نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دوره کارشناسی ارشد، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران

2 دانشیار، مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران

3 دانشیار، مرکز تحقیقات ایدز شیراز، دانشگاه علوم پزشکی شیراز، شیراز، ایران

4 دانشجوی دکترای آموزش و ارتقای سلامت، دانشکده بهداشت دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه : تبعیت دارویی بیمار به معنای پایبندی بیمار به رعایت دستورات دارویی که شامل مصرف به موقع و درست داروهای تجویز شده توسط پزشک می شود، است. این مطالعه با هدف تعیین میزان تبعیت از مصرف داروهای ضدفشارخون در بیماران قلبی مراجعه کننده به درمانگاه امام رضا در شهر شیراز اجرا شد.مواد و روش : این مطالعه مقطعی که در سال 1396 بر روی 282 نفر از بیماران قلبی عروقی مراجعه کننده به درمانگاه امام رضا (ع) شهر شیراز که داروی ضد پرفشاری خون مصرف می کردند، انجام شد. برای گردآوری اطلاعات از پرسشنامه تبعیت دارویی موریسکی که برای جامعه ایرانی روا و پایا شده بود، استفاده شد. داده ها با استفاده از نرم افزار SPSS  و آزمون تی تست و آنوا تحلیل شدند.یافته ها: نتایج نشان داد تبعیت از داروهای ضدفشارخون در 95/76درصد از بیماران قلبی پایین بود. در حالی که 96/15 و 09/7 درصد از بیماران مورد مطالعه از تبعیت متوسط و بالای دارویی برخوردار بودند. بیشترین علل عدم تبیعیت از رژیم فشار خون خود در بیماران قلبی در این مطالعه فراموش کردن زمان مصرف دارو (2/76 درصد)، مصرف نامنظم دارو در طول مسافرت یا هنگام ترک منزل (8/63 درصد) و خستگی ناشی از مصرف روزانه و مستمر دارو  (5/58 درصد) بود. به علاوه نتایج نشان داد با افزایش سن تبعیت دارویی کاهش می یافت (001/0>P، 22/0- = r).بحث و نتیجه گیری: این مطالعه نشان داد که بیش از دو سوم بیماران قلبی تبعیت پایینی از رژیم درمانی داروهای ضد فشارخون داشتند. علل شایع آن، فراموشی  و یا عدم مصرف دارو در مسافرت بود. ارائه راهکارهایی در این زمینه برای رفع این مشکل پیشنهاد می شود.

کلیدواژه‌ها

عنوان مقاله [English]

Antihypertensive Drugs Adherence in Heart Disease Patients Referring to the Imam Reza Clinic in Shiraz

نویسندگان [English]

  • Somayeh Zare 1
  • Mohsen Shams 2
  • Mohammad Fararouei 3
  • Sadigheh Shariatinia 4

1 MS, Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran

2 PhD, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran

3 PhD, Shiraz HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

4 PhD Student, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Back ground: Patient medication adherence refers to the timely and correct use of medications prescribed by the physician. The aim of this study was to determine the adherence rate of antihypertensive drugs in heart disease patients referring to the Imam Reza Clinic in Shiraz, Iran.
Methods: This cross-sectional study was performed on 282 heart disease patients, who used antihypertensive, referring to Imam Reza (AS) clinic in Shiraz in 1396. For data collection, a demographic questionnaire and a Morisky Medication Adherence Scale, which was valid for the Iranian community, were used. Data were analyzed using SPSS software.
Results: The results of this study revealed that the antihypertensive drug adherence in 95 heart disease patients (76%) was low.  However, 16% and 7% of the patients reported moderate and high adherence to antihypertensive drugs, respectively. The most common causes of patients’ antihypertensive drug non-adherence were forgetting to take the medication (76.2 %), irregular taking of the medication while traveling (63.8) or while leaving the house, and being tired as a result of daily and continually taking the drugs (58.5 %). Moreover, the results showed that by aging, the antihypertensive drug adherence decreased (r= - 0.22, P < 0.001).
Conclusion: This study showed that more than two-thirds of heart disease patients had low medication adherence. The most common causes were missed medication and irregular travelling-related medication intake. Performing some strategies for solving this issue is recommended. 

کلیدواژه‌ها [English]

  • Medication adherence
  • Antihypertensive agents
  • Heart diseases
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