中国全科医学2017，Vol.20Issue(10)：1240-1244,5.DOI:10.3969/j.issn.1007-9572.2017.10.020
不同信息化干预方式对社区老年原发性高血压病患者服药依从性的干预效果研究
Effects of Different Ways of Informationalized Intervention on Medication Compliance of Community Senile Patients with Primary Hypertension
摘要
Abstract
Objective To explore the effects of different ways of informationalized intervention on medication compliance of community senile patients with primary hypertension. Methods A total of 360 senile patients with primary hypertension establishing health records in Nanmian Community Health Service Center in North Lake Street,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine from September 2013 to February 2014 were selected. According to theinterventional methods,the patients were divided into 9 groups:A1 to A4 groups,B1 to B4 groups and C group. 31 subjects were in each group after deleting the missing ones. Except C group using conventional community intervention,A1 to A4 groups and B1 to B4 groups were respectively intervened by telephone and short message follow - up,and among them,group A1 and B1 were intervened once a day,group A2 and B2 were intervened every 2 days,group A3 and B3 were intervened every 3 days, group A4 and B4 were intervened every 5 days. The general information of the patients before intervention was collected,and the medication compliance of the patients at the 1st,the 3rd and the 6th month after intervention was evaluated by Morisky evaluation scale. Results The composition of gender,age,hypertension,the disease course were exactly the same among patients in the 9 groups,and there were no significant differences in the ethnicity,occupation,educational level,marital status,income status, living status,medical insurance,frequency of blood pressure measurement,frequency of taking medicine,status of other chronic diseases except hypertension,hospitalization times and sending short messages status among patients in the 9 groups (P >0. 05). The rate of medication compliance of group A1 and B1,group A2 and B2,group A3 and B3,group A4 and B4 were significantly higher than those in group C (P < 0. 05);but there were no significant differences in the rate of medication compliance of patients in group A1 and B1,group A2 and B2,group A3 and B3,group A4 and B4 (P > 0. 05). Conclusion Telephone and short message intervention can effectively improve the medication compliance of senile patients with primary hypertension.关键词
社区医学/老年人/高血压/信息化干预/服药依从性Key words
Community medicine/Aged/Hypertension/Information intervention/Medication adherence分类
医药卫生引用本文复制引用
杨永,张瑛,杨连招,吴彬,马秋平,胡艳宁,莫新少,陈玲,唐榕英..不同信息化干预方式对社区老年原发性高血压病患者服药依从性的干预效果研究[J].中国全科医学,2017,20(10):1240-1244,5.基金项目
广西自然科学基金资助项目 (2013GXNSFDA278001) （2013GXNSFDA278001）
广西壮族自治区哲学社会科学研究课题 (15BRK002) （15BRK002）
广西壮族自治区教育厅中医药与养老产业发展研究协同创新中心研究课题 (桂教科研 [2013]10 号) （桂教科研 [2013]10 号）
广西壮族自治区卫生厅课题( Z2013250) （ Z2013250）
