老年高血压患者知识行为及疾病状况调查
|
摘要
目的了解高血压患者对疾病的认知水平、相关行为状况及疾病状况,为制定高血压综合防治策略提供依据。方法对金山工业区已管理的492例高血压患者进行问卷调查,并对调查结果统计学分析。结果高血压患者对高血压的诊断标准知晓率为56.50%,对高血压发病危险因素知晓率为67.48%;高血压患者吸烟率为19.92%,体力活动不足率为31.50%,超重或肥胖率为24.39%;高血压患者治疗率为97.36%,血压控制率为57.11%;9.96%的患者采用联合用药治疗,12.40%的患者不能遵医嘱规律服药。33.13%的患者出现头晕、头痛等临床症状,25.81%的患者出现不同程度的并发症。结论本社区老年高血压存在知识知晓率较低、健康行为形成率低、规律服药率低、血压控制率低、并发症发生率较高等问题,应加强患者健康教育,强化疾病认知,改善不健康生活行为。
Objective To understand cognition and behavior of patients with hypertension,provide the basis for prevention and treatment strategies for hypertension.Methods 492 cases of hypertensive patients were investigated by questionnaire,and the survey results were analyzed.Results The proportion of patients who know the diagnostic criteria of hypertension was 56.50%,and the awareness rate of risk factors for hypertension was 67.48%.The proportion of smoking in patients with hypertension was 19.92%,and the proportion of the patients who never exercise was 31.50%,the proportion of patients with family history of hypertension was 15.24%,and the rate of overweight or obesity in patients with hypertension was 24.39%.The rate of treatment in patients with hypertension was 97.36%,and the control rate of hypertension was 57.11%.The proportion of patients treated with combined medication was 9.96%,but 12.40% of the patients were not allowed to take medicine according to the doctor's order.33.13% of the patients have clinical symptoms such as dizziness and headache,and the Incidence of complications occurred among patients with hypertension was 25.81%.Conclusion Because of a lack of understanding of the disease and health behavior,effective intervention measures should be taken to improve hypertensive patients' self-care consciousness and unhealthy life behavior.
Objective To understand cognition and behavior of patients with hypertension,provide the basis for prevention and treatment strategies for hypertension.Methods 492 cases of hypertensive patients were investigated by questionnaire,and the survey results were analyzed.Results The proportion of patients who know the diagnostic criteria of hypertension was 56.50%,and the awareness rate of risk factors for hypertension was 67.48%.The proportion of smoking in patients with hypertension was 19.92%,and the proportion of the patients who never exercise was 31.50%,the proportion of patients with family history of hypertension was 15.24%,and the rate of overweight or obesity in patients with hypertension was 24.39%.The rate of treatment in patients with hypertension was 97.36%,and the control rate of hypertension was 57.11%.The proportion of patients treated with combined medication was 9.96%,but 12.40% of the patients were not allowed to take medicine according to the doctor's order.33.13% of the patients have clinical symptoms such as dizziness and headache,and the Incidence of complications occurred among patients with hypertension was 25.81%.Conclusion Because of a lack of understanding of the disease and health behavior,effective intervention measures should be taken to improve hypertensive patients' self-care consciousness and unhealthy life behavior.
引文
1 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
2 Almas A,Godil SS,Lalani S,et al.Good knowledge about hypertension is linked to better control of hypertension;a multicentre cross sectional study in Karachi,Pakistan[J].BMC Res Notes,2012,5:579.
3 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
4 程旻娜,李新建,王玉恒,等.上海社区高血压疾病细节管理对高血压患者知识知晓率的影响研究[J].中国全科医学,2011,14(4):394-397.
5 褚强强,唐海沁,夏光云.合肥市庐阳区高血压出院患者社区干预效果评价[J].中华疾病控制杂志,2015,19(10):1003-1005,1025.
6 马爱芳,钟晓丽,王会潭,等.社区高血压患者风险因素干预效果分析[J].浙江预防医学,2015,27(5):522-523,537.
7 徐继英,严青华,姚海宏,等.上海市高血压患者社区管理现状分析[J].上海预防医学,2016,28(7):442-447.
