| Objective:To explore the community-dwell elderly patients with Hypertens-ion domiciliary medication compliance situation and their influencing factors;To investigate, the influence of the telephone, SMS two means of intervention under the different time interval on elderly hypertension patients in community domiciliary medication adherence、antihypertensive effect、take medicine on time、 hypertension related knowledge and satisfaction;improve the community-dwell elderly patients with hypertension domiciliary medication compliance.Methods:1.Cross-sectional study:SamPle of 1000 community-dwell elderly patients with hypertension in the guangxi nanning city xixiang pond area beihu nanmian community health service centers administer 5 communities.Using self-made community-dwell elderly patients with hypertension general information questionnaire, morisky scale and medication compliance behavior scale carry out baseline surveys, using data collection was face to face interview, blood pressure measurement.2.Randomized clinical trial study:Research adopts randomized block design, from the first stage baseline survey screening out of poor compliance of elderly hypertensive patients, in the same age group (as an age group divided by 5 years)、 the same gender、high blood pressure level and the duration of the disease (5 years for a duration of group division) as the paired conditions, there are 36 blocks, a total of 9 cases of each group, each groupP were randomly assigned to A1、A2、A3、A4、 B1、B2、B3、B4, C of nine groups, respectively adopt different means of intervention and time intervals.groups A are used for telephone health education and follow-up, and then in accordance with one day once, two days once, three days once, five days once as the time interval divide into A1、A2、A3、A44 groups; groups B are used for SMS health education and follow-up, and then according as the same interval frequency to groups A divided into B1、B2、B3、B44 groups;group C with normal community intervention of health education and follow-up.9 groups were pre-intervention and post-intervention in the first month, the first three months, the first six months are used morisky scales, medication compliance behavior scale, self-medication on time scales, hypertension-related knowledge questionnaire, satisfaction questionnaire and monitoring changes in blood pressure values were evaluated intervention.Using the Epidata 3.0 proceed double logging data, SPSS 16.0 software for data analysis, statistical methods mainly used are descriptive analysis, x2 test, multivariate Logistic regression analysis, t test, analysis of variance, P<0.05 was representing the difference between there was statistically significant.Result:1. This study respondents are a total of 1000 community-dwell elderly patients with hypertension,actually received 960 valid questionnaires and carries on the comprehensive analysis, the results show①the community-dwell elderly patients with hypertension domiciliary medication compliance situation was not ideal:medication adherence was 37.3%, the medication compliance behavior average score was (19.30±3.93) points. ②Multiariable logistic regression analysis showed that age、living conditions、the duration of the disease、economic situation and the pressure measuring frequency were the main influence factors of the community-dwell elderly patientswith hypertension domiciliary medication compliance.2. The research were 324 elderly hypertensive patients,288 of them completed all data collection, from the first three month of the intervention, ① telephone group (group A1、A2、A3、A4) and SMS group (group B1、B2、B3、 B4) and conventional group (group C) on medication adherence、antihypertensive effect、take medicine on time、high blood pressure、hypertension related knowledge scores and satisfaction score difference was statistically significant(P<0.05). ② telephone group (group A1、A2、A3、A4) and SMS group (group B1、 B2、B3、 B4) respectively in the corresponding intervention time interval of comparison between the 2 groups, the medication adherence、antihypertensive effect and hypertension related knowledge score difference has no statistical significance(P> 0.05). SMS group (group B1、B2、B3、B4) of taking medicine on time score and satisfaction score is significantly higher than telephone group (group A1、A2、A3、 A4), the difference was statistically significant (P< 0.05). ③A1、A2、A3、A44 groups and B1、B2、B3、B44 groups were separately compared within each group between the four groups, two supergroups have found two days once and three days once time interval frequency of intervention the community-dwell elderly hypertensive patients taking medication adherence、 systolic blood pressure control and take medicine on time score is better than the one days once and five days once time interval frequency of intervention group, the difference was statistically significant (P<0.05);three days once group satisfaction is better than two days once group, the difference was statistically significant (P<0.05);Different time intervals between frequency groups of hypertension related knowledge score difference has no statistical significance (P>0.05).Conclusion:1.Nanning city community-dwell elderly patients with hypertension domicili-ary medication compliance is low; Community-dwell elderly patients’with hypertension age、living conditions、the duration of the disease、economic situation and the pressure measuring frequency were related to domiciliary medication compliance.2.SMS intervention and telephone intervention can improve medication compl-iance,take medicine on time points, lower blood pressure and enrich hypertension related knowledge,but SMS groups is better than the telephone groups on take med-icine on time scores and satisfaction.3.three days once and two days once time interval frequency of intervention were better than the one days once and five days once time interval frequency of intervention on community-dwell elderly hypertensive patients’ medication adher-ence、blood pressure control and take medicine on time score, but three days once time interval intervention of patients’ satisfaction was better than two days once time interval intervention. |
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