ԤˤʤΤϡѤǤ

شϢ˥塼

ݤΰŷ˥塼(TV)/ͭ̾ͤξ㽸ΰ

찵ԤȾ̵С̵ɾǤ

ܹ찵زˤС̴찵140ʾޤϳĥ찵90ʾݤ줿֤찵ǤȤƤޤǯθǤϷ찵Ϲ⤱й⤤ʻɤΥꥹޤ뤿ᡢ̴찵120̤ΤηɤˤȤäôʤ찵٥ȤƤޤ

찵ɤȤСǾзΥꥹư̮Ų/ڹɤΥꥹȤʤޤޤ̵ФǤȡˤä֤򿩤ǽޤ



JAMAˤȡֹ찵ȾʾϡФʤ(Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries)ȤΤȤǤ
628ϰ˽35-70Ф142042ͤоݤˡ찵ǸĴ찵ͭΨ40.8ǡмԤ46.5äмԤ87.5ʪǡ32.5Ƿ찵ȥ뤬ǤƤǤϳȼΨΨȥΨΤ줾˴Ϣ줿


ˡBMJˤȡʲΤ褦ˡֹ찵ɤ˴ؤơޤˤ̵ؿǤפȤ֤ŦƤޤ(Lay perspectives on hypertension and drug adherence: systematic review of qualitative research)³ɤ

찵θܤ򸡾ڤǤ븡å

㥹åλ᡼ȱʪϹ찵θȤʤʪ򸡽Ф븡åȤȯ찵Ĵ뤿Ѥ򸡽Ф찵θܤñ˸ڤ뤳ȤǤ롣߰ޤγȯʤҤμפ򸫹Ǥꡢᤱǯˤȯ䤹롣

ȯåȤϷդǢ˴ޤޤ֥󥸥ƥ󥷥ΡפȸƤФ뤿Ѥ̤¬ꤹ롣󥸥ƥ󥷥ΡϹǤαƶѰۤȡɤ̤Ʒ찵夲Ư򤹤롣
(ȱʪꡢ찵θܤ򸡾ڤǤ븡å)


찵Ȥϡ찵ϰϤĶƹ⤯ݻƤ֤Ǥ̴찵140ʾޤϳĥ찵90ʾݤ줿֤찵ǤȤƤޤ찵ΤμоɾϲʤȤ¿ǤǾ´桢ʤɤȯɥꥹȤʤ׾Ūʰյ礭Ǥ

ǯθǤϷ찵Ϲ⤱й⤤ʻɤΥꥹޤ뤿ᡢ̴찵120̤ΤηɤˤȤäôʤ찵٥ȤƤޤ

ʪŤγϤꡢǽ˻ѤޤȤޤ찵ťɥ饤Ǥι߰ϡ6椫򤹤뤳Ȥ侩Ƥޤ
1)󥸥ƥ󥷥IIɹARB
2)󥸥ƥ󥷥Ѵ˳ACE˳
3)륷ɹ
4)¼
5)1
6)Ǣ


ʤˤꥹʤԤǤϡȤ¤Ǣ䥫륷ɹȤȤޤ60̤ǤACE˳󥸥ƥ󥷥IIɹ¼ʤɤѤޤ

߰ǢϸŵŪʹ߰Ǥ㥫ꥦɡǽǢ;徺ʤɤѤˤ⤫餺Ƕ絬׾η̤Ǥϡ󥸥ƥ󥷥Ѵ˳ACE˳ˡ󥸥ƥ󥷥IIɹCaɹʤɤοι߰ʤǾ´桢ڹͽɸ̤ƤꡢƹǤȤƶ侩Ƥޤ

߰äȸƤΤȽǤ뤳ȤǤŪʼŤǤȹͤޤñ˷찵פꡢäƤ뤫ɤȤȰʾ˰յ븡ˤʤ뤳ȤԤޤ

ڴϢ
ݤ̹찵

ʬȹ찵δطοȯݼ˴

ʿѷ찵פξ徺ʬư̮Ų

찵αƶȤϡ찵ǡ转Ƴ

찵αƶȤϡ찵ǡ转Ƴ

׾ٱ祷ƥʤɤΥӥ󶡤ӥåʸˤϣϷ̾±°Ϸ̾ǥ륵ݡȥ󥿡ʿϷ̾ԡˤȶƱǡѷ찵פ̿ѤƼˤʤ¬ꤷ찵ǡʤɤɾ转Ƴֲ찵ӥפ򳫻Ϥȯɽ

ӥåϡѰŵʤɤȤä转¤俴ڹɤʤɤͽɤ֥إ륹ߥ˥ȡפ˰ƤײǡΥӥϤơ塢¿ΰŵؤϢȤ򶯲ƱȤγȽܻؤ

ΥӥϡƱ󥿡»ܤ᥿ܥåɥοǤˬ줿ǼԤоݤ˹ԤѼԤϲ¬ꤷ찵ͤѤ̿Ѥȡ줿ǡ˴ŤƱ󥿡ΰդ찵ɾΤʤɤΥɥХݡȤŪֿ롣

찵ϾưƤꡢʹ֥ɥåʤɤη찵¬ǤϡΤ¬뤳Ȥ񤷤äΥӥǤη찵¬ꤷǡդ˿ǤƤ館뤿ᡢˤʤΤʷ찵οǤ롣ޤդ转βؤνۤŸ̤İʤɤǧǤȤ衢ǤˤϷ찵ʤɤդꤷƤѼԤѤ̿ȤᡢѤ路Ȥʤʤ롣
(찵ǡ转Ƴ)


