心理干预对高血压患者依从性影响的研究

论文编号:HL203  论文字数:14490.页数:26

论文题目：高血压病人治疗依从性的影响因素
摘　要
 
 目的：调查高血压病人服药依从性、门诊随访、生活方式依从性的分布状况及影响因素，为提高高血压病人治疗依从性的护理干预措施提供依据。
 方法: 方法:选择2008年6月至2008年12月在心血管内科住院治疗的高血压病人作为研究对象。使用自行编制的高血压病人治疗依从性问卷对其治疗依从性实际状况、影响因素进行调查研究。采用卡方检验、Logistic回归分析确定高血压治疗依从性的影
响因素。      
 结果：1、339例高血压病人治疗依从性情况:服药依从性佳者占39.8%，门诊随访率为63.7%，戒烟者占86.7%，戒酒或少饮酒者占79.1%，饮食依从性佳者占70名%，运动者占68.1%，体重控制良好占54.0%。
    2、服药依从性的影响因素分析结果表明:影响服药依从性的主要因素是年龄、服药次数、服药种类、近期疗效、病情分度、医疗费用支付方式、社区干预和医院医疗服务。
 3、门诊随访的影响因素分析结果表明:影响门诊随访的主要因素是就医条件、总病程、住院次数、近期疗效和医疗费用支付方式。
 4、生活方式依从性的影响因素分析结果表明:影响戒烟的主要因素是年龄、性别、就医条件。影响戒酒或少饮酒的主要因素是文化程度。影响饮食的主要因素是服药种类、药物副作用、年龄和医院医疗服务。影响运动的主要因素是总病程和医疗费用支付方式。影响运动的主要影响因素是文化程度、总病、血压级、社区干和医院医疗务。
    结论：健康教育、社区干预、合作性护患关系、简化治疗方案及加强药物护理等措施有利于提高高血压病人的治疗依从性。
   关 键 词：高血压；依从性；健康教育
  论文类型：应用研究
 
 
 
 Title: Study on Influence Factors of Compliance in Patients with Hypertension
ABSTRACT
Objectives: To investigate compliance with drug, following-up visits and lifestyle, and factors influencing compliance, in patients with hypertension. To develop nursing interventions for improving compliance of patients with hypertension.
Methods: A total of 339 patients with hypertension were selected, who were in hospital from June to December in 2008 .Compliance was assessed by using a self-administered questionnaire .
Results:
    1. Good compliance in drug compliance was 39.8%, following-up visits 67.3%,
nonsmoking 86.7%, alcohol assumption 79. 1 %, dietary restrictions 70.8%,activity 68.1%，body weight 54.0%, and five pieces of lifestyle compliance only 34.2%.
2. The influence of drug compliance was significant following as: age,frequency of dosing, type of drug, treat effects of near future, condictions of patients，ways of paying medical treatment, community interventions and hospital services.
3. The significant influence factors of following-up visits were: medical conditions, course of hypertension, frequency of in-hospital, treat effects of near future and ways of paying medical treatment.
4. Sex, age and medical conditions significantly influenced nonsmoking. Education level influenced alcohol assumption significantly. The influence of dietary restricts was significant following as: type of drug, medical side-effects, age and hospital services. The significant influence factors of activity were: course of hypertension and ways of paying medical treatment. The influence of body  weight  was  significant  following  as:  education  level,  course  of hypertension, blood pressure, community interventions and hospital services.
Conclusion: Health  education,  community  interventions,  cooperative  patient-nurse
communication, simple medication regimen and medicine nursing can improve
compliance.
KEY WORDS: Hypertension; compliance; health education
TYPE OF THESIS: Applied  Research

 
目  录
摘　要 I
ABSTRACT III
目  录 1
1 绪论 1
1.1 背景及意义 1
1.2 研究目的及目标 2
1.3 关键词及定义 2
1.4 文献回顾 2
2 研究设计 4
2.1 研究对象 4
2.2 一般资料 4
2.3 研究方法 4
2.4 研究步骤 5
3 研究结果 7
4 讨论 14
5 结论及建议 16
5.1结论 16
5.2建议 16
致谢 18
参考文献 21
附    录 22