中文摘要：

目的从个人、家庭和社区3个层面出发,挖掘农村地区老年高血压患者治疗依从性的影响因素。方法依据中国高血压基层管理指南（2014年修订版）,将治疗依从性划分成2个维度5个指标,采用描述性统计分析、卡方检验和多元Logistic回归,对345名农村老年高血压患者进行分析。结果女性、文化程度高的患者,其治疗依从性差的风险相对较低;留守家庭对治疗依从性差的风险高于普通家庭（OR=2.532,P=0.033）;家庭到医疗机构距离越远,治疗依从性越差（OR=5.199,P=0.034）;患者在3个月内接受高血压防治指导有利于减轻依从性差的风险（OR=0.256,P=0.022）。结论留守家庭状态严重影响老年高血压患者的治疗依从性,社区资源可以提高农村老年高血压患者的治疗依从性,关注农村地区老年人口健康管理中存在的问题。

英文摘要：

Objective To analyze the effect factors of treatment compliance of hyper-tension in rural aged from three aspects：individuals,families and communities. Methods Based on the guideline of China Hypertension Primary Level Management（ 2014 revised edition）,treatment compliance was divided into 2 dimensions,5 indexes. Descriptive analysis,Chi-squared test and multiple logistic were used,and 345 rural aged with hypertension were analyzed. Results Female and aged with higher education level had lower risk of treatment compliance. Risk in Left-behind families was higher than that of ordinary families（ OR = 2. 532,P = 0. 033）.The further the distance between homes and medical institutions,the poorer the compliance（ OR = 5. 199,P = 0. 034）. Those who had received hyper-tension guidance within 3 months had lower risk（ OR = 0. 256,P = 0. 022） of compliance. Conclusion The status of the left-behind families seriously influenced the compliance of the aged hyper-tension patients,community resources might enhance the compliance of the aged hyper-tension patients,It is necessary to pay attention to the management problems in rural aged population.