浏览全部资源
扫码关注微信
基于社区管理的原发性高血压患者血压控制效果的影响因素研究
Factors associated with blood pressure management of primary hypertension patients of community management
- 第三军医大学学报 2017年39卷第18期 页码：1865-1870
- 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：
[ 李亚斐，电话：(023)68752293，E-mail：liyafei2008@hotmail.com LI Yafei, Tel:86-23-68752293, E-mail:liyafei2008@hotmail.com
- 基金信息：国家自然科学基金青年科学基金(81502883);重庆市科技攻关项目(CSTC2012gg-yyjs10034)
DOI：10.16016/j.1000-5404.201703076
中图分类号： R163; R195.4; R544.1收稿：2017-03-13，
修回：2017-04-26，
纸质出版：2017-09-30
- 稿件说明：
移动端阅览
吴龙, 焦惠艳, 邬娜, 等. 基于社区管理的原发性高血压患者血压控制效果的影响因素研究[J]. 第三军医大学学报, 2017,39(18):1865-1870.
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.
吴龙, 焦惠艳, 邬娜, 等. 基于社区管理的原发性高血压患者血压控制效果的影响因素研究[J]. 第三军医大学学报, 2017,39(18):1865-1870. DOI： 10.16016/j.1000-5404.201703076.
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
2
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
2
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
2
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
2
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
2
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
2
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
2
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
2
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
任萍.合肥市部分事业单位职工高血压危险因素分析[J].中华疾病控制杂志, 2008, 12(5): 501-502.
REN P. Analysis on the dangerous factors for hypertension[J]. Chin J Dis Control Prev, 2008, 12(5): 501-502.
LEE D S, MASSARO J M, WANG T J, et al. Antecedent blood pressure, body mass index, and the risk of incident heart failure in later life[J]. Hypertension, 2007, 50(5): 869-876. DOI:10.1161/HYPERTENSIONAHA.107.095380.
张蕊. 基于社区管理的原发性高血压患者血压控制现状及其影响因素的研究[D]. 天津: 天津医科大学, 2013. [http://d.wanfangdata.com.cn/Thesis/Y2396538 .
ZHANG R. Current status of high blood pressure control and its associated factors among patients with essential hypertension under community management[D]. Tianjin :Tianjin Medical University, 2013.
赵久华, 崔玲, 杨阳, 等.高血压患者随访效果的影响因素的分析[J].中华疾病控制杂志, 2014, 18(3): 204-208.
ZHAO J H, CUI L, YANG Y, et al. Analysis of influential factors for the follow-up effect of hypertension[J]. Chin J Dis Control Prev, 2014, 18(3): 204-208.
中国高血压防治指南修订委员会.中国高血压防治指南(2010)[J].中华高血压杂志, 2011, 19(8): 701-743. DOI: 10. 16439/j.cnki.1673-7245.2011.08.009.
Writing group of Chinese guidelines for the management of hypertension. 2010 Chinese guidelines for the management of hypertension[J]. Chin J Hypertens, 2011, 19(8): 701-743. DOI:10.16439/j.cnki.1673-7245.2011.08.009.
丁贤彬, 毛德强, 沈卓之, 等.重庆市高血压患病率、知晓率、管理率与治疗率现状分析[J].现代预防医学, 2016, 43(6): 1068-1071.
DING X B, MAO D Q, SHEN Z Z, et al.Analysis on status about prevalence, awareness, management andtherapy of hypertension in Chongqing[J]. Mod Prev Med, 2016, 43(6): 1068-1071.
中国高血压防治指南修订委员会.中国高血压防治指南(2005修订版)[M].北京:人民卫生出版社, 2006.
Writing Group of Chinese Guidelines for the Management of Hypertension. 2005 Chinese Guidelines for the Management of Hypertension[M]. Beijing: People's Medical Publishing House, 2006.
中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社, 2006.
Department of Disease Control, Ministry of Health, the People's Republic of China.Guidelines for prevention and control of overweight and obesity in adults in China[M]. Beijing: People's Medical Publishing House, 2006.
赵宗亮, 叶良鑫, 冯玫琦, 等.社区规范管理对高血压患者血压控制情况的分析[J].中国实用医药, 2013, 8(29): 242-243.DOI: 10.14163/j.cnki.11-5547/r.2013.29.128.
ZHAO Z L, YE L X, FENG M Q, et al. Analysis on blood pressure control in hypertension patients under community-based standardized management[J]. China Prac Med, 2013, 8(29): 242-243. DOI: 10. 14163/j.cnki.11-5547/r.2013.29.128.
张翎.社区高血压分级管理及预防措施的效果评价[J].中国实用护理杂志, 2011, 28(3): 76-77. DOI: 10.3760/cma.j.issn.1672-7088.2012.03.127.
ZHANG L. Evaluation of hypertension community management and preventive measures[J]. Chin J Prac Nurs, 2011, 28(3): 76-77. DOI: 10.3760/cma.j.issn.1672-7088.2012.03.127.
袁海艳, 谭兴兰, 辛攀, 等.重庆市北碚区高血压社区规范化管理效果评估[J].现代预防医学, 2014, 41(11): 2028-2030.
YUAN H Y, TAN X L, XIN P, et al. Evaluation of blood pressure management among hypertensive patients in Beibei district, Chongqing[J]. Mod Prev Med, 2014, 41(11): 2028-2030.
刘芬, 马依彤, 杨毅宁, 等.新疆不同民族高血压现况的流行病学调查[J].中华医学杂志, 2010, 90(46): 3259-3263.
LIU F, MA Y T, YANG Y L, et al. The prevalence study of hypertension in different nationalities in Xinjiang[J]. Chin Med J, 2010, 90(46): 3259-3263.
高飞, 高焱莎.我国高血压流行病学现状[J].中日友好医院学报, 2012, 26(5): 307-309. DOI: 10.3969/j.issn.1001-0025. 2012.05.017.
GAO F, GAO Y S. Epidemiology of hypertension in China[J]. J China-Japan Friend Hosp, 2012, 26(5): 307-309. DOI: 10.3969/j.issn.1001-0025. 2012. 05.017.
林焕年, 蒙增慧, 卢毅, 等.南宁市兴宁区城乡高血压患者管理现状分析[J].社区医学杂志, 2015, 13(23): 11-13.
LIN H N, MENG Z H, LU Y, et al. Analysis on management status of hypertensive patients in urban and rural areas in Xingning district in Nanning[J]. J Commu Med, 2015, 13(23): 11-13.
张荣蓉, 林鸿波, 赵婷婷, 等.宁波市鄞州区高血压患者分级管理效果分析[J].中国初级卫生保健, 2014, 28(4): 78-80. DOI: 10.3969/j.issn.1001-568X.2014.04.0032.
ZHANG R R, LIN H B, ZHAO T T, et al. The Effect of Classification Management for Hypertensive Patients in Yinzhou District of Ningbo[J]. Chin Prim Health Care, 2014, 28 (4): 78-80. DOI: 10. 3969/j.issn.1001-568X.2014.04.0032.
0
浏览量
0
下载量
0
CSCD
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
