空巢对老年人高血压患病及治疗现状的影响

发布时间：2018-03-16 22:37

本文选题：空巢　切入点：高血压　出处：《中国老年学杂志》2017年20期 　论文类型：期刊论文

【摘要】：目的探讨空巢对老年人高血压患病及治疗现状的影响。方法采用随机整群抽样的方法,对山东省东营市河口区8个社区2057例老人的高血压患病率、知晓率、治疗率、控制率以及相关的影响因素进行调查,并采用UCLA孤独自评量表和老年抑郁量表(GDS)对老年人的孤独感和抑郁感进行评估。结果空巢老人为653例,占总调查人数的31.75%。空巢老人高血压患病率、知晓率、治疗率及控制率分别为56.0%、88.8%、81.1%和6.0%。与非空巢老人比较,空巢老人高血压患病率显著升高,而高血压知晓率、治疗率及控制率显著降低,差异有统计学意义(P0.001)。多因素非条件Logistic回归分析显示,空巢是影响老年人高血压患病率、知晓率、治疗率及控制率的主要因素。UCLA得分是老年人高血压患病率、知晓率及控制率的主要影响因素,GDS得分是老年人高血压患病率及治疗率的主要影响因素。空巢老年人患高血压的概率是非空巢老年人的2.630倍,而非空巢老年人高血压的知晓率、治疗率及控制率分别是空巢老年人的2.036、1.680和1.958倍。结论空巢对老年人高血压患病率、知晓率、治疗率及控制率有显著影响。心理咨询及精神关怀可能是空巢老人高血压管理的重要手段之一。
[Abstract]:Objective to investigate the effect of empty nests on the prevalence and treatment of hypertension in the elderly. Methods the prevalence rate, awareness rate and treatment rate of hypertension among 2057 elderly people in 8 communities of Hekou District, Dongying City, Shandong Province were studied by random cluster sampling. The control rate and related influencing factors were investigated, and the loneliness and depression of the elderly were evaluated by UCLA Lonely self rating scale and elderly Depression scale. The prevalence rate, awareness rate, treatment rate and control rate of hypertension were 56.0% and 81.1%, respectively. Compared with the non-empty nest elderly, the prevalence rate of hypertension in empty-nesters was significantly higher, but the awareness rate of hypertension was higher. The treatment rate and control rate were significantly decreased, the difference was statistically significant (P 0.001). Multivariate unconditioned Logistic regression analysis showed that empty nest was associated with the prevalence of hypertension in the elderly. The main factors of treatment rate and control rate. UCLA score is the prevalence of hypertension in the elderly. The main influencing factors of awareness rate and control rate were GDS scores, which were the main influencing factors of hypertension prevalence and treatment rate in the elderly. The probability of hypertension in the empty-nest elderly was 2.630 times higher than that in the non-empty-nest elderly, but not in the empty-nest elderly. The rates of treatment and control were 2.0360.1680 and 1.958 times of those of the elderly with empty nest respectively. Conclusion the prevalence rate of hypertension in the elderly with empty nest and the rate of awareness are higher than those of the elderly with empty nest. Psychological counseling and mental care may be one of the important methods of hypertension management in empty-nest elderly.
【作者单位】：东营市河口区人民医院;山东大学第二医院;山东省医学科学院基础医学研究所;
【基金】：国家自然科学基金项目(No.81670432,81500232) 山东省自然科学基金项目(No.ZR2014HM098,ZR2016HM82)
【分类号】：R544.1

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