摘要
目的了解重庆市慢性病管理系统中城乡高血压患者的知识-态度-行为(KAP)情况,并分析其差异,为今后高血压防治工作提供参考及建议。方法 2017年9—12月采用多阶段分层随机抽样的方法,选择重庆市3个区(县)慢性病管理系统中的城乡高血压患者900例为调查对象,采用包括个人一般情况及KAP问卷的自制问卷进行调查,采用χ2检验和Wilcoxon秩和检验比较慢性病管理系统中城乡高血压患者知识、态度、行为的差异。结果回收有效问卷831份,其中农村患者421例,城镇患者410例。城镇高血压患者知识、态度、行为的及格率均高于农村高血压患者,差异有统计学意义(P<0.05);城镇高血压患者知识、态度、行为得分及KAP总分均高于农村高血压患者,差异有统计学意义(P<0.05)。结论重庆市慢性病管理系统中城镇高血压患者的KAP水平优于农村,但两地区总体KAP水平均有待提高。应充分发挥医务人员的重要作用,对城乡高血压患者采取不同的健康教育方式开展高血压防治工作。
ObjectiveTo know and analyze the status of knowledge,attitude,and practice （KAP） of patients with hypertension in urban and rural areas in chronic disease management system of Chongqing,so as to provide some suggestions for prevention and treatment of hypertension in the future.MethodsMultistage stratified random sampling was employed to select a total of 900 patients with hypertension in three districts and counties in Chongqing from July to December 2017,and a self-made questionnaire including general characteristics and survey of KAP was used.Comparison of knowledge,attitude and practice between patients with hypertension in urban and rural areas in chronic disease management system was analyzed by chi-square test and Wilcoxon rank sum test.ResultsA total of 831 effective questionnaires were collected,including 421 rural patients and 410 urban patients.The passing rate of knowledge,attitude and practice survey of hypertensive patients in urban areas were significantly higher than those in rural areas （P〈0.05）.The overall and individual score of KAP survey of hypertension patients in urban areas were significantly higher than those in rural areas （P〈0.05）.ConclusionThe status of KAP of patients with hypertension in urban areas in the chronic disease management system is better than those in rural areas in Chongqing,yet the overall level of KAP in both areas should be improved.We should give full play to medical staff to carry out the prevention and treatment of hypertension by adopting different health education methods for hypertensive patients in urban and rural areas.
作者
肖梦
孙振兴
向辉
唐晓君
邱景富
XIAO Meng;SUN Zhenxing;XIANG Hui;TANG Xiaojun;QIU Jingfu(School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;Medical and Social Development Research Center,Social Risk Forecasting and Governance Cooperative Innovation Center in the Health Field Chongqing Medical University Chongqing 400016 China)
出处
《中国全科医学》
CAS
北大核心
2018年第34期4266-4271,共6页
Chinese General Practice
基金
国家重点研发计划项目(2017YFC0907303)
国际合作项目(荷兰阿姆斯特丹大学,X7605)
关键词
高血压
健康知识
态度
实践
城乡
Hypertension
Health knowledge,attitudes,practice
Urban and rural areas