8 许伟源,余艳,彭放,等.降压药物治疗的高血压患者高血压相关知识态度行为调查[J].心脑血管病防治,2018,18(2):137-139.
9 Brown MT,Bussell JK.Medication adherence:WHO cares?[J].Mayo Clin Proc,2011,86(4):304-314.
10 杨微波,吴建宏,张建祥.社区高血压患者家庭医生签约管理效果评价[J].预防医学,2018,30(3):294-295.
11 陈琪,徐建华,王小飞,等.高血压规范化管理实施效果及其影响因素分析[J].预防医学,2018,30(4):377-381.
12 Byrd JB,Tavel HM,Magid DJ,等.联合用药可作为初诊高血压患者的起始治疗方案[J].中华高血压杂志,2011,19(12):1188-1189.
13 邵双双,王明杰,王燕,等.2013年吉林省居民高血压合并糖尿病的患病情况及危险因素分析[J].实用预防医学,2018,25(5):632-634.
14 陈灿,倪银星,廖春,等.糖尿病合并高血压的遗传学机制研究进展[J].中国慢性病预防与控制,2011,19(5):536-538.
15 李凡,薛建红,英明中.高血压与胰岛素抵抗相关性机制的研究进展[J].中华老年心脑血管病杂志,2012,14(2):209-210.
16 张立建,李慧敏,钟惠娟,等.老年人单纯收缩期高血压对心脑血管病的影响[J].河北医药,2017,39(1):105-106,110.
17 王丰功,李巍,张茜,等.原发性高血压患者微量白蛋白尿与亚临床动脉粥样硬化的相关性[J].心血管康复医学杂志,2018,27(1):15-18.
2 Almas A,Godil SS,Lalani S,et al.Good knowledge about hypertension is linked to better control of hypertension;a multicentre cross sectional study in Karachi,Pakistan[J].BMC Res Notes,2012,5:579.
3 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
4 程旻娜,李新建,王玉恒,等.上海社区高血压疾病细节管理对高血压患者知识知晓率的影响研究[J].中国全科医学,2011,14(4):394-397.
5 褚强强,唐海沁,夏光云.合肥市庐阳区高血压出院患者社区干预效果评价[J].中华疾病控制杂志,2015,19(10):1003-1005,1025.
6 马爱芳,钟晓丽,王会潭,等.社区高血压患者风险因素干预效果分析[J].浙江预防医学,2015,27(5):522-523,537.
7 徐继英,严青华,姚海宏,等.上海市高血压患者社区管理现状分析[J].上海预防医学,2016,28(7):442-447.
8 许伟源,余艳,彭放,等.降压药物治疗的高血压患者高血压相关知识态度行为调查[J].心脑血管病防治,2018,18(2):137-139.
9 Brown MT,Bussell JK.Medication adherence:WHO cares?[J].Mayo Clin Proc,2011,86(4):304-314.
10 杨微波,吴建宏,张建祥.社区高血压患者家庭医生签约管理效果评价[J].预防医学,2018,30(3):294-295.
11 陈琪,徐建华,王小飞,等.高血压规范化管理实施效果及其影响因素分析[J].预防医学,2018,30(4):377-381.
12 Byrd JB,Tavel HM,Magid DJ,等.联合用药可作为初诊高血压患者的起始治疗方案[J].中华高血压杂志,2011,19(12):1188-1189.
13 邵双双,王明杰,王燕,等.2013年吉林省居民高血压合并糖尿病的患病情况及危险因素分析[J].实用预防医学,2018,25(5):632-634.
14 陈灿,倪银星,廖春,等.糖尿病合并高血压的遗传学机制研究进展[J].中国慢性病预防与控制,2011,19(5):536-538.
15 李凡,薛建红,英明中.高血压与胰岛素抵抗相关性机制的研究进展[J].中华老年心脑血管病杂志,2012,14(2):209-210.
16 张立建,李慧敏,钟惠娟,等.老年人单纯收缩期高血压对心脑血管病的影响[J].河北医药,2017,39(1):105-106,110.
17 王丰功,李巍,张茜,等.原发性高血压患者微量白蛋白尿与亚临床动脉粥样硬化的相关性[J].心血管康复医学杂志,2018,27(1):15-18.