老年高血压患者家庭自测血压的控制情况及影响因素分析  

Analysis of the control status and influencing factors of home self-measured blood pressure in senile patients with hypertension

作　　者：杨昌妮 李宇[1] 胡凤蓉 孟小娟 段建芳 徐娟[1] YANG Changni;LI Yu;HU Fengrong;MENG Xiaojuan;DUAN Jianfang;XU Juan(International Medical Department/Geriatric Department,the Affiliated Hospital of Northwest University/Xi'an No.3 Hospital,Xi'an 710018,China)

机构地区：[1]西北大学附属医院/西安市第三医院国际医疗部/老年科,陕西西安710018

出　　处：《临床医学研究与实践》2023年第17期1-4,共4页Clinical Research and Practice

摘　　要：目的调查老年高血压患者家庭自测血压的控制情况,分析影响家庭自测血压达标的因素。方法选取2018年10月至2021年2月收治的251例老年高血压患者为研究对象,依据家庭血压监测(HBPM)和动态血压监测(ABPM)标准判定血压控制情况,分析影响家庭自测血压控制的相关因素。结果251例老年高血压患者中,HBPM控制者158例,未控制者93例;ABPM控制者106例,未控制者145例。HBPM与ABPM测量血压均控制者72例,定义为控制组;HBPM控制而ABPM未控制者86例,定义为未控制组;单因素分析结果显示,两组的受教育水平、退休金、认知功能、血压测量频率、降压目标值知晓、服用降压药物频率及接受临床医师指导情况比较,差异具有统计学意义(P<0.05)。Logistic回归分析结果显示,受教育水平、退休金、血压测量频率、服用降压药物频率和接受临床医师指导为家庭自测血压控制的影响因素(P<0.05)。结论重视老年高血压患者存在HBPM控制而ABPM未控制现象,分析家庭自测血压控制情况的影响因素,尽早采取有效的干预措施,可确保家庭自测血压的平稳达标。Objective To investigate the control status of home self-measured blood pressure in senile patients with hypertension and to analyze the factors affecting the standard of home self-measured blood pressure.Methods A total of 251 senile patients with hypertension admitted from October 2018 to February 2021 were selected as the study objects.Blood pressure control was determined according to home blood pressure monitoring(HBPM)and ambulatory blood pressure monitoring(ABPM)standards,and related factors affecting home self-measured blood pressure control were analyzed.Results Among 251 senile patients with hypertension,158 cases were HBPM controlled and 93 cases were uncontrolled;106 cases were ABPM controlled and 145 cases were uncontrolled.Seventy-two cases with controlled HBPM and ABPM were defined as control group,86 cases with controlled HBPM and uncontrolled ABPM were defined as non-control group;univariate analysis results showed that there were statistically significant differences in education level,pension,cognitive function,frequency of blood pressure measurement,awareness of antihypertensive target value,frequency of taking antihypertensive drugs and receiving guidance from clinicians between the two groups(P<0.05).Logistic regression analysis results showed that education level,pension,frequency of blood pressure measurement,frequency of taking antihypertensive drugs and receiving guidance from clinicians were the influencing factors of the control of home self-measured blood pressure(P<0.05).Conclusion Emphasizing the phenomenon of HBPM controlled but ABPM not being controlled in senile patients with hypertension,analyzing the influencing factors of the control of home self-measured blood pressure,and taking effective intervention measures as soon as possible can ensure the stable and standardized home self-measured blood pressure.

关 键 词：老年高血压 家庭血压监测 动态血压监测 

分 类 号：R544.1[医药卫生—心血管疾病]