高血压影响因素调查及干预研究-现代医学

高血压影响因素调查及干预研究

单位：江苏大学附属人民医院心内科, 江苏镇江 212002

分类号：R544.1

出版年·卷·期（页码）：2019·47·第六期（677-681）

摘要：

目的：调查江苏省镇江市社区高血压控制率，分析可能的影响因素，提出针对性的干预措施并评估干预效果。方法：采用按比例抽样的方法，选取镇江市不同社区高血压患者1 040例，对所有患者发放调查表并统计调查结果。针对血压影响因素提出干预措施，随访2年后对干预效果进行分析。结果：镇江地区社区高血压控制率为64.6%，性别、婚姻情况、高血压管理年限、血压测量情况、高血压的知识水平及治疗依从性与高血压控制率密切相关（P<0.01）。针对这些影响因素制定干预措施，提高了患者的血压测量频率、知识水平及治疗依从性，最终使高血压控制率显著改善（83.1%，P<0.01）。结论：男性、无稳定婚姻关系、高血压管理年限短、不经常测量血压、高血压知识不足及治疗依从性差是血压控制率低的原因，针对高血压影响因素实施干预措施，可以有效地提高高血压的控制率。

Objective:To investigate the control rate of hypertension in community of Zhenjiang area, Jiangsu Province and to put forward individual interventional measures and eventually estimate the results of intervention. Methods:By proportional random sampling methods, 1 040 patients with hypertension in different communities were enrolled in our study. Questionnaires were issued to all patients and survey results were analyzed. In view of the factors influencing the blood pressure, interventional measures were put forward,the intervention effect was analyzed after 2 years of follow-up. Results:Hypertension control rate in Zhenjiang area was 64.6%. Sex, marriage status, management years of hypertension, frequency of blood pressure measurement, knowledge level of hypertension and treatment compliance were closely related to control rate of high blood pressure(P<0.01). According to these factors, interventional measures were made to improve the frequency of patients blood pressure measurement, knowledge level and treatment compliance, eventually hypertension control rate was improved significantly(83.1%, P<0.01). Conclusion:Being male, marital instability, short period of hypertension management, less measurement of blood pressure, lack of knowledge of hypertension and poor treatment compliance are the factors of low blood pressure control rate. The intervention measures for the influencing factors of hypertension can effectively improve the control rate of hypertension.

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