文章摘要

高血压患者治疗依从性多维度量表的系统评价

作者: 1罗屹惟, 1罗如珍, 1刘彦慧
1 天津中医药大学护理学院,天津 301617
通讯: 刘彦慧 Email: yh_liu888@163.com
DOI: 10.3978/j.issn.2095-6959.2020.11.014
基金: 教育部人文社会科学项目(18YJAZH060)。

摘要

目的:系统评价高血压患者治疗依从性多维度量表基本情况和量表的性能质量。方法:全面检索PubMed,Cochrane Library,Web of Science,Embase,中国知网,维普,万方7个数据库,搜索时间为建库至2019年8月。采用系统评价的方法对纳入的研究定性分析,使用应用广泛的评价标准对量表的心理测量性能进行评价。结果:共纳入27篇研究,包括高血压依从性量表4个,分别为Hill-Bone高血压治疗依从性量表、高血压治疗依从性量表、高血压患者治疗依从性问卷、系统性高血压依从性的问卷,现有证据显示量表的各项证据等级均介于“好”和“一般”之间。结论:当前高血压依从性的测量方式尚未统一,且量表忽略了包括生活方式、饮食、体重和压力管理层面的评价,高质量的多维度量表数量有限。今后研究可加强对不同高血压人群的多维度依从性量表的开发测试及应用。
关键词: 高血压;依从性;量表;系统评价

Multidimensional scale of hypertension treatment compliance: A systematic review

Authors: 1LUO Yiwei, 1LUO Ruzhen, 1LIU Yanhui
1 College of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China

CorrespondingAuthor: LIU Yanhui Email: yh_liu888@163.com

Foundation: This work was supported by the Humanities and Social Sciences Program, Ministry of Education, China (18YJAZH060).

Abstract

Objective: To conduct a systematic review of the basic condition and performance of the multidimensional scale of hypertension compliance. Methods: The multidimensional scale of hypertension compliance were retrieved from PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), VIP and Wanfang Database from the establishment of the database to August 2019. The included studies were analyzed and the psychometric performance of the scale was evaluated by systematic evaluation. Results: A total of 27 studies were included, including the Hill-Bone Compliance to High Blood Pressure Therapy Scale, Therapeutic Adherence Scale for Hypertensive Patients Scale, the Treatment Adherence Questionnaire for Patients with Hypertension Scale and Questionnaire on Adherence to Systemic Hypertension. Conclusion: The measurement methods for compliance with hypertension are not unified, and the scale ignores the evaluation at the level of lifestyle, diet, weight and stress management. The number of high-quality multidimensional scale is limited, and future research can strengthen the development, testing and application of multidimensional compliance scale for different hypertensive populations.
Keywords: hypertension; adherence; scale; systematic review