您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报 (医学版) ›› 2017, Vol. 55 ›› Issue (12): 66-70.doi: 10.6040/j.issn.1671-7554.0.2017.508

• • 上一篇    下一篇

山东省高血压患者服药行为影响因素的广义估计方程分析

苏丽娜,徐凌忠,韩开益   

  1. 山东大学公共卫生学院社会医学与卫生事业管理系, 山东 济南 250012
  • 出版日期:2017-12-20 发布日期:2022-09-27
  • 通讯作者: 徐凌忠. E-mail: lzxu@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(71673169)

Analysis of the influencing factors of medicine taking behavior among hypertensive patients in Shandong Province based on generalized estimating equation

SU Lina, XU Lingzhong, HAN Kaiyi   

  1. Department of Social Medicine and Health Administration, School of Public health, Shandong University, Jinan 250012, Shandong, China
  • Online:2017-12-20 Published:2022-09-27

PDF (PC)

60

摘要： 目的 分析山东省高血压患者服药行为及其影响因素,为高血压的控制和管理提供依据。 方法 利用2013年第五次国家卫生服务调查山东省数据对省内高血压患者的服药行为进行描述,用广义估计方程克服整群抽样的聚集性,分析影响其服药行为的因素。 结果 山东省高血压患者调查抽样人数为4 772人,每天按医嘱服药的人数比例为71.00%。农村患者(OR=0.547)、在业患者(OR=0.655)不容易做到每天按医嘱服药,60岁及以上老年人(OR=1.557)、人均年收入12 500元及以上的患者(OR=1.482)容易做到每天按医嘱服药。 结论 针对以上影响因素,在客观因素不能改变的前提下,降低农村、低收入及老年患者的用药负担,增强其用药就医可及性,在业患者养成良好的作息规律和用药习惯,从而有效控制血压,减少并发症的发生。

关键词: 高血压, 服药行为, 影响因素, 广义估计方程

Abstract: Objective To investigate the medicine taking behavior of hypertensive patients and the influencing factors in Shandong Province, in order to provide reliable references for the management and control of hypertension. Methods The data on medicine taking behavior among hypertensive patients were obtained from the Fifth National Health Service Survey in 2013 to establish the database. The influencing factors were analyzed based on generalized estimating equation. Results The total number of hypertensive patients surveyed in Shandong Province was 4 772, 71.00% of whom took medicine every day according to doctors advice. The rural patients(OR=0.547), and employed patients(OR=0.655)were not so compliant to doctors advice, while the patients aged ≥60 years(OR=1.557), and patients with average annual income ≥12 500 RMB(OR=1.482)were likely to take medicine every day according to doctors advice. Conclusion Although some objective factors can not be changed, targeted measures should be taken to improve patients medicine taking behavior based on the above influencing factors. Reducing the medical burden of rural, low-income and elderly patients will greatly enhance their medical accessibility. Encouraging the employed patients to build a regular schedule and a good habit of medicine usage is also of great significance. These measures will help patients to effectively control blood pressure and reduce complications.

Key words: Hypertension, Medicine taking behavior, Influencing factors, Generalized estimating equation

中图分类号: 

