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

doi:10.6040/j.issn.1671-7554.0.2017.508

摘要/Abstract

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

苏丽娜,徐凌忠,韩开益. 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[J]. 山东大学学报 (医学版), 2017, 55(12): 66-70.

SU Lina, XU Lingzhong, HAN Kaiyi. Analysis of the influencing factors of medicine taking behavior among hypertensive patients in Shandong Province based on generalized estimating equation[J]. Journal of Shandong University (Health Sciences), 2017, 55(12): 66-70.

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