The medication compliance of elderly hypertensive patients in China
Objective To investigate the current situation of elderly patients with hypertension over 65 years in China,and to study the relevant factors affecting medication complicance of hypertension patients,so as to provide a basis for improving the effectiveness of hypertension control in the elderly.Methods Using the research method of multi-center cross-sectional survey,a standardized questionnaire was developed by the investigation team,on the basis of informed consent,a face-to-face survey was conducted among 9046 people over 65 years old in some streets(villa-ges)of 11 provinces,including Jiangsu,Fujian and Hainan et al.The blood pressure was measured and the medication compliance of elderly hypertension was recorded.At the same time,the data of gender,age,marital status,education level,occupation,duration of hypertension,awareness of hypertension,MMSE score and ADL score were recorded,and the relationship between these factors and medication compliance of hypertension was analyzed.Results The total number of participants aged 74.69±6.83 years in this survey was 9046,excluding 73 participants with imcomplete date,and a total of 8973 people were eligible for the survey,including 4132 patients with hypertension(46.05%),1736 males(19.35%)and 2396 females(26.70%).Among the elderly hypertensive population who participated in the survey,the medication compliance of the yonnger elderly individuals was better than that of older individuals(χ2=8.976,P＜0.05),and the medication compliance of those with high education level(χ2=24.038,P＜0.05)and those with long duration of hypertension(χ2=209.780,P＜0.05)was better,with significant differences.In elderly patients with hypertension,those who knew about hypertension were significantly higher than those who did not(78.97%vs 46.36%,χ2=184.738,P＜0.05),and those with senile dementia(tendency)were significantly lower than those with normal mental state(72.86%vs 77.77%,χ2=11.737,P＜0.05).Factors such as gender,handedness,occupation,marital status and activities of daily living had no significant influence on the medication compliance of elderly hyper-tension patients(P＞0.05).Conclusions Among the elderly hypertensive people over 65 years old in China,long course of hypertension,higher education level,and knowledge of hypertension were important protective factors affecting medication adherence in the elderly with hypertension,while age and MMSE evaluation were risk factors.
万方数据
维普
