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目的:了解农村高血压患者遵医不良的原因,并提出社区干预及对策。方法:自行设计高血压患者遵医行为问卷,对216例农村高血压患者进行调查。结果:患者按医嘱服药、饮食控制、适量运动、戒烟酒、自我监测、定期复查、乐观情绪的完全遵医率分别为38.2%、45.4%、51.8%、36.6%、17.6%、29.3%、51.8%。不遵医的主要原因为对自身疾病认识不足、医疗意向不明确以及复诊条件限制等;由于遵医不良,50%的患者(108例)发生并发症。结论:农村高血压患者遵医较差,应加强社区干预,提高患者遵医率。
Objective: To understand the causes of poor compliance in rural patients with hypertension and to propose community interventions and countermeasures. Methods: A self-designed hypertensive patient compliance questionnaire was used to investigate 216 rural hypertensive patients. Results: The total follow-up rates of patients taking medicine, diet control, moderate exercise, smoking cessation, self-monitoring, regular review and optimism were 38.2%, 45.4%, 51.8%, 36.6%, 17.6%, 29.3%, 51.8 %. The main reasons for non-compliance with their own disease awareness, medical intentions are not clear and referral conditions and restrictions; due to poor compliance, 50% of patients (108 cases) complications. Conclusion: Hypertensive patients in rural areas follow the doctor is poor, community intervention should be strengthened to improve the compliance rate of patients.