陈凡凡，杨连招，李　捷，胡艳宁，莫新少，廖康兴，杨　永，陈　玲，唐榕英



社区高血压病人人格特征和应对方式对服药依从性的影响

陈凡凡，杨连招，李捷，胡艳宁，莫新少，廖康兴，杨永，陈玲，唐榕英

摘要：[目的]探讨社区高血压病人人格特征和应对方式对服药依从性的影响。[方法]运用中国大五人格问卷简版、医学应对问卷和Morisky服药依从性量表对196名社区高血压病人进行测评。[结果]社区高血压病人服药依从性不佳；病人服药依从性不同，其应对方式不同；高血压病人的服药依从性与人格特征的神经质、严谨性、外向性及应对方式的面对、回避和屈服相关。[结论]医务人员应根据病人不同的人格特征采用针对性的认知行为疗法，使病人积极应对，从而提高其服药依从性。

关键词：高血压；社区；应对方式；人格特征；服药依从性

Influence of perzonality characteristics and coping style on medication compliance of hypertension patients in community

Chen Fanfan,Yang Lianzhao,Li Jie,et al

(Guangxi Medical University,Guangxi 530021 China)

AbstractObjective:To probe into the influence of personality characteristics and coping style on medication compliance of hypertension patients in community.Methods: A total of 196 patients were assessed by using China Big Five Personality Questionnaire short version,medical coping questionnaire and Morisky's medication compliance scale.Results: Medication compliance of hypertension patients in community was poor.Different medication compliance in patients,the coping styles were different.The medication compliance of patients with hypertension was related to personality characteristics including the nervous,strict,outward and coping style of the face,avoid and yield.Conclusion: Medical personnel should be based on the different personality characteristics of patients to adopt targeting cognitive behavioral therapy for the patients,and then make them actively cope,so as to improve their medication compliance.

Key wordshypertension;community;coping style;personality characteristics;medication compliance

高血压是慢性非传染性疾病中发病率最高的心血管疾病，严重危害人们的健康，是脑卒中、心肌梗死、心脏衰竭、肾衰竭的主要危险因素[1]。调查研究显示，我国人群高血压控制率为6.1%[2],高血压控制不良的原因有很多，其中服药依从性不佳是重要因素[3]。国内外的许多研究显示，高血压病人的服药依从性不高[4-5]。相关学者也从不同的方面对高血压病人服药依从性的影响因素做了大量研究，但就人格特征角度探讨其对服药行为影响的研究报道很少。在健康心理学中，健康行为模型指出，人格影响人们如何应对、评价以及影响情境，同时影响人们可能实施的健康行为。……