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原发性高血压治疗不遵医行为的调查分析与对策

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目的:了解原发性高血压患者不遵医行为以及相关因素,以采取相应措施,提高其治疗效果.方法:采用自行设计的原发性高血压患者遵医行为调查表,对本院心内科住院的100例原发性高血压患者的基本情况及遵医行为进行问卷调查.结果:有30例未能遵医嘱服药、饮食或禁烟限酒等,占调查总数的30%.其中年龄30~50岁,小学以下文化程度、对疾病不了解其不遵医行为人数构成比增高,差异有显著性意义(均为P<0.05);病程>1年比病程<1年其不遵医行为人数构成比明显升高,差异有高度显著性意义(P<0.01).结论:年龄因素、文化程度低、病程较长及对疾病不了解是不遵医行为的主要因素.
Objective:To explore the behaviors of patients with heart disease of not following doctors’ advice and the relative factors, and make corresponding measures to enhance the therapeutic effect. Methods:The basic conditions and the behaviors of following doctors’ advice of 100 cases with heart disease in our hospital were investigated through the self-designed schedule of survey. Results:30 percent of patients investigated did not comply with the medical order, such as taking medicine, eating and drinking or forbidding smoking and drinking, i.e. The cases of which whose age during 30~50,education below primary school and ignorance of the disease took higher ratio, and the difference was significant(P<0.05).The ratio of patients whose duration more than one year was obviously higher than that of within one year, and the difference was more significant(P<0.01).Conclusions:Age, lower education, longer duration and ignorance of the disease were the main factors of not following the doctors’ advice.

Heart diseaseBehaviors of not following the doctors’adviceInvestingHealth education

龙良会

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四川省第六人民医院 四川 成都 610212

原发性高血压 不遵医行为 调查 健康教育

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(1)
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