Abstract:
Objective To probe into the present status of medication compliance in patients with anti-hypertension therapy and to explore the association between social support and medication compliance.
Methods By simple random sampling method, 1 068 patients were selected from a district of Shanghai. A cross-sectional survey was conducted with selfadministered questionnaires, containing Morisky Scale and Social Support Rating Scale.
Results The questionnaire findings highlighted that 70.4% of the respondents with good compliance. The scores of social support, subjective support, objective support, and support utilization were 39.63& #177;7.17, 24.25& #177;4.73, 8.49& #177;2.57, and 6.91& #177;2.21, respectively. The results of Spearman rank correlation analysis showed that social support utilization was significantly correlated with medication compliance (rs=0.85, P=0.005). The results of multivariate logistic analysis indicated that support utilizationodds ratio (OR)=1.57; 95% confidence interval (CI):1.178-2.086, hypertension course (OR=2.01; 95%CI:1.415-2.866), and per capita monthly family income (OR=1.76; 95%CI:1.223-2.538) were impact factors of medication compliance.
Conclusion Patients with higher support utilization show better medication compliance. Establishing a comprehensive and effective social support system, improving utilization level of social support, and making special care to patients suffering from a shorter course of hypertension or a lower economic level may increase medication compliance in hypertensive patients.