城市社区老年高血压患者高血压知识、行为及疾病经济负担水平研究

发布时间：2018-05-26 15:39

本文选题：老年高血压患者 + KAP　；参考：《安徽医科大学》2012年硕士论文

【摘要】：目的：通过现场调查,了解城市社区老年高血压患者高血压相关知识、行为方式现状,测算老年高血压患者疾病经济负担,分析老年高血压患者对高血压相关知识的认识误区及存在的不良卫生行为,探讨老年高血压患者高血压相关知识、行为的影响因素,提出进一步提高社区老年高血压患者高血压知识水平,增进自我保健行为的有效措施。方法：选择合肥市车站街道明光路社区、七里塘街道七里塘社区,通过查阅社区卫生服务中心高血压患者资料获得社区60岁及以上老年高血压患者人数,随机抽取15%患者为调查对象。采用自制《城市社区高血压患者高血压KAP及经济负担调查表》,于2011年8月--10月,由调查员深入社区,采用入户询问和测量方法收集资料。调查内容包括被调查对象人口学特征、高血压相关知识及卫生行为三部分,测量身高、体重及血压值。高血压相关知识部分共设计10个问题,每个问题项回答正确得1分,回答错误得0分,高血压相关知识水平得分范围[0,10]；高血压患者卫生行为部分共设计10个问题,每个问题项回答健康行为得1分,回答不良行为得0分,卫生行为得分范围[0,10]。运用Epidata3.0建立数据库并录入资料,SPSS13.0统计分析软件进行分析,分析方法有t检验、方差分析、相关分析及logistic回归分析。结果：①被调查对象高血压知识得分为6±2.061分；92.1%的被调查者就“高血压会发展成哪些疾病?”能够给予正确回答；仅18.3%的被调查者就“血压控制稳定时,是否有必要继续服药?”给予正确回答；②被调查对象的健康卫生行为平均得分为6.47±1.884分；87.2%-89.6%的被调查者能做到“坚持减少膳食脂肪”、“坚持服用降压药物”；仅23.2%-28.7%的被调查者能做到“经常与病友交流自助活动”和“经常自我测量血压”；③logistic回归分析显示：年龄、文化程度是影响老年高血压患者高血压知识得分的主要因素；性别、文化程度是影响老年高血压患者自我保健水平的主要因素;④被调查对象人均两周就诊门诊费用211.5元,(其中因高血压病人均两周就诊191.6元)；被调查对象人均半年住院费用2135.7元,(其中因高血压病人均半年住院1448.5元) 结论：老年高血压患者对高血压相关知识尚存在认识上误区；自我保健行为有待进一步改进；年龄、文化程度是影响老年高血压患者知识水平的重要因素；性别、文化是影响高血压患者健康行为的重要因素；老年高血压患者疾病经济负担高。建议：积极开展社区健康教育,提高老年高血压患者自我防治意识,加强社区高血压规范化管理,规范医疗机构行为等。
[Abstract]:Objective: to investigate the related knowledge and behavior of hypertension in elderly hypertensive patients in urban community, and to calculate the economic burden of diseases in elderly patients with hypertension. This paper analyzed the misunderstanding of hypertension related knowledge and unhealthy hygiene behavior in elderly patients with hypertension, and discussed the influencing factors of hypertension related knowledge and behavior in elderly patients with hypertension. The effective measures to improve the knowledge level of hypertension and to improve self-care behavior of elderly hypertensive patients in community were put forward. Methods: select Mingguang Road Community of Hefei Station Street and Qilitang Community of Qilitang Street, and obtain the number of hypertension patients aged 60 years and above in the community by consulting the data of hypertension patients in community health service center. A total of 15% of the patients were randomly selected. The questionnaire of KAP and economic burden of hypertension in urban community was made by ourselves. From August to October 2011, investigators went into the community and collected data by means of household inquiry and measurement. The survey included demographic characteristics, hypertension related knowledge and health behavior. Height, weight and blood pressure were measured. A total of 10 questions were designed for hypertension related knowledge, with a score of 1 for each question item, 0 for a wrong answer, and a score range of 10 for hypertension related knowledge level, and 10 questions were designed for the health behavior part of hypertension patients. Each question item scores 1 for healthy behavior, 0 for bad behavior, and 0 for hygienic behavior [0 / 10]. SPSS 13.0 statistical analysis software was used to establish database and input data by Epidata3.0. The analysis methods included t-test, ANOVA, correlation analysis and logistic regression analysis. Results the respondents with a score of 6 卤2.061% or 92.1% said, "what diseases will hypertension develop?" Can give the correct answer; only 18.3% of the respondents on the "blood pressure control stability, is it necessary to continue taking medicine?" The average score of healthy and hygienic behavior of the respondents was 6.47 卤1.884, 87.2% -89.6% of the respondents could "insist on reducing dietary fat" and "adhere to taking antihypertensive drugs". Only 23.2-28.7% of the respondents were able to "communicate self-help activities with patients" and "measure blood pressure frequently" by logistic regression analysis. The results showed that age and education level were the main factors influencing hypertension knowledge scores of elderly patients with hypertension. The education level is the main factor that affects the self-care level of the elderly patients with hypertension. (4) the average two-week outpatient expenses of the subjects surveyed were 211.5 yuan (191.6 yuan per week for hypertension patients and 2135.7 yuan for half a year hospital expenses for hypertension patients (1448.5 yuan for hypertension patients). Conclusion: there are some misunderstandings on the knowledge of hypertension in elderly patients with hypertension, self-care behavior needs to be further improved, age and education are the important factors influencing the knowledge level of elderly patients with hypertension, sex, sex, Culture is an important factor to affect the health behavior of hypertensive patients, and the burden of disease is high in elderly patients with hypertension. The suggestion is to carry out community health education, to improve the awareness of self-prevention and cure of elderly patients with hypertension, to strengthen the standardized management of hypertension in community, and to standardize the behavior of medical institutions.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R544.1

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