老年高血压患者治疗行为分析及医院社区一体化管理建议  

Study on Treatment Behavior of Old Hypertension Patients and Suggestions of Hospital Community Integration Management

作　　者：尹慧 于杰[2] 陶雨春 张作明 陈璐 聂义珍[3] 孙涛[1] 王丽敏[1] 

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081 [2]黑龙江省中医医院,黑龙江哈尔滨150001 [3]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150081

出　　处：《中国医院管理》2017年第12期67-69,共3页Chinese Hospital Management

基　　金：国家自然科学基金青年基金资助项目(71403074)

摘　　要：目的通过调查分析老年高血压患者治疗行为,为促进医院社区一体化管理、提高高血压患者治疗率提供策略指导。方法以哈尔滨市老年高血压患者为研究对象,利用询问式调查问卷对其进行调查,采用χ~2检验、单因素及多因素lo-gistic回归分析高血压患者治疗行为的影响因素进行分析。结果除了身体质量指数,生理因素、社会经济状况、体检均未对高血压患者治疗行为产生影响。对高血压疾病及用药持有正确认知的高血压患者更倾向于治疗,对高血压并发症易感程度和高血压并发症严重性认可程度越高的研究对象其治疗率越高。健康关注度对治疗行为的影响并不显著。结论促进医院社区一体化来加强对高血压患者的管理,其中寻找有效"靶点"成为关键。Objective To analyze the treatment behavior of old hypertension patients, and otter suggestions ot im- proving hospital community integration management to increase the treatment rate of hypertension. Methods The old hypertension patients in Harbin were selected as research subject. The inquiry questionnaires were used to investi- gate, and 2test, one-and multi-factor logistic regression were used to analyze the influence factors of treatment be- havior. Results Exception of Body Mass Index, physical factors, socioeconomic status and physical examina- tion do not influence the treatment behavior of hypertension patients. The hypertension patients who keep correct cognition on hypertension and medicine are inclined to treat hypertension. The more subjects agree with the suscepti- bility to complications of hypertension and the severity of hypertension complications, the more they treat hyperten- sion. But the attentions to health do not affect treatment of hypertension significantly. Conclusion tt is very important to strengthen hospital community integration management to increase treatment rate of old hypertension patients, and finding the effective ＂target point＂ is the key.

关 键 词：老年高血压患者 治疗行为 医院社区—体化 

分 类 号：R544.1[医药卫生—心血管疾病]