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山东省高血压患者血压控制现状及相关因素分析

Relationship between blood pressure control and behavioral factors in hypertensive patients in urban and rural areas of Shandong province

  • 摘要: 目的了解山东省城乡高血压患者血压控制、治疗行为和健康行为等现状,分析其血压控制与治疗行为和健康行为间的关系。方法在山东省抽取城市和农村共7县区9 182例高血压患者进行问卷调查,采用多因素logistic回归分析高血压患者血压控制与其治疗行为(血压监测、服药数量等)和健康行为(戒烟、戒酒、体育锻炼等)的关系。结果高血压患者总体血压控制率为43.81%(3 462/7 903),其中城市、农村的血压控制率分别为44.14%(1 525/3 455)、43.55%(1 937/4 448),城市高于农村,二者差异无统计学意义(P>0.05);多因素logistic回归分析结果显示,在控制了性别、年龄、人均收入水平等因素后,城乡高血压患者合理控制饮食程度均与血压控制相关(P=0.000),城市患者服用抗高血压药物数量与其血压控制相关(P=0.000)。结论高血压患者的血压控制与其治疗行为和健康行为有关,合理控制饮食、加强降压药合理使用是高血压患者有效控制高血压的干预重点。

     

    Abstract: Objective To study the status quo of blood pressure( BP) control in hypertensive patients and to explore the relationship between BP control and relevant behavioral factors. Methods Totally 9 182 hypertension patients were sampled with cluster sampling and surveyed with a questionnaire. Treatment behaviors( BP monitoring,drugs usage),health behaviors( quitting from smoking or alcohol drinking,controlling diet) were analyzed with χ2test and binary logistic regression. Results The ratio of patients with controlled BP was 43. 81%( 44. 14% for urban patients and 43. 55%for rural patients,without significant difference; χ2= 0. 276,P = 0. 599). The results of logistic regression showed that after adjustment of gender,age,and income,the control of BP varied directly with the level of appropriate diets and inversely with the number of antihypertensive drugs used for ruban patients. Conclusion The blood pressure control in hypertensive patients is relevant to treatment behaviors and health behaviors. More attentions should be paid to appropriate diet and the rational use of antihypertensive drugs in hypertension control.

     

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