  • R195.4
[1] 李镒冲, 王丽敏, 姜勇, 等. 2010年中国成年人高血压患病情况[J]. 中华预防医学杂志, 2012, 46(5):409-413. LI Yichong, WANG Limin, JIANG Yong, et al. Prevalence of hypertension among Chinese adults in 2010[J]. Chinese Journal of Preventive Medicine, 2012, 46(5):409-413.
[2] 王增武, 武阳丰, 赵连成, 等. 中国中年人群高血压患病率及知晓率、治疗率、控制率的演变趋势[J]. 中华流行病学杂志, 2004, 25(5):407-411. WANG Zengwu, WU Yangfeng, ZHAO Liancheng, et al. Trends in prevalence, awareness, treatment and control of hypertension in middle-aged Chinese population[J]. Chinese Journal of Epidemiology, 2004, 25(5):407-411.
[3] 钱岳晟, 张怡, 张瑾, 等. 上海市普陀区社区人群原发性高血压患病率、知晓率、治疗率和控制率的抽样调查[J]. 中华高血压杂志, 2010(11):1059-1062. QIAN Yuesheng, ZHANG Yi, ZHANG Jin, et al. Sampling survey of prevalence, awareness, treatment and control rate of hypertension in community in Putuo district, Shanghai[J]. Chinese Journal of Hypertension, 2010(11):1059-1062.
[4] 杨德华, 柴云, 汪文新, 等. 成都市社区卫生服务中高血压控制率及其影响因素分析[J]. 现代预防医学, 2010, 37(6):1007-1011. YANG Dehua, CHAI Yun, WANG Wenxin, et al. Analysis of the factors affecting the control rate of hypertension in community health service in Chengdu[J]. Modern Preventive Medicine, 2010, 37(6):1007-1011.
[5] Kettani FZ, Dragomir A, Côté R, et al. Impact of a better adherence to antihypertensive agents on cerebrovascular disease for primary prevention[J]. Stroke, 2009, 40(1):213-220.
[6] Perreault S, Dragomir A, White M, et al. Better adherence to antihypertensive agents and risk reduction of chronic heart failure[J]. Journal of Internal Medicine, 2009, 266(2):207-218.
[7] Roy L, White-Guay B, Dorais M, et al. Adherence to antihypertensive agents improves risk reduction of end-stage renal disease[J]. Kidney Int, 2013, 84(3):570-577.
[8] Lau R, Stewart K, Mcnamara KP, et al. Evaluation of a community pharmacy-based intervention for improving patient adherence to antihypertensives:a randomised controlled trial[J]. BMC Health Serv Res, 2010, 10(1):1-7.
[9] 刘力生. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011, 3(7):701-708. LIU Lisheng. 2010 Chinese guidelines for the management of hypertension[J]. Chinese Journal of Cardiology, 2011, 3(7):701-708.
[10] 朱玉, 王静, 何倩. 广义估计方程在SPSS统计软件中的实现[J]. 中国卫生统计, 2011, 28(2):199-201. ZHU Yu, WANG Jing, HE Qian. The realization of generalized estimating equation in SPSS statistical software[J]. Chinese Journal of Health Statistics, 2011, 28(2):199-201.
[11] 成俊, 陈峰. 以家庭为单位的抽样调查中总体参数的估计[J]. 中国卫生统计, 2008, 25(3):276-279. CHENG Jun, CHEN Feng. Parameter estimation method for the data of family-based sampling survey[J]. Chinese Journal of Health Statistics, 2008, 25(3):276-279.
[12] 董青, 何明利, 孙黎明, 等. 苏北农村地区居民高血压病知晓率服药率和控制率调查[J]. 中国病毒病杂志, 2010(6):446-449. DONG Qing, HE Mingli, SUN Liming, et al. Survey on hypertension awareness, medication and control rates in rural communities in northern Jiangsu Province[J].Chinese Journal of Viral Diseases, 2010(6):446-449.
[13] 李岩岩, 沈寅虎, 秦献辉,等. 连云港农村社区高血压知晓率、服药率和控制率现状研究[J]. 中华疾病控制杂志, 2011, 15(2):98-100. LI Yanyan, SHEN Yanhu, QIN Xianhui, et al. Research on hypertension awareness, treatment and control rates among adults in Lianyungang rural communities[J]. Chinese Journal of Disease Control & Prevention, 2011, 15(2):98-100.
[14] 徐小玲, 唐新华, 金宏义. 浙江省社区人群高血压患病率、知晓率、服药率和血压控制状况分析[J]. 中国心血管杂志, 2005, 10(1):36-39. XU Xiaoling, TANG Xinhua, JIN Hongyi. Prevalence, awareness, treatment and control of hypertension patients in Zhejiang Province[J]. Chinese Journal of Cardiovascular Medicine, 2005, 10(1):36-39.
[15] 吴新慈. 社区中老年高血压人群高血压患病知晓率、服药率及控制率[J]. 中国慢性病预防与控制, 2009, 17(1):96-97. WU Xinci. Rates of awareness, medication and control of hypertension among middle-aged and elderly hypertensive patients in community[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2009, 17(1):96-97.
