组患者服药依从性及血 压变化情况。结果 干预后，观察组患者适应度、合作度、成长度、亲密度等家庭功能评分明显优于干预前及 对照组，差异有统计学意义（P<0.05）。干预后，观察组患者自行停止服药、自行减少服药次数、自行减少服药 剂量、按医嘱定时服用药物、按医嘱定量服用药物等行为评分明显高于对照组，组间比较差异有统计学意义（P< 0.05）。干预后，两组患者舒张压、收缩压较干预前发生不同程度的降低，其中观察组患者下降幅度明显高于对照 组，组间比较差异有统计学意义（P<0.05）。干预后，观察组患者健康行为评分、疾病自我行为报告评分以及自 我管理能力评分均明显高于干预前及对照组，且差异有统计学意义（P<0.05）。结论 家庭访视干预可有效提高 老年高血压患者家庭功能、健康行为能力以及自我管理能力，并通过改善老年高血压患者服药依从性达到有效控 制患者血压的效果。

Abstract:

Objective To investigate the effect of family visit intervention on medication adherence be-haviors in elderly patients with hypertension. Methods Totally80 elderly patients with hypertension were recruited from a community health service station of Zigong city. They were randomly divided in-to two groups, 40 patients in each group. The control group was treated by routine management, meanwhile the observation group was treated by routine management coupled with family visit interven-tion. After six months, the drug compliance and blood pressure changes of these two groups were compared. Results After intervention, the fitness, cooperation, growth and closeness of the observa-tion group were significantly better than the control group, and the difference was statistically significant （P<0.05）. The score of stop taking, reducing frequency of medication, reducing dose, takeing medi-cine regularly and quantitatively as directed in observition group were significantly higher than the con-trol group（P<0.05）. After intervention, the diastolic blood pressure and systolic blood pressure in the two groups were both discreased, and there were significant differences between the two groups （P< 0.05）. After intervention, the patients' health behavior score, disease self-behavior report score and self-management ability score in the observation group were significantly higher than those in the con-trol group （P<0.05）. Conclusion Family visit intervention can effectively improve the elderly pa-tients with hypertension in family function, health behavior ability and self management ability. Effectof blood pressure control were enhanced by improving the drug compliance of the elderly patients with hypertension.

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备注/Memo

备注/Memo:

作者简介：文丽萍，大学本科，主管护师，研究方向：公共卫生 通信作者：文丽萍，E-mail:326118554@qq.com

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更新日期/Last Update: 2019-08-28