【摘要】：目的探討不同信息化干預(yù)方式對社區(qū)老年原發(fā)性高血壓病患者服藥依從性的干預(yù)效果。方法選取2013年9月—2014年2月在廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院北湖南棉社區(qū)衛(wèi)生服務(wù)中心建立健康檔案的老年原發(fā)性高血壓病患者360例,根據(jù)干預(yù)方法不同分為9組:A1~A4組、B1~B4組、C組,刪去缺失后每組31例。其中A1組采用電話隨訪干預(yù),1次/d;A2組采用電話隨訪干預(yù),1次/2 d;A3組采用電話隨訪干預(yù),1次/3 d;A4組采用電話隨訪干預(yù),1次/5 d;B1組采用短信隨訪干預(yù),1次/d;B2組采用短信隨訪干預(yù),1次/2 d;B3組采用短信隨訪干預(yù),1次/3 d;B4組采用短信隨訪干預(yù),1次/5 d;C組采用常規(guī)社區(qū)干預(yù)。于干預(yù)前收集患者的一般資料,并于干預(yù)后1、3、6個月分別采用Morisky評估量表評價患者的服藥依從性。結(jié)果 9組患者性別、年齡、高血壓等級、病程構(gòu)成均完全相同,且9組患者民族、職業(yè)、文化程度、婚姻狀況、收入水平、居住狀況、醫(yī)療保險、測量血壓頻率、服藥次數(shù)、除高血壓外其他慢性病、住院次數(shù)、發(fā)送短信情況間差異均無統(tǒng)計學(xué)意義(P0.05)。A1和B1組、A2和B2組、A3和B3組、A4和B4組患者服藥依從率均高于C組,差異有統(tǒng)計學(xué)意義(P0.05);而A1與B1組、A2與B2組、A3與B3組、A4與B4組患者服藥依從率間差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論電話干預(yù)和短信干預(yù)均可有效提高社區(qū)老年原發(fā)性高血壓病患者服藥依從性。
[Abstract]:Objective to explore the effect of different information intervention methods on drug compliance of elderly patients with essential hypertension in community. Methods from September 2013 to February 2014, 360 elderly patients with essential hypertension were selected and divided into 9 groups: A1~A4 group according to different intervention methods, which were established in North Hunan Cotton Community Health Service Center of Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine. B1~B4 group, C group, 31 cases in each group after deletion. Group A1 was followed up by telephone, group A _ 2 by telephone, group A _ 3 by telephone once / 2 d, group A _ 4 by telephone once / 3 d, and group A _ 4 by telephone for one time / five days. Group B1 was followed up with short message, group B 2 with short message, group B 3 with short message, group B 4 with short message for 1 / 3 day, group B 4 with short message, group B 2 with short message for 5 days. Group C was treated with routine community intervention. The general data of patients were collected before intervention, and the compliance of patients was evaluated with Morisky evaluation scale at 3 and 6 months after intervention. Results the gender, age, grade of hypertension and course of disease of the 9 groups were identical, and the nationality, occupation, education, marital status, income level, living condition, medical insurance, blood pressure frequency, times of taking medicine were all the same in the 9 groups. There was no significant difference in the frequency of hospitalization and the sending of SMS except hypertension (P0.05). The compliance rate of patients in A1 and B1 groups, A2 and B2 groups, A3 and B3 groups, A4 and B4 groups was higher than that in C group. The difference was statistically significant (P0.05). There was no significant difference in compliance rate between A1 and B1 group, A2 and B2 group, A3 and B3 group, A4 and B4 group (P0.05). Conclusion telephone intervention and short message intervention can effectively improve the drug compliance of elderly patients with essential hypertension in community.
【作者單位】： 廣西中醫(yī)藥大學(xué)護理學(xué)院;廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院北湖南棉社區(qū)衛(wèi)生服務(wù)中心;廣西中醫(yī)藥大學(xué);廣西醫(yī)科大學(xué)第一附屬醫(yī)院;廣西醫(yī)科大學(xué)研究生學(xué)院;
【基金】：廣西自然科學(xué)基金資助項目(2013GXNSFDA278001) 廣西壯族自治區(qū)哲學(xué)社會科學(xué)研究課題(15BRK002) 廣西壯族自治區(qū)教育廳中醫(yī)藥與養(yǎng)老產(chǎn)業(yè)發(fā)展研究協(xié)同創(chuàng)新中心研究課題(桂教科研[2013]10號) 廣西壯族自治區(qū)衛(wèi)生廳課題(Z2013250)
【分類號】：R544.11

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