Factors associated with blood pressure management of primary hypertension patients of community management

Long WU; Huiyan JIAO; Na WU; Li ZHONG; Xinghua CHEN; Ying XIANG; Chengying LI; Yueli LI; Huan ZHANG; Yafei LI

doi:10.16016/j.1000-5404.201703076

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Factors associated with blood pressure management of primary hypertension patients of community management

Clinical Medicine | 更新时间：2026-01-09

- Factors associated with blood pressure management of primary hypertension patients of community management
- Journal of Third Military Medical University Vol. 39, Issue 18, Pages: 1865-1870(2017)
- 作者机构：
  
  1.400038 重庆，第三军医大学：军事预防医学院军队流行病学教研室
  2.400032 重庆，重庆市双碑社区卫生服务中心
  3.400038 重庆，第三军医大学：西南医院心血管内科，重庆市介入心脏病学研究所
- 作者简介：
- 基金信息：
  
  the National Natural Science Foundation for Young Scholars of China(81502883);the Tackling Project of Scientific and Technological Research of Chongqing(CSTC2012gg-yyjs10034)
- DOI：10.16016/j.1000-5404.201703076
  CLC： R163; R195.4; R544.1
- Received：13 March 2017，
  
  Revised：2017-04-26，
  
  Published：30 September 2017
- 稿件说明：
移动端阅览
Long WU, Huiyan JIAO, Na WU, et al. Factors associated with blood pressure management of primary hypertension patients of community management[J]. Journal of Third Military Medical University, 2017, 39(18): 1865-1870.
DOI：

Long WU, Huiyan JIAO, Na WU, et al. Factors associated with blood pressure management of primary hypertension patients of community management[J]. Journal of Third Military Medical University, 2017, 39(18): 1865-1870. DOI： 10.16016/j.1000-5404.201703076.

摘要

目的

对重庆市双碑社区开展的社区居民高血压随访资料进行研究，了解随访效果和血压控制效果并对其影响因素进行分析，为更有效地开展高血压社区干预提供依据。

方法

对双碑社区自2014年经二级以上医疗机构确诊的原发性高血压患者进行随访管理。采用问卷调查和体格检查，了解血压控制效果和影响因素。

结果

纳入随访管理的高血压患者共3 362例，70%以上的高血压患者最后1次血压和平均血压都控制在正常范围内。62.4%的高血压患者的血压管理效果为优良，不良的比例为15.4%。多因素Logistic回归发现随访方式为家庭访视或门诊随访、心理调整良好、摄盐量为轻、服药规律、吸烟控制较好、饮酒控制较好、运动时间长可促进高血压管理效果良好。

结论

双碑社区2014年高血压患者的管理效果良好。加强健康教育，改善患者的不良生活行为，加强心理调适，能达到更好的管理效果。

Abstract

Objective

To investigate the effects of blood pressure management in primary hypertension patients and the influencing factors

based on the community management of Shuangbei District in Chongqing

to further provide valuable evidence for hypertension community intervention.

Methods

The primary hypertension patients diagnosed by at least second-class hospital in Shuangbei District in 2014 were followed up. Questionnaire survey and physical examination were used to investigate the effects of blood pressure management and influencing factors.

Results

A total of 3 362 patients with primary hypertension were included. 70% of them had normal mean and last blood pressure. The proportion of patients with good and bad blood pressure control were 62.4% and 15.4%

respectively. Home or clinic visit

salt reduction

regular medication

smoking control

drinking control and enough exercise promote good blood pressure management according to multivariate logistic regression.

Conclusion

The effect of blood pressure management is good in Shuangbei district in 2014. More health education

changing bad life styles and good psychological adjustment are benefit for blood pressure management.

关键词

Keywords

references

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