老年高血压患者多药与服药依从性的关系

Habib Shareinia, L. Sadeghmoghadam, M. Mokhtarzadeh, Seyede Maryam Zahrayi, N. Jafari, Reza Noori
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引用次数: 1

摘要

背景:老年高血压患者正确遵守药物治疗方案非常重要。本研究旨在探讨老年高血压患者多药治疗与服药依从性的关系。材料与方法:采用分层随机抽样方法,对2016年伊朗Gonabad地区384例老年高血压患者进行描述性分析研究。研究人群包括60岁以上的男性和女性,他们都在戈纳巴德城市和农村社区卫生中心。采用人口统计学问卷和莫里斯基药物依从性量表(MMAS-8)进行数据收集。结果:受试者平均每日服药次数为6±2.43次,服药依从性高的占36.7%。卡方检验显示,多药与服药依从性有显著相关(P = 0.006)。结论:医生和护士可以通过对老年高血压患者或其护理人员进行教育,在预防多药风险和不遵守用药方案方面发挥重要作用。
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Relationship Between Polypharmacy and Medication Adherence in the Hypertensive Elderly Patients
Background: Proper adherence to the medication regimen in hypertensive elderly patients is important. This study aimed to investigate the relationship between polypharmacy with adherence to the medication regimen in hypertensive elderly patients. Materials and Methods: Using stratified random sampling method, the present descriptive-analytical study was performed on 384 hypertensive elderly patients in Gonabad, Iran in 2016. The study population included males and females aged over 60 years who were covered by Gonabad urban and rural community health centers. Data were collected using demographic questionnaire and the eight-item Morisky Medication Adherence Scale (MMAS-8). Results: The mean daily medications in participants was 6±2.43, and a high medication adherence was observed among 36.7% of the subjects. Chi-square test showed a significant relationship between polypharmacy and medication adherence (P = 0.006). Conclusion: Physicians and nurses can play an important role in preventing the risks of polypharmacy, as well as non-adherence to medication regimen by educating the hypertensive elderly patients or their caregivers.
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