Medication adherence in older clinic patients with hypertension after Hurricane Katrina: Implications for clinical practice and disaster management
Medication adherence in older clinic patients with hypertension after Hurricane Katrina: Implications for clinical practice and disaster management
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DOI：
10.1097/maj.0b013e318180f14f
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发表时间：
2008-08-01
影响因子：
3.1
通讯作者：
Re, Richard N.
中科院分区：
文献类型：
--
作者：
Krousel-Wood, Marie A.;Islam, Tareq;Re, Richard N.
背景：在灾后情况下，额外的障碍可能会降低抗高血压药物的依从性。研究方法：2005年11月至2006年8月，210名高血压患者在新奥尔良的一个多专业小组实践中接受治疗，完成了结构化问卷调查。采用Hill-Bone药物依从性子量表测量抗高血压药物依从性。在一个子集的患者，在卡特里娜飓风后的血压药物遇到的困难患者的数据进行了收集。结果：76%的患者报告其住所受损，46%的患者的药物依从性不佳。经过多变量校正后，灾后不太完美的药物依从性在年龄≥ 140/>= 90 mm Hg的人群中更常见）在不太完美依从性的人群中比完美依从性的人群更常见（分别为51%和42%）。此外，7%的患者报告在撤离时没有携带血压药物，28%的患者用完了血压药物，16%的患者报告难以获得药物，28%的患者报告灾后更换了血压药物。结论：有机会改善灾害规划和处方续药过程，并提高药物依从性和灾后高血压控制。
Background: In post-disaster situations, additional barriers may reduce anti hypertensive medication adherence. Methods: Between November 2005 and August 2006, 210 hypertensive patients receiving care at a multispecialty group practice in New Orleans completed a structured questionnaire. Anti hypertensive medication adherence was measured with the Hill-Bone medication compliance subscale. In a subset of patients, data on difficulties patients encountered with blood pressure medications in the aftermath of Hurricane Katrina were collected. Results: Seventy-six percent of patients reported damage to their residence and 46% of patients had less-than-perfect medication adherence. After multivariate adjustment, less than perfect medication adherence postdisaster was more common among people aged = 140/>= 90 mm Hg) was more common in those with less-than-perfect adherence than their counterparts with perfect adherence (51% versus 42%, respectively). In addition, 7% of patients reported not bringing their blood pressure medications when they evacuated, 28% ran out of blood pressure medications, 16% reported difficulties getting medications filled, and 28% reported a blood pressure medication change postdisaster. Conclusions: Opportunities exist to improve disaster planning and prescription refill processes and increase medication adherence and hypertension control postdisasters.