社区居民高血压患者家庭血压监测现状及疾病认知情况的调查分析  

Investigation and Analysis of Home Blood Pressure Monitoring Status and Disease Cognition in Community Residents With Hypertension

作　　者：阿孜古丽·阿布力米提[1] 姚玉红[1] 阿依努尔古丽·阿布力米提 A Ziguli.A Bulimiti;Yao Yuhong;A Yinuerguli;A Bulimiti(The No.1 Affiliated Hospital of Xinjiang Medical University,Urumchi 830054,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《预防医学情报杂志》2019年第8期900-904,共5页Journal of Preventive Medicine Information

摘　　要：目的调查新疆乌鲁木齐市社区居民高血压患者家庭血压监测现状及疾病认知情况。方法以新疆乌鲁木齐市2015-01/2017-01间社区居民中的高血压患者为抽样总体,采用多阶段单纯随机抽样法提取360例研究对象。本次共问卷调查360份,有效回收300份,回收率83.33%。采用Logistic对影响患者进行家庭血压监测的可能因素进行回归分析。结果经调查统计,300例社区高血压患者中86.00%进行家庭血压监测,但在血压测量方法,如血压测量前检查血压计性能、测量前静息15 min、测量前30 min禁食、定体位以及定部位和定血压计测量、详细记录每一次测量血压值等方面还存在不足,并且未保证血压计的定期维护。300例患者对高血压相关知识认知情况普遍较低,尤其是对于高血压诊断标准(39.00%)、高血压可引起的并发症(49.00%)、即使血压稳定仍需服用降压药物(26.00%)、定期复查对血压控制的影响(53.00%)的认知率较低。进行家庭血压监测的患者高血压症状发生率(85.66%vs71.43%)及高血压家族史(47.67%vs30.95%)高于未进行家庭血压监测的患者,并且前者高血压病程较后者长[(10.26±4.62)年vs(6.02±2.65)年],组间差异有统计学意义(P<0.05);多因素分析有头晕头痛症状、高血压病程较长及存在高血压家族史可能会促使高血压患者进行家庭血压监测。结论新疆乌鲁木齐市社区高血压患者家庭血压监测情况较好,但在血压测量方法、血压计的维护及相关知识认知方面还存在诸多不足,可定期组织社区居民进行相关知识培训。Objective To investigate the blood pressure monitoring status at home and disease cognition of hypertension patients in Urumqi City,Xinjiang.Methods The hypertension patients of community residents in our city from January 2015 to January 2017 were chosen as the sampling population,about 360 subjects were selected by Multistage Simple Random Sampling method.About 360 questionnaires were sent out and 300 of them were feedback and effectively,the recovery rate was 83.33%.Logistic multivariate regression analysis was taken to find out the possible factors that may affect hypertension patients take blood pressure monitoring at home.Results The survey showed that 86%of 300 cases of hypertension patients in the community had taken home blood pressure monitoring,but there were still deficiencies in measurement method such as check sphygmomanometer performance before the measurement,rested for 15 min before measurement,no food taken at 30 min before measurement,and position,sector,sphygmomanometer measurement,blood pressure value should be recorded with detail,and regular maintenance of the sphygmomanometer was not ensured.Further analysis found that 300 cases of hypertension patients had low cognition on related knowledge,especially had low cognition on diagnosis standard of hypertension(39%),complications caused by hypertension(49%),the need to take antihypertensive drugs even if the blood pressure was stability(26%),influence of periodic review on blood pressure control(53%).The incidence rate with home blood pressure monitoring of hypertension symptoms(85.66%vs71.43%)and family history of hypertension(47.67%vs30.95%)were higher than that of patients without home blood pressure monitoring,and the former had longer course of disease than the latter[(10.26±4.62)years vs(6.02±2.65)years],the difference between groups was statistical significant(P<0.05);Multivariate analysis showed that patients with obvious hypertension symptoms,longer hypertension course of disease and family history of hypertension were more possible

关 键 词：高血压 社区居民 家庭血压监测 现状调查 疾病认知情况 

分 类 号：R544.1[医药卫生—心血管疾病]