[16] Ghembaza MA, Senoussaoui Y, Tani MK, et al. Impact of patient knowledge of hypertension complications on adherence to antihypertensive therapy[J]. Current Hypertension Reviews, 2014, 10(1):41.
[17] 肖静, 李奕辰, 宗蕾, 等. 南通市高血压居民服药现状及影响因素[J]. 中华高血压杂志, 2013(2):163-169. XIAO Jing, LI Yichen, ZONG Lei, et al. Related risk factors and the status of taking antihypertensive drugs among hypertensives in Nantong city[J]. Chinese Journal of Hypertension, 2013(2):163-169.
[18] 张利霞, 王林, 汤泽生, 等. 天津市某社区老年高血压患者药物治疗依从性调查[J]. 中国慢性病预防与控制, 2010, 18(3):255-257. ZHANG Lixia, WANG Lin, TANG Zesheng, et al. The medication adherence and the analysis of influencing factors of hypertension patients in a community in Tianjin[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2010, 18(3):255-257.
[19] 马山珊, 郑红薇, 王蓓. 高血压患者药物治疗依从性的影响因素[J]. 中华护理杂志, 2007, 42(4):363-365. MA Shanshan, ZHENG Hongwei, WANG Pei. Influential factors of medication compliance of patients with hypertension; a review[J]. Chinese Journal of Nursing, 2007, 42(4):363-365.
[20] 曹正新, 邢爱君, 刘业强, 等. 原发性高血压患者服药依从性的相关因素分析[J]. 中华高血压杂志, 2009, 17(9):843-844. CAO Zhengxin, XING Aijun, LIU Yeqiang, et al. Analysis of related factors of medication compliance in patients with essential hypertension[J]. Chinese Journal of Hypertension, 2009, 17(9):843-844.
[21] 范金茂, 陈茂玉, 陶孝世. 高血压病人服药依从性对远期后果的影响[J]. 中华高血压杂志, 2006, 14(1):65-67. FAN Jinmao, CHEN Maoyu, TAO Xiaoshi. Effects of medication compliance on long-term outcomes in patients with hypertension[J]. Chinese Journal of Hypertension, 2006, 14(1):65-67.
[22] 周丽明, 梁小敏. 健康教育对老年高血压患者服药依从性的影响[J]. 中国医药指南, 2008, 6(11):57-58. ZHOU Liming, LIANG Xiaomin. Effect of health education on medication compliance in elderly patients with hypertension[J]. Guide of China Medicine, 2008, 6(11):57-58.
[23] 陈双丽. 社区健康教育对老年高血压患者生活质量的影响[J]. 中国实用护理杂志, 2011, 27(3):76-77. CHEN Shuangli. Effect of community health education on quality of life in elderly patients with hypertension[J]. Chinese Journal of Practical Nursing, 2011, 27(3):76-77.
[24] 沈斌, 徐奇, 赵纯红. 健康教育对高血压患者服药依从性及复诊率的影响[J]. 现代预防医学, 2012, 39(19):5030-5032. SHEN Bin, XU Qi, ZHAO Chunhong. Effect of health education on hypertension medication compliance and return visit rate[J]. Modern Preventive Medicine, 2012, 39(19):5030-5032.
[1] 吴逸南 葛志明 李方 贺红 姜虹 张运. 自发性高血压大鼠肾脏血管紧张素转换酶2的表达[J]. 山东大学学报(医学版), 2209, 47(6): 5-.
[2] 胥凯,韩超,丁守銮,丁璇,邢德广,王成伟. 181例高分级动脉瘤性蛛网膜下腔出血患者术前再出血的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 97-101.
[3] 许小芬,朱晓,马伟,李娜. 123例癌症患者癌性疼痛管理障碍的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 119-124.
[4] 邬雨洁,张明泉,纪永利,赵璐,王越,陈沙沙. 寒痉汤及其拆方对寒凝证高血压大鼠血清炎症因子、血管内皮功能及纤维化的影响[J]. 山东大学学报 (医学版), 2022, 60(6): 10-18.
[5] 侯茹男,邵頔,秦廷廷,尚美美,申玉珍,孙晓杰. 山东省癌症患者烟草使用情况及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(6): 102-106.
[6] 赵思博,彭立,凌鸿翔. 农村老年人医疗保险参与和自杀风险的关系[J]. 山东大学学报 (医学版), 2022, 60(4): 113-118.
[7] 韩璇,孙秀彬,刘铱,王淑康,刘静,袁中尚,张涛,李秀君,薛付忠,刘云霞. 预防医学专业学生《卫生统计学》学习满意度评价[J]. 山东大学学报 (医学版), 2022, 60(3): 109-113.
[8] 苏永刚,王睿,杨同卫. 健康中国视域下老年人群自杀的影响因素及预防对策[J]. 山东大学学报 (医学版), 2022, 60(2): 8-13.
[9] 宋钰峰,宁豪,姚志刚,吴海虎,刘非凡,吕家驹. 肾上腺海绵状血管瘤临床及影像特征[J]. 山东大学学报 (医学版), 2022, 60(2): 37-42.
[10] 吕岩红,张志勉. 2 809名体检人群中高血压与幽门螺杆菌感染的关联性[J]. 山东大学学报 (医学版), 2022, 60(2): 43-47.
[11] 王超,张艺琳,邹广顺,吕军城. 686名医学生有无自杀意念调查及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 78-85.
[12] 王春霞,贺梦璐,王海鹏,李慧. 山东省农村地区多重慢病患者多重用药现状及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 93-100.
[13] 毕凤英,闫冬勤,陈曦,罗丹. HIV感染者/艾滋病患者自杀死亡危险因素理论框架构建——基于扎根理论的定性研究[J]. 山东大学学报 (医学版), 2022, 60(1): 109-117.
[14] 张艺琳,王超,邹广顺,吕军城. 医学生生命意义感与自杀意念的关系[J]. 山东大学学报 (医学版), 2021, 59(11): 93-99.
[15] 贾明旺,廖广园,熊明媚,徐文婷,王银玲,王懿春. 84例妊娠合并肺高血压患者预后的临床分析[J]. 山东大学学报 (医学版), 2021, 59(1): 34-39.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发