찵Ȥϡ찵ϰϤĶƹ⤯ݻƤ֤ǡ̴찵140ʾޤϳĥ찵90ʾݤ줿֤Ǥ

찵ΤμоɾϲʤȤ¿ǤǾ´桢ʤɤȯɥꥹȤʤ׾Ūʰյ礭ȤƤޤ转¤ΤҤȤĤǡɡǢ¤Ȥιʻϥ᥿ܥåɥΰǤȤƤޤǯθǤϡ찵Ϲ⤱й⤤ʻɤΥꥹޤ뤿ᡢ̴찵120̤ΤηɤˤȤäôʤ찵٥ȤƤޤ

찵ϸ餫Ǥʤ찵ɤȥۥ۾ʤɤˤä찵ʬवޤ찵θñǤϤʤξƤ餦ĤŪǰޤƤĹ𲽤ޤǤοȥ쥹ʤɤΤޤޤʴĶҤˤäƽƹ찵ȯȤޤ

찵ιʻȤƤϡǾ´桢վ㳲㳲(찵ɤ䡢ư̮̮ĺɾɡоɤʤ)硢ư̮ʤɤޤȤˡư̮Ų餳ذܹԤƤȤޤ

ŤȤƤϡˡ䱿ưˡԤǤ140/90mmHgĶƤϹ߰ˤʪŤ򳫻ϤޤޤǢ䥫륷ɹȤѤۤˤACE˳󥸥ƥ󥷥󭶼ɹ¼ʤɤѤޤ

µͽɤΤˡ찵ۤ䡢²ư̮ŲȤµˤʤä²äϡäӥǷ찵Υȥ򤵤ƤϤǤ礦

ڴϢ
ʬȹ찵δطοȯݼ˴

ܿͤΤ˴ȥåפϡֲΤפ¸Ǥ

ʬȹ찵δطοȯݼ˴

ܿͤ¿ʬΤȤ᤮ˤ찵뿷ʻȤߤʻĿ졦ڶʿ¡ʡˤΥ롼פޥȤä餫ˤγȯԤǤ̤ǡƲʳػ糧롦᥿ܥꥺࣵȯɽ

찵ʣװŤʤäƵ뤳Ȥ¿ϤϤäꤷʤ礬¿ǡ㥢ɥƥɣȤι찵ξ硢ʬǢӽФ뵡ǽΰ۾郎Ȥ졢طҤۤꤵƤ롣ŪʻȤߤϤ褯狼äƤʤä

ĤϡǤµ򵯤ޥܤĴ٤Ȥ¡ˤ뤿Ѥ졢ǢθˤʤΤʬ˺ƵۼӽФ˸Ƥη̡αդƹ찵Ƥ뤳Ȥ狼äȤ

Τ찵ĴȤߤȤƤϥ˥󡦥󥸥ƥ󥷥ϤΤ졢ι߰ޤϤƯΤ¿㥢ɥƥɣΤδԿϾʤ狼äʬȹ찵δط¿ι찵Ԥˤȹͤ롣Ĥϡ֥˥󡦥󥸥ƥ󥷥ϤȤ̤λȤߤʤΤǡ߰ޤγȯˤĤʤǽפäƤ롣
(ʬӽ˸찵Ȥȯ˴)


ܹ찵زˤС̴찵140ʾޤϳĥ찵90ʾݤ줿֤찵ǤȤƤޤǯθǤϷ찵Ϲ⤱й⤤ʻɤΥꥹޤ뤿ᡢ̴찵120̤ΤηɤˤȤäôʤ찵٥ȤƤޤ

찵ϸ餫Ǥʤ찵ɤȥۥ۾ʤɤˤä찵ʬवޤ찵θñǤϤʤξƤ餦ĤŪǰޤƤĹ𲽤ޤǤοȥ쥹ʤɤΤޤޤʴĶҤˤäƽƹ찵ȯȤޤ

ȤƤϡǢ䥫륷ɹACE˳󥸥ƥ󥷥󭶼ɹ¼ʤɤޤȯǡʼޤΤΤޤ

ڴϢ
ܿͤΤ˴ȥåפϡֲΤפ¸Ǥ

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