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首页> 外文期刊>International medical journal: IMJ >Why Hypertensive Patients Do Not Comply with Their Treatment?: A Case-Control Study in Perlis, Malaysia
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Why Hypertensive Patients Do Not Comply with Their Treatment?: A Case-Control Study in Perlis, Malaysia

机译：为什么高血压患者不符合治疗要求？：马来西亚玻璃市的病例对照研究

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Introduction: Hypertension is the most common chronic disease in Perlis. This study was done to identify the factors influencing noncompliance among hypertensive patients.Methods: This was a case-control study involving 230 patients as cases (came for treatments but did not comply with their scheduled treatments and follow-ups) and 230 patients as controls. Data was collected by reviewing medical record and interviews, and analyzed using SPSS software.Results: Cases are more high risk to noncompliance compared to control in low-level of knowledge (AOR 2.113; 95%CI 1.392-3.207), practices of traditional medicine (AOR 2.134; 95%CI 1.366-3.334), dissatisfaction with services by the health staffs (AOR 4.670; 95%CI 1.228-17.755), obesity (AOR 1.516; 95%CI 1.009-2.278) and difficulties in transportation to the clinics (AOR 1.484; 95%CI 1.006-2.188). Comparing with controls, there are also more high risk to noncompliance in those who were low educational level (OR 1.551; 95%CI 1.037-2.322), uncontrolled their systolic pressure (OR 1.7331; 95%CI 1.162-2.579), uncontrolled their diastolic pressure (OR 1.699; 95%CI 1.140-2.532) and don't care about their disease (OR 1.665; 95%CI 1.098-2.525).Conclusions: Several factors are significantly found to be risk factors towards noncompliance among hypertensive patients. Therefore, the promotion programmed on hypertension should be continued and the contents should be periodically revised from time to time.
机译：简介：高血压是玻璃市最常见的慢性疾病。该研究旨在确定影响高血压患者不依从性的因素。方法：这是一项病例对照研究，涉及230例患者（接受治疗但未遵从预定的治疗和随访）和230例患者作为对照。通过回顾病历和访谈收集数据，并使用SPSS软件进行分析。结果：与传统知识的低知识水平（AOR 2.113; 95％CI 1.392-3.207）相比，病例的违规风险更高（AOR 2.134; 95％CI 1.366-3.334），对医务人员的服务不满意（AOR 4.670; 95％CI 1.228-17.755），肥胖症（AOR 1.516; 95％CI 1.009-2.278）和运送到诊所的困难（AOR 1.484; 95％CI 1.006-2.188）。与对照组相比，低学历者（OR 1.551; 95％CI 1.037-2.322），收缩压不受控制（OR 1.7331; 95％CI 1.162-2.579），舒张压不受控制的人群中违规风险也更高。压力（OR 1.699; 95％CI 1.140-2.532），而不关心疾病（OR 1.665; 95％CI 1.098-2.525）。结论：几个因素被认为是高血压患者不依从的危险因素。因此，应继续进行有关高血压的宣传活动，并应不时定期修订其内容。

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