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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

21

期数:

2020年08期

页码:

1130-1133

栏目:

论　著

出版日期:

2020-08-28

文章信息/Info

Title:

Treatment compliance and related factors of patients with hypertension during the epidemic period of COVID-19

作者:

陈思萍; 林秀铭

福建省立医院，福州 350001

Author(s):

CHENSi-ping; LINXiu-ming

Fujian ProvincialHospital,Fuzhou350001,China Correspondingauthor:LINXiu-ming，E-mail:1010051127@qq.com

关键词:

新型冠状病毒肺炎; 高血压; 治疗依从性

Keywords:

Coronavirus disease;  Hypertension;  Treatment compliance

分类号:

R473.5

DOI:

-

摘要:

目的 探讨新型冠状病毒肺炎（以下简称新冠肺炎）疫情期间高血压患者治疗依从性的影响因素，为开 展高血压患者远程管理提供依据。方法 选取2020年2月至2020年4月福建省立医院收治的268例高血压患 者，采用自行编制的《高血压患者治疗依从性量表》对患者进行调查，得出遵医服药行为、不良服药行为、日常 生活管理、新冠肺炎自我防护四大维度得分，分析维度之间关系，比较不同特征高血压患者之间治疗依从性的差 异。结果 遵医服药行为得分（21.53±3.94）分，不良服药行为得分（27.53±5.83）分，日常生活管理得分 （40.85±8.79）分，新冠肺炎自我防护得分（16.09±3.18）分，总得分（106.00±18.48）分，四大维度之间呈正 相关；不同性别、是否患有其他慢性病的高血压患者治疗依从性比较，差异无统计学意义（P>0.05），不同居住 地、文化水平、家庭人均月收入组间高血压患者治疗依从性比较，差异有统计学意义（P<0.05）。结论 新冠肺 炎疫情期间高血压患者治疗依从性较低，尤其是居住在农村、文化水平低、家庭人均月收入低者应被纳入重点管 理对象，保证该类患者血压控制达标。

Abstract:

Objective To investigate the status of treatment compliance of hypertensive patients in nov-el coronavirus disease 2019（COVID-19）outbreak, analyze the relevant influencing factors, and provide a basis for remote management of hypertensive patients. Methods A total of268 patients with hyper-tension were selected from February 2020 to April 2020 in Fujian provincial hospital. A survey was conducted using the self-made treatment compliance scale which included four items such as the medi-cal treatment behavior, bad medicine behavior, daily life management, COVID-19 self-protection. The relationship of the four dimensions was analyzed and the difference of hypertension treatment adherence among different characteristics of patients were compared. Results The medical treatment behavior score was 21.53±3.94; the bad medicine behavior score was 27.53±5.83; the daily life management score was 40.85±8.79; the COVID-19 self protection score was 16.09±3.18; the total score was 106.00±18.48. The four dimensions were positively correlated. There were no significant differences in treatment adherence between different gender and groups suffering from other chronic diseases or not （P>0.05）. There were statistically significant differences in treatment compliance between different resi-dence, education level and family per capita monthly income（P<0.05）. Conclusion The treatmentcompliance of hypertensive patients is relatively low during the outbreak of COVID-19, especially those living in rural areas with low educational level and low family per capita monthly income, which should be included into the key management objects in order to control their blood pressure well.

参考文献/References:

[1] 中华预防医学会新型冠状病毒肺炎防控专家组.新型冠状病毒肺 炎流行病学特征的最新认识[J].中国病毒学杂志,2020,10(2): 81-87. [2] Yang X, Yu Y, Xu J,et al. Clincial course and outcomes of criti-cally ill patients of 2019 novel coronavirus pneu-monia:a single- centered retrospective observational study from Whhan, China [J]. Lancet Respir Med, 2020,8(5): 475-481. [3] 中华人民共和国国家卫生健康委员会.中华人民共和国国家卫生 健康委员会公告[J].中国卫生法制,2020,28(2):24. [4] Piercefield EW, Howard ME, Robinson MH,et al. Anti-hypertensive medication adherence and blood pressure con-trol among central Alabama veterans [J]. J Clin Hypertens (Greenwich), 2017,19(5):543-549. [5] 唐红英.高血压治疗依从性量表和态度与信念量表的编制及重庆 市常模的建立[D].重庆:第三军医大学,2011. [6] 李捷.IMB电话短信教育应用于社区老年高血压病患者自我效能 的干预研究[D].南宁:广西医科大学,2016. [7] Bandrua A. A social foundations of thought and action: a social cognitive theory [M]. New Jersey: Prentice Hall, 1980:1. [8] Wang J, Zhang L, Wang F,et al. Prevalence, aware-ness, treatment, and control of hypertension in China: re-sults from a national survey [J]. Am J Hypertens, 2014,27 (11):1355-1361. [9] 杨文燕.山东省农村居民健康素养评价及其与卫生服务利用的关 系研究[D].山东:山东大学,2014. [10] Tiller D, Herzog B, Kluttig A,et al. Health literacy in an urban elderly East- German population - results from the population-based CARLA study [J]. BMC Public Health, 2015,15:883. [11] 李静,范利,华琦,等.中国老年高血压管理指南2019[J].中华高血 压杂志,2019,27(2):111-135.

备注/Memo

备注/Memo:

基金项目：福建医科大学启航基金项目（2019QH1170） 作者简介：陈思萍，硕士研究生，护师，研究方向：老年护理、心内科护理，护理教育 通信作者：林秀铭，E-mail: 1010051127@qq.com

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更新日期/Last Update: 2020-08-28