社区高血压管理效果及影响因素分析(1)
摘 要：目的 研究社区高血压患者管理效果及其影响因素。方法 选择南充市顺庆区8个社区卫生服务中心进行调查和研究，随机抽取在管的社区高血压患者共5614人，观察社区高血压的控制效果及其影响因素。结果 本研究社区高血压患者共5614人，血压控制标准3035人，控制不标准2579人，血压控制率为54.06%。实行规范管理的高血压患者血压控制率高于一般管理的患者(P<0.05)；血压控制标准的平均年龄高于血压控制不标准的平均年龄(P<0.05)，但血压控制率与性别无关(P>0.05)；对于规范管理的高血压患者，病情越重，血压越容易控制(P<0.05)；有良好生活方式较有不良生活方式的患者血压易于控制(P<0.05)；患者服药种类会影响血压的控制，但差异无统计学意义(P>0.05)；高血压患者就医治疗频率越高，血压的控制率就越高。结论 对于所有的社区高血压患者一定要实施规范化管理，提高患者高血压知识的普及，重视各种并发症的防治，及时就医治疗，对于社区高血压的控制有积极的作用。
关键词：社区高血压；管理效果；影响因素
, 百拇医药
中图分类号：R544.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.032
文章编号：1006-1959(2018)17-0104-04
Abstract：Objective To study the management effect and its influencing factors of hypertension patients in the community.Methods 8 community health service centers in Shunqing District of Nanchong City were selected for investigation and research.A total of 5614 hypertensive patients in the community were randomly selected to observe the control effect of hypertension in the community and its influencing factors.Results In this study，there were 5614 hypertensive patients in the community，the blood pressure control standard was 3035，the control was not standard 2579，and the blood pressure control rate was 54.06%.The blood pressure control rate of hypertensive patients with standardized management was higher than that of the general management patients(P<0.05)；the mean age of blood pressure control standard was higher than the average age of non-standard blood pressure control(P<0.05)，but the blood pressure control rate was not related to gender(P>0.05)；for hypertensive patients with standardized management，the more severe the disease， the easier the blood pressure was controlled(P<0.05)；the blood pressure of patients with good lifestyle and poor lifestyle was easy to control(P<0.05)；The type affects the control of blood pressure，but the difference is not statistically significant(P>0.05)；the higher the frequency of treatment for patients with hypertension，the higher the control rate of blood pressure.Conclusion All patients with hypertension in the community must implement standardized management，improve the popularity of hypertension knowledge，pay attention to the prevention and treatment of various complications，and seek medical treatment in a timely manner，which has a positive effect on the control of hypertension in the community.
, 百拇医药
Key words：Community hypertension；Management effect；Influencing factors
近年来我国高血压的发病率逐年增加，研究显示[1]，我国约有2.9～3亿高血压患者，成年居民中高血壓整体患病率32.5%，此外，还有39.5%的居民为高血压前期，这样看来我国70%以上的成年人都在高血压的威胁之下，但高血压诊断率仅为30.5%，经诊断患者治疗率仅46.4%，降压治疗血压控制率低至29.6%，整体人群血压控制率仅4.2%，高血压管理形式严峻。国家非常重视广大人民群众的身体健康，近10年来花了大量的人力、物力建设社区卫生服务机构，通过社区卫生服务机构对社区高血压患者进行科学管理、有效的控制，使高血压患者得到及时的诊治，促进了社区居民的健康，许多地区取得了显著的效果，但南充市社区高血压的管理还存在一定的差距[2，3]。为了进一步加强高血压患者的管理，找到更有效的管理方法，我们对社区高血压患者的管理方法、效果及影响因素进行研究，现报告如下。, 百拇医药(熊素琼 郭玥希 刘旺华 毛奕茜 李松 杨秀丽)
关键词：社区高血压；管理效果；影响因素
, 百拇医药
中图分类号：R544.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.032
文章编号：1006-1959(2018)17-0104-04
Abstract：Objective To study the management effect and its influencing factors of hypertension patients in the community.Methods 8 community health service centers in Shunqing District of Nanchong City were selected for investigation and research.A total of 5614 hypertensive patients in the community were randomly selected to observe the control effect of hypertension in the community and its influencing factors.Results In this study，there were 5614 hypertensive patients in the community，the blood pressure control standard was 3035，the control was not standard 2579，and the blood pressure control rate was 54.06%.The blood pressure control rate of hypertensive patients with standardized management was higher than that of the general management patients(P<0.05)；the mean age of blood pressure control standard was higher than the average age of non-standard blood pressure control(P<0.05)，but the blood pressure control rate was not related to gender(P>0.05)；for hypertensive patients with standardized management，the more severe the disease， the easier the blood pressure was controlled(P<0.05)；the blood pressure of patients with good lifestyle and poor lifestyle was easy to control(P<0.05)；The type affects the control of blood pressure，but the difference is not statistically significant(P>0.05)；the higher the frequency of treatment for patients with hypertension，the higher the control rate of blood pressure.Conclusion All patients with hypertension in the community must implement standardized management，improve the popularity of hypertension knowledge，pay attention to the prevention and treatment of various complications，and seek medical treatment in a timely manner，which has a positive effect on the control of hypertension in the community.
, 百拇医药
Key words：Community hypertension；Management effect；Influencing factors
近年来我国高血压的发病率逐年增加，研究显示[1]，我国约有2.9～3亿高血压患者，成年居民中高血壓整体患病率32.5%，此外，还有39.5%的居民为高血压前期，这样看来我国70%以上的成年人都在高血压的威胁之下，但高血压诊断率仅为30.5%，经诊断患者治疗率仅46.4%，降压治疗血压控制率低至29.6%，整体人群血压控制率仅4.2%，高血压管理形式严峻。国家非常重视广大人民群众的身体健康，近10年来花了大量的人力、物力建设社区卫生服务机构，通过社区卫生服务机构对社区高血压患者进行科学管理、有效的控制，使高血压患者得到及时的诊治，促进了社区居民的健康，许多地区取得了显著的效果，但南充市社区高血压的管理还存在一定的差距[2，3]。为了进一步加强高血压患者的管理，找到更有效的管理方法，我们对社区高血压患者的管理方法、效果及影响因素进行研究，现报告如下。, 百拇医药(熊素琼 郭玥希 刘旺华 毛奕茜 李松 杨秀丽)