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目的:了解合并高血压维持性血液透析患者遵医行为,帮助其控制病情,提高生活质量。方法:采用自行设计的问卷,对随机抽样的120例合并高血压维持性血液透析患者,进行调查分析。结果:120例患者,完全遵医者36例,不完全遵医者62例,完全不遵医者22例。影响不遵医行为最常见的原因是缺乏高血压、血液透析知识,担心血液透析并发症,医疗费用高等。结论:合并高血压维持性血液透析患者不遵医行为发生率很高,原因复杂。应加强健康教育,保证足够的医疗费用,社会与家庭支持,才能帮助合并高血压维持性血液透析患者控制病情,提高生活质量。
Objective: To understand compliance behavior of hemodialysis patients with hypertension and help them to control their condition and improve their quality of life. Methods: A self-designed questionnaire was used to investigate and analyze 120 randomized patients with hypertension-sustaining hemodialysis. Results: Among the 120 patients, there were 36 patients who completely followed the doctor, 62 patients who did not follow the doctor completely, and 22 patients did not follow the doctor completely. The most common causes of non-compliance are lack of knowledge of hypertension, hemodialysis, hemodialysis complications, and higher medical costs. Conclusion: The incidence of non-compliance with hypertension in patients with maintenance hemodialysis is very high and the reason is complicated. Health education should be strengthened to ensure adequate medical costs, social and family support, can help patients with hypertension maintenance hemodialysis control the disease, improve quality of life.