基层卫生院高血压患者用药依从性的影响因素分析

Objective To analyze the influencing factors of medication adherence among hypertensive patients in primary healthcare centers and provide reliable clinical evidence for developing targeted chronic disease intervention strategies.Methods A total of 253 patients with hypertension who had signed up for the family doctor program in our hospital in 2025 were selected.Using a total score of 6 on the Morisky Medication Adherence Scale(MMAS-8) as the critical value,the patients were divided into the adherent group(168 cases,≥6 points,medium to high medication adherence) and the non-adherent group(85 cases,<6 points,non-adherence in medication use).The demographic and socio-demographic data of the patients,as well as information on underlying diseases,were uniformly collected.The standardized scales were used to complete the psychological and family support assessment.Single-factor comparisons between groups and multiple-factor binary Logistic regression models were conducted to screen out independent influencing factors.Results Univariate analysis revealed statistically significant differences between the two groups regarding per capita monthly household income,number of comorbidities,regular physical activity,types and frequency of daily medications,adverse drug reactions,self-efficacy,anxiety,depression,and family support levels(P<0.05).Multivariate Logistic regression analysis revealed that per capita monthly household income,regular physical activity habits,and self-efficacy scores were independent protective factors for medication adherence.Conclusion The medication compliance of patients with mild hypertension is influenced by multiple factors.Clinically,comprehensive interventions can be carried out by improving economic burden,guiding healthy lifestyles,and enhancing patients' self-efficacy,in order to increase the rate of standardized medication use and the effect of blood pressure control.