社区高血压患者血压控制效果的影响因素及对策研究

发布时间：2018-06-04 02:22

本文选题：高血压 + 社区卫生服务　；参考：《中国全科医学》2017年S2期

【摘要】：目的调查社区高血压患者血压控制效果的影响因素,研究提高血压控制效果的对策。方法对武汉市4个社区的1 240例高血压患者进行调查,采用多因素非条件Logistic回归分析高血压患者血压控制效果的影响因素。在1 240例高血压患者中随机抽取220例高血压患者进行干预治疗,比较干预前后的血压控制情况。结果不同性别、文化程度、并发症患者血压控制率比较,差异有统计学意义(P0.05)。服药依从性、血压监测依从性、生活方式依从性是社区高血压患者血压控制效果的保护性因素;干预后高血压患者的舒张压和收缩压明显改善,服药、血压监测及生活方式依从性显著提高,与干预前比较差异有统计学意义(P0.05)。结论开展健康教育、加强对高危患者的管理、给予个体化健康指导等措施是提高高血压患者血压控制效果的可靠方法。
[Abstract]:Objective to investigate the influencing factors of blood pressure control in community hypertension patients and to study the countermeasures to improve the blood pressure control effect. Methods A total of 1 240 hypertensive patients in 4 communities of Wuhan were investigated. Multivariate Logistic regression analysis was used to analyze the influencing factors of blood pressure control effect in hypertensive patients. 220 patients with hypertension were randomly selected from 1 240 patients with hypertension to be treated with intervention, and the blood pressure control before and after intervention was compared. Results there were significant differences in blood pressure control rate among different sex, education level and complication patients (P 0.05). Compliance with medication, compliance with blood pressure monitoring, compliance with lifestyle were protective factors of blood pressure control effect in community hypertension patients, diastolic and systolic blood pressure of patients with hypertension were obviously improved after intervention. Blood pressure monitoring and lifestyle compliance were significantly higher than those before intervention (P 0.05). Conclusion carrying out health education, strengthening the management of high risk patients and giving individualized health guidance are reliable methods to improve the blood pressure control effect of hypertension patients.
【作者单位】：武汉理工大学医院洪山区珞狮路理工大社区卫生服务中心;
【分类号】：R544.1

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