中华全科医学2024,Vol.22Issue(4) :601-604.DOI:10.16766/j.cnki.issn.1674-4152.003460

高血压共病糖尿病患者服药依从性调查及影响因素分析

Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus

陈维尔 邱艳 潘晓华 叶云 任菁菁
中华全科医学2024,Vol.22Issue(4) :601-604.DOI:10.16766/j.cnki.issn.1674-4152.003460

高血压共病糖尿病患者服药依从性调查及影响因素分析

Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus

陈维尔 1邱艳 2潘晓华 3叶云 4任菁菁2
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作者信息

  • 1. 浙江大学医学院附属第一医院全科医疗科,浙江杭州 310003;宁波市北仑区人民医院全科医学科,浙江宁波 315800
  • 2. 浙江大学医学院附属第一医院全科医疗科,浙江杭州 310003
  • 3. 宁波市北仑区人民医院全科医学科,浙江宁波 315800
  • 4. 宁波市北仑区人民医院药剂科
  • 折叠

摘要

目的 了解高血压共病糖尿病患者服药依从性现状,并从社会人口学特征、生活行为方式、疾病资料方面探讨其影响因素.方法 于2021年11月-2022年3月,在宁波市4家社区医院随机抽取高血压共病糖尿病患者共381例,参考中文版8条目Morisky服药依从性量表(MMAS-8)自行设计问卷进行调查.采用多因素logistic回归分析研究高血压共病糖尿病患者服药依从性的影响因素.结果 381例高血压共病糖尿病患者服药依从性得分为(5.67±1.05)分,依从性高者163例(42.78%).单因素分析结果显示,高血压共病糖尿病患者服药依从性在性别、医疗付费方式、日服药种类、日服药次数以及是否饮酒方面比较,差异均有统计学意义(P<0.05).多因素logistic回归分析结果显示,使用城镇职工医保付费(OR=2.141,95%CI:1.346~3.405,P=0.001)的高血压共病糖尿病患者服药依从性较高,日服药次数≥3次(OR=0.438,95%CI:0.208~0.921,P=0.030)、日服药种类≥3种(OR=0.342,95%CI:0.216~0.540,P<0.001)的高血压共病糖尿病患者服药依从性较低.结论 高血压共病糖尿病患者服药依从性整体不高,其主要影响因素包括日服药次数、日服药种类、医保付费方式.应针对这些影响因素采取有效措施进行积极干预.

Abstract

Objective The study aimed to assess the medication compliance status in hypertensive patients combined with diabetes mellitus and to explore the influencing factors based on socio-demographic characteristics,lifestyle behav-iors,and medical records.Methods Between November 2021 and March 2022,a total of 381 patients from four com-munity hospitals in Ningbo were randomly selected as participants.They were surveyed using a questionnaire based on the Chinese version of the 8-item Morisky medication adherence scale(MMAS-8).Binary logistic analysis was used for data analysis.Results The average medication adherence score for 381 patients combined hypertension and diabetes mellitus was(5.67±1.05)points,with 163 patients(42.78%)demonstrating high adherence.Univariate analysis revealed that significant associations between medication adherence and various factors,including gender,medical payment methods,daily medication types,daily medication frequency,and alcohol consumption(P<0.05).Multiple logistic regression re-vealed that patients with medical insurance for urban workers payment had higher medication compliance(OR=2.141,95%CI:1.346-3.405,P=0.001).Additionally,patients with a daily medication frequency of ≥3(OR=0.438,95%CI:0.208-0.921,P=0.030)and those with daily medication types ≥3(OR=0.342,95%CI:0.216-0.540,P<0.001)exhibited lower medication compliance.Conclusion The medication compliance among patients with com-bined hypertension and diabetes mellitus is suboptimal,primarily influenced by factors such as daily medication frequen-cy,daily medication types,and medical payment methods.Therefore,proactive interventions should be implemented based on these influencing factors.

关键词

高血压/糖尿病/共病/服药依从性/影响因素

Key words

Hypertension/Diabetes mellitus/Multimorbidity/Medication adherence/Influencing factors

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基金项目

浙江省医学会临床科研基金(2020ZYC-A119)

浙江省康恩贝医院管理软科学研究计划(2020ZHA-KEB323)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
参考文献量22
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