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程龙, 陆菊萍, 李程跃, 吕军, 李殿江, 胡素珍, 夏庆华, 周鹏, 袁红, 张一英, 郝模. 社区高血压患者知识现状与影响因素分析[J]. 中国公共卫生, 2017, 33(10): 1474-1477. DOI: 10.11847/zgggws2017-33-10-14
引用本文: 程龙, 陆菊萍, 李程跃, 吕军, 李殿江, 胡素珍, 夏庆华, 周鹏, 袁红, 张一英, 郝模. 社区高血压患者知识现状与影响因素分析[J]. 中国公共卫生, 2017, 33(10): 1474-1477. DOI: 10.11847/zgggws2017-33-10-14
CHENG Long, LU Ju-ping, LI Cheng-yue.et al, . Awareness and influencing factors of hypertension-related knowledge among community hypertensive patients[J]. Chinese Journal of Public Health, 2017, 33(10): 1474-1477. DOI: 10.11847/zgggws2017-33-10-14
Citation: CHENG Long, LU Ju-ping, LI Cheng-yue.et al, . Awareness and influencing factors of hypertension-related knowledge among community hypertensive patients[J]. Chinese Journal of Public Health, 2017, 33(10): 1474-1477. DOI: 10.11847/zgggws2017-33-10-14

社区高血压患者知识现状与影响因素分析

Awareness and influencing factors of hypertension-related knowledge among community hypertensive patients

  • 摘要: 目的 了解社区高血压患者疾病相关知识的知晓情况及其影响因素,为社区高血压的防控工作提供参考依据。方法 选取上海市3个社区,对2014年1月—2015年6月新纳入管理的791例高血压患者进行问卷调查,调查内容包括一般人口学特征、疾病诊疗信息、高血压防治知识知晓情况。采用非条件logistic回归分析高血压知识知晓情况的影响因素。结果 本次有效调查高血压患者772例,高血压相关知识及格(回答正确≥10题)290人(37.56%),其中诊断标准和日食盐建议值的知识知晓情况最低,分别为55.8%和34.8%;多因素分析结果显示,参加城镇职工医保(OR=1.950)、高等文化程度(OR=4.254)、家庭年收入>10万(OR=1.751)的患者有更高的高血压知识知晓率。结论 现阶段社区高血压患者相关知识知晓率不高;新农合参保人、初等文化程度者以及低年收入者的知识知晓情况较差;社区医务工作者宜针对不同人群特点采取不同宣教措施,帮助患者掌握基本的高血压自我管理知识。

     

    Abstract: Objective To examine the awareness of hypertension-related knowledge and its influencing factors among hypertension patients in communities of Shanghai city and to provide references for the prevention and control of hypertension in communities.Methods Totally 791 newly registered primary hypertension patients were recruited from three communities in Shanghai city between January 2014 and June 2016.Then a questionnaire survey was conducted among the patients to collect information on demographics,medication,and awareness of hypertension prevention and control knowledge.Unconditional logistic regression was adopted to analyze factors associated with the awareness of hypertension-related knowledge.Results Among the 772 participants with eligible information,only 37.56% reported adequate awareness of hypertension-related knowledge(correctly answering 10 or more of 12 relevant questions).Of the participants,only 55.8% and 34.8% knew diagnostic criteria of hypertension and recommended daily salt consumption.The results of multivariate analyses showed that the participants ensured by medical insurance for urban workers (odds ratio OR=1.950),with high education level (OR=4.254),and with an annual household income of more than 100 000 RMB yuan (OR=4.254)were more likely to have a higher awareness of hypertension-related knowledge.Conclusion The awareness rate of hypertension-related knowledge is not high among community hypertension patients and the patients with new rural cooperative medical insurance,primary education level,and low annual income have poor hypertension-related knowledge.Community medical workers should conduct education specific for various populations among hypertension patients to help them acquire basic knowledge about self management of hypertension.

     

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