健康管理随访服务对高血压患者服药依从性影响

张玲玲; 梁黎明; 孙华君; 王延赏; 郭宜鹏; 林春光; 张昱; 陈欣; 杜汋

doi:10.11847/zgggws1125164

健康管理随访服务对高血压患者服药依从性影响

Effect of health management follow-up service on medication compliance among hypertension outpatients

摘要

摘要:
目的了解健康管理随访服务对高血压患者服药依从性的影响，为规范高血压患者健康管理服务，提高其药物依从性提供理论依据。
方法于2019年5月采用分层随机抽样方法在天津市抽取3 108名 ≥ 35岁当日就诊患者，对其中612例原发性高血压患者进行问卷调查，并应用倾向评分匹配法（PSM）分析健康管理随访服务对高血压患者服药依从性的影响。
结果天津市612例高血压患者中，按医嘱规律服药者462例，高血压患者服药依从比例为75.5 %；经PSM法匹配的152例高血压患者中，有71.1 % 的高血压患者按医嘱规律服药，接受过健康管理随访服务的高血压患者药物依从比例为81.6 %，高于未接受过健康管理随访服务高血压患者药物依从比例的60.5 %，差异有统计学意义（χ² = 8.189，P = 0.007）。
结论接受健康管理随访服务能提高高血压患者的服药依从性。

Abstract:
Objective To examine the effect of health management follow-up service on medication compliance among hypertension outpatients and to provide evidences for standardizing health management and improving medication compliance in hypertension patients.
Methods Using stratified random sampling, we recruited 3 108 adult attendees (≥ 35 years) at 16 community healthcare centers in 4 districts of Tianjin city during May 2015 and conducted a questionnaire survey among 612 primary hypertension patients identified from the attendees recruited. Propensity score matching (PSM) method was used to analyze the effect of health management follow-up service on medication compliance in the hypertension patients.
Results Of all the patients surveyed, 462 (75.5%) reported taking antihypertensive medicine prescribed by doctors regularly. Of the 152 patients matched by PSM, 71.1% reported prescription-based regular antihypertensive medication. The patients receiving health management follow-up service reported a significantly higher ratio of regularly taking antihypertensive medicine compared to those not having health management follow-up service (81.6% vs. 60.5%, χ² = 8.189, P = 0.007).
Conclusion Health management follow-up service can improve the compliance antihypertensive medication in hypertension outpatients.

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