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신규 고혈압 환자에서 치료지속성이 고혈압 조절에 미치는 영향
The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension

보건행정학회지 2014년 24권 2호 p.136 ~ p.142

한진옥(Han Jin-Ok) - 가천대학교 의학전문대학원
오대규(Oh Dae-Kyu) - 가천대학교 의학전문대학원
임준(Yim Jun) - 가천대학교 의학전문대학원
고광필(Ko Kwang-Pil) - 가천대학교 의학전문대학원
이희영(Lee Hee-Young) - 가천대학교 길병원 암관리사업부
박종헌(Park Jong-Heon) - 국민건강보험공단 빅데이터운영실
임정수(Im Jeong-Soo) - 가천대학교 의학전문대학원

Abstract

Background: This study is to research on how hypertension control is associated with adherence in newly diagnosed hypertension patients.

Methods: The study is based on 255,916 patients who were diagnosed with hypertension in 2009 and didn’t have any previous medical history of hypertension or associated complication for the past year using data collected by National Health Insurance Corporation. Newly diagnosed hypertension patients are divided into two group by visiting medical center numbers (more than 300 days was adherence group, if not non-adherence group). Patients are considered to have successfully controlled their hypertension based on blood pressure measured by health examination. Chi-square test and logistic regression, repeated measured analysis of variance was used to analyze.

Results: The relations between adherence and hypertension control show that 1.12 times of patients in adherence group was able to control their hypertension. The additional analysis proves that adherence group are more decreased level of blood pressure than non-adherence group except for patients who are over 70. Comparison of the average of systolic blood pressure and diastolic blood pressure between adherence and non-adherence groups shows that the blood pressure has been significantly among the adherence group.

Conclusion: The study proves that constant treatment for hypertension could control the blood pressure and encourages patients to put more effort for persistent treatment. It also shows that hypertension treatment are more effective in younger patients than the elderly and strategies of approaching are different depending on age.

키워드

Hypertension, Patient adherence, Control of hypertension, National Health Insurance Corporation

KMID : 0387320140240020136

원문 및 링크아웃 정보

KISTI

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

신규 고혈압 환자에서 치료지속성이 고혈압 조절에 미치는 영향 The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension

Abstract

키워드

신규 고혈압 환자에서 치료지속성이 고혈압 조절에 미치는 영향
The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension