目的了解社区老年高血压患者A型行为和服药依从性现况。方法选取334例老年高血压患者作为调查对象,调查其一般资料、A型行为和服药依从性情况。使用多因素logistic回归模型分析社区老年高血压患者服药依从性的影响因素。结果334例社区老年高血压患者中,156例(46.7%)患者具有A型行为,166例(49.7%)患者服药依从性好。多因素logistic回归分析结果显示,年龄、文化程度、月收入、A型行为均是影响社区老年高血压患者服药依从性的因素(均P<0.05)。结论社区老年高血压患者服药依从性有待提高,年龄、文化程度、月收入、A型行为均是社区老年高血压患者服药依从性的影响因素。社区医护人员需加强相关健康宣教,必要时对患者进行人格筛查,以便尽早进行心理疏导,以减轻人格特征对服药行为的影响。
ObjectiveTo investigate the status quo of type A behavior and medication compliance in elderly hypertensive patients in the community. MethodsA total of 334 elderly hypertensive patients were selected as the investigation objects, and their general information, type A behavior, and medication compliance were investigated. The multivariate logistic regression model was used to analyze influencing factors for medication compliance in elderly hypertensive patients in the community. ResultsOf the 334 elderly hypertensive patients in the community, 156 (46.7%) patients had type A behavior, and 166 (49.7%) patients had good medication compliance. The results of multivariate logistic regression analysis showed that age, educational level, monthly income, and type A behavior were factors that affected the medication compliance of elderly hypertensive patients in the community (all P<0.05). ConclusionThe medication compliance of elderly hypertensive patients in the community needs to be improved, and age, educational level, monthly income, and type A behavior are influencing factors for medication compliance in elderly hypertensive patients in the community. Community medical staff need to strengthen relevant health education and conduct personality screening for patients when necessary, so as to provide psychological counseling as soon as possible to reduce the influence of personality characteristics on medication behavior.