内科

目的探究老年人类免疫缺陷病毒（HIV）感染伴高血压患者的高血压治疗依从性现状并分析其影响因素。方法采用横断面研究设计，选取495例老年HIV感染伴高血压患者作为研究对象。应用自制调查问卷及高血压患者高血压治疗依从性量表（TASHP）进行问卷调查。采用多因素logistic回归分析该群体高血压治疗依从性的影响因素。结果经剔除资料不完整病例后，最终共纳入486例患者，其中269例高血压治疗依从性较差（55.35%）。多因素logistic回归分析显示，吸烟（OR=2.298，95%CI：1.246～4.238，P<0.01）、饮酒（OR=3.683，95%CI：1.875～7.235，P<0.01）均是老年HIV感染伴高血压患者高血压治疗依从性不良的独立危险因素。结论老年HIV感染伴高血压患者的高血压治疗依从性现状较为严峻，超半数患者依从性不良。吸烟、饮酒是该群体高血压治疗依从性不良的独立危险因素。

Objective To investigate the current status of hypertension treatment adherence and analyze its influencing factors in elderly patients with human immunodeficiency virus (HIV) infection and hypertension. Methods A cross-sectional study design was employed, in which 495 elderly patients with HIV infection and hypertension were selected as the study subjects. A self-designed questionnaire and the therapeutic adherence scale for hypertensive patients (TASHP) were used for the survey. Multivariate logistic regression model was used to analyze the influencing factors of hypertension treatment adherence in this population. Results After excluding cases with incomplete data, 486 patients were finally included, among whom, 269 patients (55.35%) had poor hypertension treatment adherence. Multivariate logistic regression analysis showed that smoking (OR=2.298, 95% CI: 1.246-4.238, P<0.01) and alcohol consumption (OR=3.683, 95% CI: 1.875-7.235, P<0.01) were independent risk factors for poor hypertension treatment adherence in elderly patients with HIV infection and hypertension. Conclusion The current status of hypertension treatment adherence is severe among elderly patients with HIV infection and hypertension, with more than half showing poor adherence. Smoking and alcohol consumption are independent risk factors for poor hypertension treatment adherence in this population.