南宁市城乡35岁以上高血压患者血压控制现状及影响因素分析  

Status of blood pressure control among hypertension patients over 35 years old in urban and rural areas of Nanning City and analysis on influencing factors

作　　者：周吉[1] 周芳华[1] 杨绍湖[1] 石健[1] 叶琳[1] 梁宝送[1] 江珊[1] 

机构地区：[1]广西壮族自治区南宁市疾病预防控制中心慢性非传染性疾病防制科,530023

出　　处：《职业与健康》2014年第12期1631-1633,1637,共4页Occupation and Health

基　　金：广西卫生厅科研课题(项目编号:Z2012643)

摘　　要：目的了解南宁市实施国家基本公共卫生服务项目城乡高血压患者血压控制现状及影响血压控制的因素,为完善社区高血压患者规范化管理提供理论依据。方法于2012年对南宁市青秀区（城市）和横县（农村）接受国家基本公共卫生服务慢性病患者规范化管理满1年的高血压患者进行问卷调查和体格检查。采用分层两阶段单纯随机抽样方法,分别抽取城市400名,农村300名,共700名调查对象。了解血压控制现状,以血压控制达标（血压〈140/90mm Hg）作为应变量,进行单因素、多因素非条件logistic回归,分析影响血压控制的因素。结果回收有效问卷699份,有效率99.9%。南宁市35岁以上高血压患者血压控制率为56.3%,其中城市为70.3%,农村为37.8%,城乡差异有统计学意义（P〈0.01）。影响血压控制的因素有地区、性别、服药依从性和中心性肥胖,OR值（95%CI）分别为3.803（2.313～6.253）、0.560（0.352～0.888）、2.935（1.830～4.706）和1.711（1.053～2.778）。结论南宁市基本公共卫生服务高血压患者规范化管理能够有效改善血压控制情况,城市、女性、服药依从性好以及非中心性肥胖患者血压控制更容易达标。[Objective]To understand the status of blood pressure control among urban and rural hypertension patients after implementing the National basic public health services in Nanning City,analyze the factors influenced blood pressure control,provide theoretical basis for improving the standardized management of hypertension patients in community.[Methods]The questionnaire survey and physical examination were performed in the hypertension patients collected from Qingxiu District（urban area） and Hengxian County（rural area） in Nanning City in 2012,who had received the standardized management of chronic diseases from National basic public health services for at least one year.By the stratified two-stage simple random sampling method,700 respondents were collected,including 400 urban cases and 300 rural cases.To understand the status of blood pressure control,the blood pressure level lower than 140 /90 mm Hg was chosen as the dependent variable,and the single-factor logistic regression and multiple logistic regression were used to analyze the factors influenced blood pressure control.[Results]699 valid questionnaires were reclaimed,and the effective rate was 99.9%.The control rate of blood pressure among hypertension patients over 35 years old in Nanning City was 56.3%,while that in urban and rural areas was 70.3% and 37.8% respectively,and the difference was significant（P 〈0.01）.The influencing factors of blood pressure control were region,gender,medication compliance and central obesity,which OR（95% CI） value was 3.803（2.313-6.253）,0.560（0.352-0.888）,2.935（1.830-4.706） and 1.711（1.053-2.778）,respectively.[Conclusion]The standardized management of basic public health services among hypertension patients in Nanning City can effectively improve blood pressure control,and the hypertension patients who are female,in urban area,with good medication compliance and non-central obesity are easier to meet the standard of blood pressure control.

关 键 词：高血压 影响因素 血压控制 服药依从性 中心性肥胖 

分 类 号：R181.3[医药卫生—流行病学]