Patients' perceived problems with hypertension and attitudes towards medical treatment
Patients' perceived problems with hypertension and attitudes towards medical treatment
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DOI：
10.1038/sj.jhh.1001276
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发表时间：
2001-11-01
影响因子：
2.7
通讯作者：
Takala, J
中科院分区：
文献类型：
--
作者：
Jokisalo, E;Kumpusalo, E;Takala, J
目的：了解基层卫生保健人员对高血压治疗的知觉问题和态度。研究人群和方法：对26个卫生院的2219名经全科医生鉴定的高血压患者进行横断面调查。共有1782名患者(80%)退回两份问卷，并参加了健康检查。最终研究人群包括目前正在接受高血压药物治疗的1561名患者和目前未接受药物治疗的220名患者。问卷包含82个问题，涉及高血压护理和治疗的不同方面，并使用因素分析进行进一步阐述。在信度和内部效度分析的基础上，形成了14个与高血压医疗相关的问题指数。最常见的感知问题是缺乏对高血压进行随访的动力(72%)。许多患者很难接受高血压(66%)。对高血压的粗心态度也很常见(63%)。56%的患者感到缺乏信息。约33%的人对自己的高血压感到绝望，报告高血压治疗对性功能的不良影响，以及缺乏医护人员的支持。最不常见的问题是报销问题和修改剂量说明。每个人发现的问题数量在0到14个之间，平均4.9+/-2.6(标准差)。结论：高血压患者在初级卫生保健中普遍存在关于高血压的感知问题、消极态度和经历。
Objective: To study perceived problems and attitudes in hypertension treatment in primary health care.Study population and methods: A cross-sectional survey of 2219 hypertensive patients, identified by general practitioners, in 26 health centres was carried out during 1 week in 1996. A total of 1782 patients (80%) returned two questionnaires and participated in a health examination. The final study population consisted of 1561 patients currently being medically treated for hypertension and 220 patients not currently on medical treatment. The questionnaires contained 82 questions on different aspects of hypertension care and treatment, which were further elaborated using factor analysis. On the basis of reliability and internal validity analyses, 14 problem indices related to medical treatment of hypertension were formed.Results. The most common perceived problem was related to lack of motivation for follow-up of hypertension (72%). Many patients had difficulties to accept being hypertensive (66%). A careless attitude towards hypertension was also common (63%). Lack of information was experienced by 56% of the patients. About 33% felt hopeless about their hypertension, reported adverse effects of hypertension treatment on sexual functions and lack of support by health care personnel. The least frequent problems were reimbursement problems and modification of dosage instructions. The number of problems identified per person varied between zero and 14 with a mean of 4.9 +/- 2.6 (s.d.).Conclusion: Perceived problems concerning hypertension, negative attitudes and experiences are very common among hypertensive patients in primary health care.