Analysis of factors influencing treatment compliance of hypertensive patients in health management

Abstract

Objective To analyze the factors which influence the treatment compliance of hypertensive patients in health management. Methods Data of 6 325 hypertensive patients who received physical examination in our department were collected; 4 132 male cases and 2 193 female were included, their ages ranged from 28 to 84 years old; the average age was 61.2 ± 5.8 years. The patients of the health intervention group were randomly divided into 3 groups(group 1, group 2 and group 3). They were provided with regular health management(including weight management, catering management, sports management, medication management and monitoring of blood pressure), respectively, given different frequency of telephone follow-up(1 time per 2 months, 1 time per month, and 1 time per month), evaluating treatment compliance. All the results were analyzed and compared respectively according to the level of education, age and mental status. Data of 1 892 hypertensive patients who received outpatient services were enrolled as the control group. Among them, 4 132 were male and 2 193 were female, aged 28-84 years old, average(61.2 ± 5.8)years old. They received the traditional outpatient follow-up(outpatient service review and health education), their treatment compliance, timely correcting unhealthy lifestyle and medication method and self-testing blood pressure were evaluated. ANOVA and chi square test were used to analyze the treatment compliances and blood pressure control rates of the two groups. Result Compared with the control group, health intervention for hypertension patients could significantly improve the treatment compliance and blood pressure control rate(64.8% vs. 41.3%, 56.7% vs. 29.6%; χ2=2.827, 1.382; P=0.032, 0.007). Comparing the results of telephone follow-up frequency, the treatment compliance and blood pressure control rate of the 3 intervention groups were higher than those of the two other groups(77.3% vs. 65.4%, 51.7%, χ2=3.414, P= 0.041; 69.6% vs. 57.3%, 43.2%, χ2=2.763, P=0.028). The treatment compliance of patients with high education level was significantly higher than that of patients with low education level(68.7% vs. 59.1%, 46.4%, χ2=3.257 , P=0.037; 60.1% vs. 47.2%, 32.8%, χ2=1.234 , P=0.009). And the treatment compliance of patients with good mental state was significantly higher than that of patients with anxiety(Intervention group1 :64.3% vs. 55.1%,41.9%,31.0%, χ2=2.257, P=0.016; 59.4%vs.46.1% ,20.9% ,21.8% , χ2=3.34 5 P= 0.021; Intervention group2 :75.5% vs. 64.3%, 51.8% ,41.2%, χ2=2.932, P=0.030; 68.3% vs.57.1%, 39.2%, 32.1% , χ2=2.382, P=0.032; Intervention group3: 86.5% vs.73.2% , 62.6% , 52.4% , χ2=2.435, P=0.026; 75.2%vs. 68.0% , 51.7% , 43.3% , χ2=3.251, P=0.036). Conclusion More frequently follow-up can improve the treatment compliance and control rate of blood pressure in hypertensive patients; education, age and psychological condition are factors influencing treatment compliance in hypertensive patients. Key words: Primary hypertension; Health management; Treatment compliance; Affecting factor