妊娠期高血压疾病孕妇服药依从性现状及影响因素分析

余小庆 郑素珍 王雪芳

【摘要】 目的：探究妊娠期高血壓疾病孕妇服药依从性现状及影响因素。方法：选取2016年12月-2021年3月上饶市妇幼保健院的200例妊娠期高血压疾病孕妇为研究对象，采用高血压治疗依从性问卷对其服药依从性进行评估。比较不同年龄、妊娠史、流产史、疾病分类、情绪状态、疾病认知度、社会支持程度、文化程度、居住形式、居住地、收入情况及合并基础疾病情况者的低依从率，采用多因素logistic回归分析妊娠期高血压疾病孕妇服药依从性的影响因素。结果：200例妊娠期高血压疾病孕妇中，低依从者63例，占31.50%。不同年龄、妊娠史及居住地者的低依从率比较，差异均无统计学意义（P>0.05）。无流产史、妊娠期高血压、无焦虑抑郁、疾病认知度较低、社会支持程度较低、文化程度较低、流动人口、收入较低及不合并基础疾病患者的低依从率均显著高于其他患者，差异均有统计学意义（P<0.05）。多因素logistic回归分析显示，流产史、妊娠期高血压疾病、情绪状态、疾病认知度、社会支持程度、文化程度、居住形式及合并基础疾病是妊娠期高血压疾病孕妇治疗低依从性的影响因素（P<0.05）。结论：妊娠期高血压疾病孕妇服药依从性有待改善，且影响因素涉及患者的多个方面，应重视对上述方面的评估与干预。

【关键词】 妊娠期高血压疾病 孕妇 依从性

Analysis of Status and Influencing Factors of Medication Compliance of Pregnant Women with Hypertensive Diseases during Pregnancy/YU Xiaoqing， ZHENG Suzhen， WANG Xuefang. //Medical Innovation of China， 2021， 18（35）： -150

[Abstract] Objective： To investigate the medication compliance status of pregnant women with pregnancy induced hypertension and its influence factors. Method： From December 2016 to March 2021， 200 pregnant women with hypertension during pregnancy in Shangrao Maternal and Child Health Hospital were selected as the research objects， and their medication compliance was evaluated by using hypertension treatment compliance questionnaire. The low compliance rate of patients with different age， pregnancy history， abortion history， disease classification， emotional state， disease awareness， social support， education level， residence form， residence， income and combined underlying diseases was compared. Multivariate logistic regression was used to analyze the influencing factors of medication compliance in pregnant women with gestational hypertension. Result： Among 200 pregnant women with hypertension during pregnancy， 63 cases （31.50%） had low compliance. The lower compliance rates of pregnant women with different ages， pregnancy history and residence were compared， there were no statistically significant differences （P>0.05）. The low compliance rate of patients with no history of abortion， gestational hypertension， anxiety and depression， low awareness of disease， low social support， low education level， floating population， low income and no underlying diseases was significantly higher than those of other patients， the differences were statistically significant （P<0.05）. Multivariate logistic regression analysis showed that history of abortion， gestational hypertension， emotional state， disease awareness， social support， education level， residential form and combined underlying diseases were the influential factors for low compliance of pregnant women with gestational hypertension （P<0.05）. Conclusion： The medication compliance of pregnant women with gestational hypertension needs to be improved， and the influencing factors are related to many aspects of the patients， so attention should be paid to the evaluation and intervention of the above aspects.

[Key words] Pregnancy induced hypertension Pregnant women Compliance

First-author’s address： Shangrao Maternal and Child Health Hospital， Shangrao 334000， China

doi：10.3969/j.issn.1674-4985.2021.35.036

妊娠期高血压疾病是妇产科常见病之一，是严重威胁母婴健康乃至生命安全的一类妊娠期疾病，因此是孕产妇防控及诊治需求较高的一类疾病。……