Determinants of drug treatment maintenance among hypertensive persons in inner city Detroit.
Determinants of drug treatment maintenance among hypertensive persons in inner city Detroit.
复制标题
底特律市中心高血压患者维持药物治疗的决定因素。
DOI：
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
A. Godley
中科院分区：
文献类型：
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作者：
K. Cummings;J. Kirscht;L. Binder;A. Godley
药物治疗维持一组206高血压患者进行了检查，他们的健康信念，高血压知识，接受医疗保健的障碍，健康状况和个人特征。这些数据来自对密歇根州底特律市约800名成年人的横断面调查，其中包括测量受访者的血压。治疗维持定义为诊断为高血压后继续服用降压药物。在206名接受采访的高血压患者中，有21%的人报告说，他们在没有医生建议的情况下停止了对高血压的药物治疗。区分脱落者和未脱落者的唯一因素是被调查者对自己健康状况的看法;一个人认为自己的健康状况越差，就越有可能继续接受治疗。在放弃药物治疗的人中，最常见的原因是他们没有药物感觉良好。鉴于高血压的无症状性质，建议许多停止服用药物的人这样做是因为他们认为没有必要继续治疗。这项研究的结果指出，提供者需要向他们的高血压患者强调即使他们感觉良好也要继续治疗的原因。
Drug treatment maintenance among a group of 206 hypertensive persons was examined in relation to their health beliefs, knowledge about hypertension, barriers to receiving medical care, health status, and personal characteristics. The data came from a cross-sectional survey of approximately 800 adults living in Detroit, Mich., which included blood pressure measurements of respondents. Treatment maintenance was defined as continuing to take antihypertensive medication following a diagnosis of hypertension. Twenty-one percent of the 206 hypertensives interviewed reported discontinuing drug treatment for their high blood pressure without being advised by a physician to do so. The only factor that distinguished drop-outs from nondrops was the respondents' perception of their health status; the poorer a person perceived his or her health to be, the more likely the person was to remain in treatment. Among persons who dropped out of drug treatment, the most common reason given for discontinuing was that they felt well without the medicine. Given the asymptomatic nature of hypertension, it is suggested that many of those who stop taking medication do so because they see no need to continue therapy. The findings from this study point out the need for providers to emphasize to their hypertensive patients the reasons for continuing on treatment even when they feel well.