老年高血压患者血压控制不佳与认知相关因素调查  

Poor Control of Blood Pressure in Elderly Hypertensive Patients and Cognitive-related Factors

作　　者：许明生[1] 刘伏元[2] 高潮[1] 鲍国萍[1] 徐达华[1] 

机构地区：[1]合肥市第二人民医院心内科,安徽合肥230011 [2]安徽省立医院心内科,安徽合肥230031

出　　处：《临床医学工程》2010年第9期123-124,共2页Clinical Medicine & Engineering

摘　　要：目的探讨老年高血压控制不佳的相关因素。方法对862例高血压患者问卷调查血压控制情况与认知相关因素。结果本组平均血压值为(142.7±12.0)/(81.5±9.4)mmHg,收缩压和舒张压控制理想分别为47.3%和71.6%。文盲及小学文化患者的药物错服率明显高于初中、高中和大学组(P<0.05);11.6%的病例不能遵医嘱服用降压药物;10.8%患者不能回答出最新高血压的诊断标准;3.8%的患者不知道降压药物需要持续服用。结论老年高血压患者对高血压病及降压治疗的认知程度较低,总体血压控制不佳,应加强高血压知识的宣教和指导。Objective To study the factors of poor control of blood pressure in elderly hypertensive patients.Methods 862 cases of elderly hypertensive patients were investigated for blood pressure control and cognitive-related factors.Results The mean blood pressure values（142.7 ± 12.0） /（81.5 ± 9.4） mm Hg,systolic and diastolic blood pressure of ideal control were 47.3% and 71.6% respectively.Illiteracy and primary school education patients had significantly higher rate of taking drugs wrongly than junior high school and college groups（P 0.05）;11.6% of the cases could not take antihypertensive drugs by doctors＇ advice;10.8% of the patients with hypertension could not reply to the latest diagnostic criteria of hypertension;3.8% of the patients did not have the knowledge of continously taking antihypertensive drugs.Conclusions The elderly hypertensive patients have lower awareness levels of hypertension and antihypertensive treatment,generally with poor control of blood pressure,for whom hypertension knowledge education and instructions should be strengthened.

关 键 词：高血压 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]