成都市社区高血压患者血压达标的影响因素调查分析  

Investigation and Analysis of Factors Affecting Blood Pressure Attainment of Hypertensive Patients in Chengdu Community

作　　者：郑太蓉[1] 胡义婷 杨绍清 鲁红梅 冯益身 周林霞 李斌[6] 罗娟 ZHENG tairong;HU yiting;YANG shaoqing;LU hongmei;FENG yishen;ZHOU linxia;LI bin;LUO juan(Chengdu First People's Hospital,Laboratory of Hypertension and Related Diseases,Chengdu 610041,China;Shiyang Community Health Service Center,Chengdu Gaoxinqu,Chengdu 610041,China;Zhonghe Community Health Service Center,Chengdu 610041,China;Chengdu Second People's Hospital of Shuangliu District,Chengdu 610200,China;Chengdu Shuangliu District Hospital of Traditional Chinese Medicine,Chengdu 610200,China;Dujiangyan Hospital of Traditional Chinese Medicine,Chengdu 611830,China;Chengdu Fangcao Community Health Service Center,Chengdu 610041,China)

机构地区：[1]成都市第一人民医院高血压及相关疾病重点研究室,四川成都610041 [2]成都高新区石羊社区卫生服务中心,四川成都610041 [3]成都中和社区卫生服务中心,四川成都610041 [4]成都双流区第二人民医院,四川成都610200 [5]成都市双流区中医医院,四川成都610200 [6]都江堰市中医医院,四川成都611830 [7]成都芳草社区卫生服务中心,四川成都610041

出　　处：《中国医药指南》2023年第34期112-115,共4页Guide of China Medicine

基　　金：成都市科技惠民项目(2015-HMO2-00049-SF);四川省护理学会科研课题(H20035)。

摘　　要：目的调查并分析成都市社区高血压患者血压达标的影响因素,为进一步探索社区慢病管理模式提供科学依据。方法抽取成都市6个社区,对高血压患者2432例进行体格检查和问卷调查,分析社区高血压患者血压达标的影响因素。结果年龄、饮酒、体育锻炼<3次/周、摄盐量适中、食用油腻食物会影响社区高血压患者血压达标情况。以医药保健品厂家宣传、亲朋好友告知、网络、报刊书籍电视为来源获取高血压知识的患者血压达标率为10.5%、15.6%、18.0%、18.5%,远低于参加社区、医院健康教育的患者(分别为28.9%、25.3%)。仅30.2%的社区高血压患者家中备有血压计,而家中有血压计的患者血压达标率远高于家中无血压计的患者(37.7%vs.25.6%)。结论家庭血压监测需要进一步的规范。部分社区居民对高血压认识不足,生活习惯需要调整改善。医院、社区需做好高血压管理,积极对患者进行宣教,倡导科学健康的生活方式,探索更为积极有效的高血压防治管理模式。Objective To investigate and analyze the influencing factors of hypertensive patients'blood pressure attainment in the community of Chengdu City,and to provide scientific basis for further exploring the community chronic disease management mode.Methods Six communities in Chengdu City were sampled,and 2432 hypertensive patients were subjected to physical examination and questionnaires to analyze the influencing factors of community hypertensive patients'blood pressure attainment.Results Age,alcohol consumption,physical activity<3 times/week,moderate salt intake,and consumption of greasy food affected the BP compliance of hypertensive patients in the community.The blood pressure attainment rates of patients who obtained knowledge about hypertension from the publicity of pharmaceutical and health care product manufacturers,information from friends and relatives,the Internet,newspapers,books and television were 10.5%,15.6%,18.0%,and 18.5%,which were much lower than that of patients who participated in health education in the community and hospitals(28.9%and 25.3%,respectively).Only 30.2%of community hypertensive patients had sphygmomanometers at home,and the blood pressure compliance rate of patients with sphygmomanometers at home was much higher than that of patients without sphygmomanometers at home(37.7%vs.25.6%).Conclusions Home blood pressure monitoring needs to be further standardized.Some community residents have insufficient knowledge of hypertension and their living habits need to be adjusted and improved.Hospitals and communities need to do a good job of hypertension management,actively educate patients,advocate scientific and healthy lifestyles,and explore a more active and effective hypertension prevention and management model.

关 键 词：社区高血压 影响因素 慢病管理 

分 类 号：R544.1[医药卫生—心血管疾病]