基于社区管理的原发性高血压患者血压控制效果的影响因素研究

发布时间：2018-07-07 12:19

本文选题：原发性高血压 + 血压控制　；参考：《第三军医大学学报》2017年18期

【摘要】：目的对重庆市双碑社区开展的社区居民高血压随访资料进行研究,了解随访效果和血压控制效果并对其影响因素进行分析,为更有效地开展高血压社区干预提供依据。方法对双碑社区自2014年经二级以上医疗机构确诊的原发性高血压患者进行随访管理。采用问卷调查和体格检查,了解血压控制效果和影响因素。结果纳入随访管理的高血压患者共3 362例,70%以上的高血压患者最后1次血压和平均血压都控制在正常范围内。62.4%的高血压患者的血压管理效果为优良,不良的比例为15.4%。多因素Logistic回归发现随访方式为家庭访视或门诊随访、心理调整良好、摄盐量为轻、服药规律、吸烟控制较好、饮酒控制较好、运动时间长可促进高血压管理效果良好。结论双碑社区2014年高血压患者的管理效果良好。加强健康教育,改善患者的不良生活行为,加强心理调适,能达到更好的管理效果。
[Abstract]:Objective to study the follow-up data of community residents' hypertension in Chongqing double monument community, to understand the effect of follow-up and the effect of blood pressure control and to analyze the influencing factors, so as to provide the basis for more effective hypertension community intervention. Methods the primary hypertension diagnosed by the double tablet community from the two level medical institutions in 2014 was carried out. Patients were followed up with a questionnaire and physical examination to understand the effect of blood pressure control and influencing factors. The results were included in 3362 cases of hypertension patients who were followed up, and the last 1 blood pressure and mean blood pressure in more than 70% of the hypertensive patients were well controlled by the high blood pressure patients with high blood pressure in the normal range of.62.4%. The proportion of 15.4%. multiple factor Logistic regression was found in the follow-up of family visits or outpatient visits, good psychological adjustment, light intake of salt, law of medicine, good control of smoking, good control of drinking, long exercise time and good effect on hypertension management. Conclusion the management effect of hypertension patients in the double stele District in 2014 is good. Health education can improve patients' unhealthy life behaviors and strengthen psychological adjustment, so as to achieve better management effect.
【作者单位】：第三军医大学军事预防医学院军队流行病学教研室;重庆市双碑社区卫生服务中心;第三军医大学西南医院心血管内科重庆市介入心脏病学研究所;
【基金】：国家自然科学基金青年科学基金(81502883) 重庆市科技攻关项目(CSTC2012gg-yyjs10034)~~
【分类号】：R544.1

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