中文摘要：

目的 探讨不同信息化干预方式对社区老年原发性高血压病患者服药依从性的干预效果.方法 选取2013年9月—2014年2月在广西中医药大学附属瑞康医院北湖南棉社区卫生服务中心建立健康档案的老年原发性高血压病患者360例,根据干预方法不同分为9组：A1-A4组、B1-B4组、C组,删去缺失后每组31例.其中A1组采用电话随访干预,1次/d;A2组采用电话随访干预,1次/2 d;A3组采用电话随访干预,1次/3 d;A4组采用电话随访干预,1次/5 d;B1组采用短信随访干预,1次/d;B2组采用短信随访干预,1次/2 d;B3组采用短信随访干预,1次/3 d;B4组采用短信随访干预,1次/5 d;C组采用常规社区干预.于干预前收集患者的一般资料,并于干预后1、3、6个月分别采用Morisky评估量表评价患者的服药依从性.结果 9组患者性别、年龄、高血压等级、病程构成均完全相同,且9组患者民族、职业、文化程度、婚姻状况、收入水平、居住状况、医疗保险、测量血压频率、服药次数、除高血压外其他慢性病、住院次数、发送短信情况间差异均无统计学意义（P＞0.05）.A1和B1组、A2和B2组、A3和B3组、A4和B4组患者服药依从率均高于C组,差异有统计学意义（P＜0.05）;而A1与B1组、A2与B2组、A3与B3组、A4与B4组患者服药依从率间差异均无统计学意义（P＞0.05）.结论 电话干预和短信干预均可有效提高社区老年原发性高血压病患者服药依从性.

英文摘要：

Objective To explore the effects of different ways of informationalized intervention on medication compliance of community senile patients with primary hypertension. Methods A total of 360 senile patients with primary hypertension establishing health records in Nanmian Community Health Service Center in North Lake Street,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine from September 2013 to February 2014 were selected. According to theinterventional methods,the patients were divided into 9 groups：A1 to A4 groups,B1 to B4 groups and C group. 31 subjects were in each group after deleting the missing ones. Except C group using conventional community intervention,A1 to A4 groups and B1 to B4 groups were respectively intervened by telephone and short message follow - up,and among them,group A1 and B1 were intervened once a day,group A2 and B2 were intervened every 2 days,group A3 and B3 were intervened every 3 days, group A4 and B4 were intervened every 5 days. The general information of the patients before intervention was collected,and the medication compliance of the patients at the 1st,the 3rd and the 6th month after intervention was evaluated by Morisky evaluation scale. Results The composition of gender,age,hypertension,the disease course were exactly the same among patients in the 9 groups,and there were no significant differences in the ethnicity,occupation,educational level,marital status,income status, living status,medical insurance,frequency of blood pressure measurement,frequency of taking medicine,status of other chronic diseases except hypertension,hospitalization times and sending short messages status among patients in the 9 groups （P 〉0. 05）. The rate of medication compliance of group A1 and B1,group A2 and B2,group A3 and B3,group A4 and B4 were significantly higher than those in group C （P 〈 0. 05）;but there were no significant differences in the rate of medication compliance of patients in group A1 and B1,group A2 and B2,group A3 and B3,group A4 and B4 （P 〉