社区高血压患者血压控制情况及影响因素分析  

Hypertension control and influencing factors in community

作　　者：张燕[1] 杨艳 雷智[1] 田海艳 叶运莉 

机构地区：[1]泸州市疾病预防控制中心,四川泸州646000 [2]西南医科大学公共卫生学院,四川泸州646000

出　　处：《现代预防医学》2018年第1期62-66,共5页Modern Preventive Medicine

基　　金：四川省科技厅-泸州市人民政府-泸州医学院2014年联合科研项目(14JC0180)

摘　　要：目的了解社区高血压患者的血压控制率及其影响因素,为加强社区高血压患者管理工作提供依据。方法采取多阶段分层抽样方法抽取泸州市社区35~69岁的高血压患者进行问卷调查和体格检查,采用logistic回归进行影响因素分析。结果高血压患者的血压控制率为36.8%。分析发现,文化程度、高血压核心防治知识是否及格、是否定期测血压、规律服药、减少钠盐摄入、戒烟是血压控制率的主要影响因素。文化程度高,相关知识及格的,控制率越高,OR(95%CI)依次为1.37(1.13-1.67)和1.37(1.13-2.37);规律服药的控制率(38.3%)高于不规律服药的(23.6%),OR(95%CI)为1.61(1.05-2.48);定期测血压的(41.6%)高于否的(31.6%),OR(95%CI)为1.49(1.02-2.18);采取减少钠盐摄入和戒烟的控制率高于无的,OR(95%CI)依次为1.64(1.12-2.41)和2.90(1.19-7.04)。结论泸州市社区高血压患者血压控制情况不容乐观,应加强对高血压患者的社区规范管理,以提高血压控制率,减少并发症。Objective To understand the blood pressure control rate and influencing factors in community hypertension, so as to provide the scientific basis for improving the health management work for hypertension in the community. Methods Hypertensive patients aged from 35 to 69 selected through the multi - stage stratified sampling method were investigated by questionnaire and the physical examination. Multivariate unconditional logistic regression was used to analyze the influencing factors. Results The blood pressure control rate was 36.8% totally. The education level, the knowledge of hypertension prevention and treatment, regular medication, regular measurement of blood pressure, control of sodium intake and smoking cessation were the main influencing factors of blood pressure control rate. The control rate was positively related to education level and the relevant knowledge passing, and OR（95% CI）were 1.37 （1.13 -1. 67 ）and 1.37 （1.13 -2.37 ） , respectively. The control rate of patients with regular medication（38.3% ）was higher than that of patients without regular medication（ 23. 6% ） ,whose OR（95% CI）was 1.61 （1.05 -2.48 ）. The control rate was positively related with the regular measurement of blood pressure, the reduction of the sodium salt intake and smoking cessation, whose OR（95% CI）were 1.49 （1.02 -2.18 ） , 1. 64 （ 1.12 - 2.41 ） and 2.90 （ 1.19 - 7.04）, respectively. Conclusion The blood pressure control of the hypertension patients in Luzhou city is not optimistic. The standardized management of the community hypertension patients should be enhanced to improve the blood pressure control rate and reduce the complications.

关 键 词：社区 高血压 血压控制 影响因素 

分 类 号：R181.23[医药卫生—流行病学]