摘 要
高血压作为全球范围内常见的慢性疾病，对患者的生活质量及健康构成严重威胁，药物治疗是控制高血压的重要手段，但患者的药物治疗依从性较低严重影响治疗效果。本研究旨在探讨高血压患者药物治疗依从性的影响因素并提出有效的干预措施。通过对某地区多家医院共500名高血压患者进行问卷调查与访谈，收集患者的基本信息、疾病认知、家庭社会支持等多方面数据，并采用多元回归分析等统计学方法进行深入分析。结果表明，年龄、文化程度、经济状况、对疾病的认知程度、家庭社会支持等因素均对药物治疗依从性产生不同程度的影响，其中对疾病认知程度影响最为显著。基于此，创新性地提出构建以提高疾病认知为核心的综合干预模式，包括开展个性化的健康教育活动，借助新媒体平台推送疾病知识，同时加强家庭社会支持网络建设，为患者提供情感和实际的帮助。该研究有助于深入了解影响高血压患者药物治疗依从性的多方面因素，所提出的干预措施可有效提高患者的药物治疗依从性，对改善高血压患者的治疗效果具有重要意义。
关键词：高血压药物依从性；疾病认知；家庭社会支持；干预措施；经济状况
Abstract
Hypertension, as a common chronic disease worldwide, poses a significant threat to patients' quality of life and health. Pharmacotherapy is a crucial approach for controlling hypertension; however, poor medication adherence among patients seriously affects treatment outcomes. This study aims to explore the factors influencing medication adherence in hypertensive patients and propose effective intervention measures. A total of 500 hypertensive patients from multiple hospitals in a specific region were surveyed and interviewed to collect data on their basic information, disease awareness, family and social support, among other aspects. Advanced statistical methods, including multiple regression analysis, were employed for in-depth analysis. The results indicate that age, educational level, economic status, disease awareness, and family and social support exert varying degrees of influence on medication adherence, with disease awareness being the most significant factor. Based on these findings, an innovative comprehensive intervention model centered on enhancing disease awareness was proposed, which includes personalized health education activities, disseminating disease knowledge via new media platforms, and strengthening the construction of family and social support networks to provide emotional and practical assistance to patients. This research contributes to a deeper understanding of the multifaceted factors affecting medication adherence in hypertensive patients, and the proposed interventions can effectively improve medication adherence, thereby significantly enhancing treatment outcomes for hypertensive patients.
Keywords：Medication Adherence Of Hypertension；Disease Awareness；Family And Social Support；Intervention Measures；Economic Status
目 录
摘 要 I
Abstract II
引 言 1
第一章 高血压患者药物治疗依从性的现状分析 2
1.1 患者依从性水平评估 2
1.2 影响依从性的主要因素 2
1.3 现有研究的局限性 3
第二章 个体因素对药物依从性的影响 4
2.1 年龄与性别差异 4
2.2 文化程度影响 4
2.3 经济状况制约 5
2.4 心理状态作用 5
第三章 医疗服务对药物依从性的影响 7
3.1 医患沟通质量 7
3.2 药物治疗方案复杂性 7
3.3 医疗资源可及性 8
3.4 健康教育普及度 8
第四章 提高药物依从性的干预措施 10
4.1 个性化健康管理 10
4.2 改善医患互动模式 10
4.3 构建支持性环境 11
4.4 强化患者自我管理 11
结 论 13
参考文献 14
致 谢 15
