邯郸农村高血压患者高血压知晓、治疗和控制情况及其影响因素分析  

Awareness, treatment, control of hypertension for hypertension patients in Handan rural areas and the influencing factors analysis

作　　者：夏文静[1] 林杰[1] 武一平[1] 李晓晶[1] 刘改芬[5] 张玉英[3] 宋彦丽[1] 张晓林[2] 吕晨冉 周红 李凯[1] 薛斌[1] 陈玲玲[4] 张忠波 XIA Wenjing;LIN Jie;WU Yiping;LI Xiaojing;LIU Gaifen;ZHANG Yuying;SONG Yanli;ZHANG Xiaolin;LYU Chenran;ZHOU Hong;LI Kai;XUE Bin;CHEN Lingling;ZHANG Zhongbo(Department of Neurology,Handan First Hospital,Hebei Province,Handan 056000,China;不详)

机构地区：[1]河北省邯郸市第一医院神经内科,056000 [2]河北省邯郸市第一医院医务科,056000 [3]河北省邯郸市第一医院院办室,056000 [4]河北省邯郸市第一医院营养科,056000 [5]首都医科大学附属北京天坛医院神经病学中心,北京市100071

出　　处：《临床合理用药杂志》2023年第18期22-26,共5页Chinese Journal of Clinical Rational Drug Use

基　　金：河北省科学技术厅重点研发计划项目(19277718D)。

摘　　要：目的 分析邯郸农村高血压患者高血压知晓、治疗、控制情况及其影响因素。方法 病例选取时间为2019年6—9月,采用非随机整群抽样法对邯郸某7个紧邻的农村高血压患者开展横断面调查,调查患者的基本信息,统计其高血压知晓率、治疗率、控制率。采用多因素Logistic回归分析探讨农村高血压患者知晓、治疗、控制高血压的影响因素。结果 本研究总纳入3 933例农村地区高血压患者,其中男1 913例(48.64%),女2 020例(51.36%);高血压知晓率为28.91%(1 137/3 933),高血压治疗率为18.56%(730/3 933),高血压控制率为6.46%(254/3 933)。40~<50岁年龄段人群高血压知晓率、治疗率和控制率均较低,但女性高于男性。多因素Logistic回归分析结果显示:男性、年龄增长、有高血压家族史、血脂异常、超重/肥胖均是农村高血压患者知晓、治疗高血压的独立危险因素(P<0.05);男性、年龄增长、血脂异常、血糖异常、超重/肥胖是农村高血压患者控制高血压的独立危险因素(P<0.05)。结论 邯郸农村高血压患者高血压知晓率、治疗率、控制率均偏低,但女性高于男性。男性、年龄增长、有高血压家族史、血脂异常、超重/肥胖均是农村高血压患者知晓、治疗高血压的独立危险因素,而男性、年龄增长、血脂异常、血糖异常、超重/肥胖是农村高血压患者控制高血压的独立危险因素。Objective To analyse the awareness,treatment,control of hypertension for hypertension patients in Handan rural areas and the influencing factors.Methods Data were selected from June to September 2019,non-random cluster sampling method was used to investigate hypertension patients in 7 neighboring rural areas of Handan,conducted the basic information,recorded the awareness rate,treatment rate,control rate of hypertension,and the influencing factors were analyzed by multivariate Logistic regression analysis.Results A total of 3933 patients were included in the study,including 1913 cases of men(48.64%)and 2020 cases of women(51.36%),the awareness rate of hypertension was 28.91%(1137/3933),the treatment rate was 18.56%(730/3933),and the control rate was 6.46%(254/3933).The awareness rate,treatment rate and control rate of hypertension patients aged 40-<50 were lower,and women were higher than men.Multivariate Logistic regression analysis showed that,men,age growth,family history of hypertension,dyslipidemia,overweight/obesity were the independent risk factors of awareness and treatment hypertension of hypertension patients in rural areas of Handan(P<0.05);men,age growth,dyslipidemia,pathoglycemia,overweight/obesity were the independent risk factors of control hypertension of hypertension patients in rural areas of Handan(P<0.05).Conclusion Hypertension patients in Handan rural areas have lower awareness rate,treatment rate and control rate of hypertension,and women are higher than men.Men,age growth,family history of hypertension,dyslipidemia,overweight/obesity are the independent risk factors of awareness and treatment hypertension of hypertension patients in rural areas of Handan;men,age growth,dyslipidemia,pathoglycemia,overweight/obesity are the independent risk factors of control hypertension of hypertension patients in rural areas of Handan.

关 键 词：高血压 知晓率 治疗率 控制率 影响因素分析 

分 类 号：R544.1[医药卫生—心血管疾病]