高血压患者随访效果的影响因素的分析

发布时间：2018-03-26 14:53

本文选题：高血压　切入点：随访研究　出处：《中华疾病控制杂志》2014年03期

【摘要】：目的探讨影响社区高血压患者随访效果的相关因素,为以后高血压的防治工作提供科学的参考依据。方法从2012年9月~2013年3月,根据《国家基本公共卫生服务规范(2011年版)》中关于高血压患者健康管理服务规范,对本社区702例高血压患者进行了随访。随访效果将从心理调整、服药依从性、遵医行为、随访分类控制是否满意4个方面进行说明。采用醊2检验、Logistic回归等统计方法分析影响随访效果的相关因素。结果单因素的结果显示,心理调整与职业(醊2=19.48,P=0.003),兄弟姐妹高血压(家族史)(醊2=8.56,P=0.014),锻炼频率(醊2=11.29,P=0.023),健康评价(醊2=14.59,P=0.001)有关;遵医行为与职业(醊2=19.84,P=0.003),兄弟姐妹高血压(家族史)(醊2=8.15,P=0.017),健康评价(醊2=9.64,P=0.008)有关;服药依从性与婚姻状况(醊2=6.87,P=0.009),健康评价(醊2=24.09,P0.001)有关;随访分类控制是否满意与职业(醊2=11.44,P=0.010),每次锻炼时间(醊2=13.83,P=0.001),饮酒频率(醊2=5.11,P=0.078),随访间隔时间天数(醊2=12.48,P=0.002),健康评价(醊2=54.91,P0.001)有关。把单因素有意义的变量纳入Logistic回归,结果显示,职业、家族史、锻炼频率、健康评价均能影响随访的效果。结论社区高血压患者的随访效果与职业、家族史、锻炼频率、健康评价等有关。
[Abstract]:Objective to explore the related factors influencing the follow-up effect of hypertension patients in community, and to provide a scientific reference for the prevention and treatment of hypertension in the future. Methods from September 2012 to March 2013, According to the national basic public health service standard (2011 edition), 702 patients with hypertension in our community were followed up. Whether the control of classification was satisfactory or not was explained in four aspects. Logistic regression was used to analyze the related factors affecting the results of follow-up. Results the results of single factor showed that, Psychological adjustment was associated with occupational (219.48 P0. 003), sibling hypertension (28.56P0. 014), exercise frequency (211.29 P0. 023), health assessment (214. 59% P0. 001); compliance with medical treatment was associated with occupation (219. 84P0. 003); sibling hypertension (28.15 P0. 017); health assessment (29. 64P0. 008); Drug compliance was associated with marital status (26.87%) and health assessment (224.09% P0.001). Whether the control was satisfactory or not was related to the occupation (2n 11.44), exercise time (20.83), drinking frequency (25.11), follow-up interval days (212.48), health evaluation (254.91 / P 0.001). The univariate variables were included in the Logistic regression, and the results showed that, occupation, occupation, and so on. Conclusion the follow-up effect of hypertension patients in community is related to occupation, family history, exercise frequency, health evaluation and so on.
【作者单位】：安徽医科大学公共卫生学院流行病与卫生统计学系;皖西卫生职业学院护理系;六安市经济开发区社区卫生服务中心居民健康档案室;
【分类号】：R544.1;R181

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