柳州市市区高血压患者疾病认知及行为状况调查  

Analysis on cognitive and behavioral of hypertension in urban Liuzhou City

作　　者：韦红卫[1] 赵梦琴 冯献湘 余东远[4] 杨进[1] 范引光[2] 黎明强[4] 

机构地区：[1]柳州市人民医院心血管科,广西柳州545005 [2]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [3]绍兴市疾病预防控制中心慢性非传染性疾病预防控制科,浙江绍兴312071 [4]柳州市疾病预防控制中心艾滋病防制科,广西柳州545007

出　　处：《中华疾病控制杂志》2016年第10期987-990,共4页Chinese Journal of Disease Control & Prevention

基　　金：广西卫生厅自筹课题(Z2011262)

摘　　要：目的了解柳州市市区≥50岁高血压患者对疾病认知情况以及相关行为,为开展高血压群组干预管理模式提供依据与基础。方法对柳州市柳南区和柳北区招募的1 176名≥50岁高血压患者进行问卷调查,全部数据采用Epi Data 3.1软件双人录入,SPSS 13.0进行统计分析。结果高血压患者对高血压应该如何治疗和高血压治疗应考虑哪些因素认知不足。仍有7.3%患者吸烟,18.6%饮食习惯偏咸,12.4%过去一年没有进行户外锻炼;近一半高血压患者存在头晕、视力模糊等临床表现;治疗方法包括药物和非药物治疗,药物治疗者中,57.3%的患者不能遵医嘱规律服药,≥65岁的老人和<65岁人群在治疗后血压能够得以控制差异有统计学意义(2=7.72,P=0.021);患者对高血压管理主要采用医院检查和社区随诊,在管理模式上,更多人倾向于自我管理和家庭管理。结论针对柳州市高血压患者在疾病认知、生活方式、用药情况等存在的问题,应采取有效的社区干预措施,提高居民的自我保健意识和健康管理技能。Objective To understand disease-related cognition and related behavior of hypertensive patients aged 50 and older in Liuzhou urban,provide the basis and foundation for hypertension group intervention management mode.Methods 1 176 hypertensive patients aged 50 and older from Liunan and Liubei area were investigated with self-designed questionnaire.Data were entered by two people using Epi Data 3.1,statistical analysis was conducted by SPSS 13.0.Results Hypertensive patients did not adequately understand treatment of hypertension and which factors should be considered.7.3% of patients still smoking,18.6% of them had salty diet habit and 12.4% had no outdoor exercise in the past year.About half of patients with dizziness,blurred vision or other clinical manifestation.Method of treatment included medicine and non-medicine treatment.However,57.3% of patients with medicine treatment could not take the medicine following doctor＇s orders.The rates of disease control was significantly different between age over 65 years old and below 65 （x2 =7.72,P =0.021）.Examination in hospital and community follow-up were the most common manner in hypertension management.And most people tend to choose self management and family management.Conclusions In consideration of the problems of understanding of disease,lifestyle,medication situation in hypertensive patients in Liuzhou,effective community intervention should be taken to improve patient＇s health condition.

关 键 词：高血压 认知 流行病学研究 

分 类 号：R544.1[医药卫生—心血管疾病] R181[医药卫生—内科学]