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1. 重庆医科大学公共卫生与管理学院
2. 重庆医科大学医学与社会发展研究中心
3. 重庆医科大学健康领域社会风险预测治理协同创新中心
纸质出版日期:2018,
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[1]李杰,周吉永,张勇.重庆主城区高血压病人降血压膳食知信行现况研究[J].保健医学研究与实践,2018,15(03):15-21.
Li Jie, Zhou Jiyong, Zhang Yong. The current status of DASH diet-related knowledge,attitude and practice among hypertensive patients from main urban districts of Chongqing[J]. Health Medicine Research and Practice, 2018,15(3):15-21.
[1]李杰,周吉永,张勇.重庆主城区高血压病人降血压膳食知信行现况研究[J].保健医学研究与实践,2018,15(03):15-21. DOI:
Li Jie, Zhou Jiyong, Zhang Yong. The current status of DASH diet-related knowledge,attitude and practice among hypertensive patients from main urban districts of Chongqing[J]. Health Medicine Research and Practice, 2018,15(3):15-21. DOI:
目的了解重庆主城区高血压病人降血压膳食(DASH)相关知识、态度、行为(KAP)现状
为开展高血压病人DASH健康教育提供依据。方法随机抽取2个主城区
再从每个区中随机抽取1个社区卫生服务站作为调查点
采用自行设计的DASH相关KAP问卷对2016年4-6月来调查点就诊、咨询的445名高血压病人进行面对面问卷调查
并对所得结果进行统计分析。结果高血压病人DASH相关KAP问卷的知识、态度、行为部分平均得分分别为(3.5±1.9)分
(6.0±0.9)分及(5.1±1.4)分。高血压病人对DASH推荐水果、奶类摄入量的知晓率较低
分别为3.4%和3.1%。64.1%的高血压病人赞同/非常赞同"健康饮食可以控制血压"
而24.7%的高血压病人对"高血压不碍事"持无所谓态度。此外
水果、奶类、坚果的摄入量达到DASH推荐摄入量的高血压病人比例分别为1.6%
1.6%及2.5%。Spearman相关分析结果显示
高血压病人的DASH知识、态度及行为之间均呈正相关(P<0.01)。同时不同吸烟情况的高血压病人其DASH知识、态度、行为得分的差异均有统计学意义(F=3.618
22.276
11.456;P<0.05);不同血压监测频率的高血压病人其DASH知识、态度、行为得分的差异均有统计学意义(F=13.106
7.053
6.695;P<0.05);不同体质量监测频率的高血压病人其DASH知识、态度、行为的得分差异均有统计学意义(F=7.377
6.395
6.010;P<0.05)。结论重庆主城区高血压病人DASH知识水平较低
存在诸多不健康的饮食行为
但态度较积极
因此
有必要加强针对主城区高血压病人的DASH健康教育
提高其知识水平
进而促进其不健康饮食行为的改善。
Objective To investigate the current status of the knowledge
attitude and practice(KAP)about the Dietary Approaches to Stop Hypertension(DASH)diet among hypertensive patients from main urban districts of Chongqing
which may provide evidence and insights into DASH health education for hypertensive populations.Methods Based on two randomly selected community health centers from two randomly selected urban districts of Chongqing
a total of 445 hypertensive patients who visited these health centers between April and June
2016 were surveyed.Face-to-face interviews were performed with the use of a self-designed DASH-related KAP questionnaire
and data were collected and statistically analyzed.Results Among these hypertensive patients
the mean scores of DASH-related knowledge
attitude and practice domains were 3.5±1.9
6.0±0.9
and 5.1±1.4
respectively.Patients had little knowledge about fruit and dairy product intake recommended by DASH
with an awareness rate of 3.4% and 3.1%
respectively.About 64.1% of patients agreed or totally agreed that "a healthy diet can help to control blood pressure"
while 24.7% had an indifferent attitude to " hypertension is nothing serious".Moreover
the DASH recommended amounts of fruits
dairy products and nuts were achieved in 1.6%
1.6% and 2.5% of patients
respectively.The Spearman′s correlation analysis found positive correlations among DASH-related knowledge
attitude and practice in these hypertensive patients(P<0.01).Besides
the scores of DASH-related knowledge
attitude and practice domains varied significantly with smoking status(F=3.618
22.276
11.456;P<0.05)
blood pressure monitoring frequency(F=13.106
7.053
6.695;P<0.05)
as well as body mass monitoring frequency(F=7.377
6.395
6.010;P<0.05).Conclusion The hypertensive patients from main urban districts of Chongqing have a low knowledge level about the DASH diet and many unhealthy dietary behaviors
but their attitude is generally positive.Therefore
it is important to enhance DASH health education for these hypertensive populations
so as to improve their knowledge level and thereby promote the modification of their unhealthy dietary behaviors.
高血压降血压膳食知识态度行为
hypertensionDASH dietKnowledgeAttitudebehavior
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