Influencing factors of hypertension control for hypertensive patients in community. [J]. Journal of Chongqing Medical University 41(4):350-354(2016) DOI: 10.13406/j.cnki.cyxb.000845.
Influencing factors of hypertension control for hypertensive patients in community
Objective:To explore the influencing factors of hypertension control for hypertensive patient in community. Methods:Totally250 community health centers(stations)and township hospitals were selected across 16 provinces of China according to geographical locations and economic levels. The primary care physicians were trained in accordance with the guidelines for prevention and control for hypertension in China(the 2009 Community-based revision)
and they were required to implement standardized blood pressure management for hypertensive patients for one year. For each hypertensive patient
information at both baseline and follow-up was collected using a uniform case report form. Logistic regression model was used to analyze the influencing factors of hypertension control. Results:The overall control rate for hypertension was 75.2%. The old age
female
high school degree or above
central and eastern regions and social medical insurance were the favorable factors for hypertension control. However
the new rural cooperative medical system
complications
hypertension at 2-3 levels
high risk and single pill combination were the risk factors for hypertension control. Conclusion:In the hypertension community standardization management
education and management should be strengthen for the young patients with complications or those with hypertension at 2-3 levels. Early detection and early treatment should be advocated. Meanwhile
the administrative department of health should improve the new rural cooperative medical system for chronic diseases in order to enhance the patients’ ability of resisting disease economic risk.
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