重庆市黔江区农村高血压患者慢性病知识知晓率及影响因素  

Analysis on the Awareness and Influencing Factors of Chronic Diseases among Rural Patients with Hypertension in Qianjiang,Chongqing

作　　者：彭凯[1,2] 邱胜[3] 唐文熙[1,2] 孙晓伟[1,2] 张亮[1,2] 

机构地区：[1]华中科技大学医药卫生管理学院,武汉430030 [2]湖北省人文社科重点研究基地--农村健康服务研究中心,武汉430030 [3]广州医科大学卫生管理学院,广州510182

出　　处：《医学与社会》2015年第2期8-10,共3页Medicine and Society

基　　金：国家自然科学基金"基于CAS理论的农村医疗服务纵向整合管理模型研究";编号为71273099;美国中华医学会"整合卫生服务的效率与效果研究";编号为11-069

摘　　要：目的:了解重庆市黔江区农村高血压患者的高血压疾病与治疗知识知晓率及其影响因素。方法:对黔江区农村高血压患者分层抽样后,采取问卷调查法进行知晓率调查。对于收集的数据使用SPSS13.0软件进行卡方检验以及二元logistic回归分析。结果:该地区农村高血压患者对高血压防治知识的整体知晓率为42.56%,疾病知识的分项知晓率远低于治疗知识。整体知晓率随着文化程度的提高而上升(OR=2.316,OR95%CI2.049-2.652),随着年龄的增长而下降(OR=0.919,OR95%CI0.861-0.980),并未发现家庭收入状况对知晓率有影响。在抽样6乡镇中,慢性病控制较好的乡镇知晓率高于慢性病控制差的。结论:黔江区农村高血压患者的慢性病知晓率偏低。特别应该针对高血压疾病知识,根据年龄、文化程度以及地区等因素进行有重点的人群健康教育,以提高患者对疾病的知晓率进而提高农村地区高血压患者的健康素质。Objective： To understand the factors in rural areas of Qianjiang District of Chongqing city in hypertensive patients with hyperten- sion disease and treatment of knowledge ＆ its influence. Methods： After stratification sampling in patients with hypertension in Qianjiang District Rural, questionnaire survey has been done. Results： The overall awareness rate of patients with hypertension in rural area is about 42.56%. The partial awareness rate of disease is far lower than that of treatment. Hypertension awareness degree increased with the rising of culture degree （ OR = 2. 316, OR95% CI, 2.049 ~ 2. 652） and decreased with increasing age （ OR = 0.919, OR95% CI 0. 861 ~ 0. 980）. Family income has no effect on the awareness rate. In the sample of 6 villages and towns, better control leads to a better outcome in awareness rate. Conclusion： The awareness rate of hypertensive patients in Qianjiang rural area is low. We should especially focus on hypertensive disease knowledge, taking into account the factors of age, education level and area of health education on the patients with the disease in order to improve the awareness rate of hypertensive patients in rural areas and improve the quality of their health.

关 键 词：高血压 慢病知识 知晓率 影响因素 

分 类 号：R193[医药卫生—卫生事业管理] R544.1[医药卫生—公共卫生与预防医学]