摘要
目的分析北京部分社区就诊高血压患者药物治疗、疾病管理现状及其对血压控制的影响。方法对北京市10家社区卫生服务中心2458例就诊高血压患者进行问卷调查，问卷内容包括患者一般资料、药物治疗和疾病管理情况，分析患者血压未控制的危险因素。结果调查对象中男1008例，女1450例；年龄32—99岁，平均（70±8）岁。26．9％（660／2458）患者未服药，47．7％（1172／2458）患者服用一种药物，25．5％（626／2458）患者联合用药。社区健康教育活动≥4次／年的患者仅占16．8％（414／2458），88．3％（2170／2458）的患者门诊随访频率I〉4次／年，78．8％（1936／2458）患者家庭自测血压。研究对象血压控制率为58．3％（1432／2458），多因素Logistic回归分析结果显示，门诊随访频率≥7次／年、阅读健康教育材料、家庭自测血压以及不吸烟有助于提高血压控制率（均P〈0．05）。结论北京部分社区高血压患者血压控制率接近国家慢性病防治规划设定的目标（60％），门诊随访、阅读健康教育材料、家庭白测血压以及不吸烟有助于提高血压控制率，而药物治疗依从性以及联合用药方案有待改善。
Objective To investigate medical treatment and disease control of hypertension in partial communities in Beijing. Methods A questionnaire survey involved totally 2 548 hypertension patients from 10 community health service centers in Beijing. The questionnaire included general information, medical treatment and disease control situation. Risk factors of blood pressure control were analyzed. Results There were 1 008 males and 1 450 females ; the mean age was （ 70 ±8 ） years ; 26.9% （ 660/2 458 ） patients did not take anti- hypertension drugs; 47.7% （1 172/2 458） patients took 1 kind of drug and 25.5% （626/2 458） patients took muhiple drugs. Only 16.8% （414/2 458） patients participated in community health education ≥4 times/year; 88.3% （2 170/2 458） patients had face-to-face follow-ups ≥ 4 times/year; 78.8% （1 936/2 458） patients- measured blood pressure at home. The blood pressure control rate was 58.3% （ 1432/2 458 ）. Multivariate logistic regression analysis showed that face-to-face follow-ups ≥ 7 times/year, reading health education materials, home blood pressure measurement（ HBPM ） and non-smoking were advantaged to improve the blood pressure control rate （ P 〈0. 05 ）. Conclusions The blood pressure control rate in partial communities in Beijing is close to the goal of national chronic prevention and control plan. Face-to-face follow-up, reading health related materiais, HBPM and non-smoking help improve blood pressure control rate.
出处
《中国医药》
2016年第8期1123-1127,共5页
China Medicine
基金
北京市卫生和计划生育委员会科技项目（TG-2015-33）
关键词
高血压
疾病管理
血压控制
健康教育
Hypertension
Disease control
Blood pressure control
Health education
