摘要
目的调查和分析徐州市高血压患者参与“互联网+”时代下高血压患者社区健康管理的接受情况,并探讨其影响因素.方法本研究于2018年2-8月采取分层抽样、随机抽样的方法,通过访谈式问卷调查抽取徐州市社区高血压患者1200例,有效问卷1116份,问卷有效率为93.0%.将被调查者按是否愿意接受“互联网+健康管理”分为两组,比较两组的一般情况及健康管理状况.结果徐州市“互联网+健康管理”接受率为71.9%(802/1116);单因素分析结果显示,年龄、文化程度、职业、月收入对高血压患者“互联网+健康管理”接受情况有影响(P<0.05);有高血压家族史、有心脑血管并发症及健康素养高的患者“互联网+健康管理”接受率较高(P<0.05);初中及以上文化程度(OR=0.426、0.318、0.089)、睡眠情况好(OR=0.453)为高血压患者接受“互联网+健康管理”的保护因素,而不知道高血压诊断标准(OR=1.494)、不知道监测血压(OR=2.668)、不知道监测心电图(0R=2.247)、已戒烟(0R=2.444)、无并发症(OR=2.247)、未参与社区健康管理(OR=1.758)等为高血压患者接受“互联网+健康管理”的危险因素.结论徐州市高血压患者接受“互联网+健康管理”率较高;多种因素对“互联网+健康管理”有影响;政府应加大对公共卫生服务的人力、物力等的投入,普及健康基本知识,覆盖各社区的健康管理面.
Objective To investigate the acceptance status of intemet+health management among hypertensive patients in Xuzhou city and the related influencing factors.Methods An interviewing questionnaire survey on the acceptance of internet+health management was conducted among 1,200 hypertensive patients from Xuzhou community health service centers selected by randomized cluster sampling and stratified sampling methods from February tp August 2018,1116 valid questionnaires were finally obtained with a response rate of 93.0%.The respondents were divided into two groups according to whether they would accept the internet+health management,and the general conditions and health management status of the two groups were compared.Results The acceptance rate of internet+health management was 71.9%(802/1116).The univariate analysis showed that age,education level,occupation,and monthly income of hypertensive patients were associated with the acceptance of internet+health management(P<0.05);patients with family history of hypertension,cardiovascular and cerebrovascular complications and high health literacy had higher acceptance rate of internet+health management(P<0.05).Multivariate analysis showed that educational levels of junior high school and above(OR=0.426,0.318,0.089),good sleep(OR=0.453)were protective factors for acceptance of internet+health management;while not knowing the diagnostic criteria for hypertension(OR=1.494),not knowing the blood pressure monitoring(OR=2.668),not knowing ECG monitoring(OR=2.247),quitting smoking(OR=2.444),no complications(OR=2.247),and not participating in community health management(OR=1.758)were the risk factors of acceptance of internet+health management for patients with hypertension.Conclusion The acceptance rate of internet+health management among hypertensive patients in Xuzhou city is relatively high.A variety of factors have impact on the acceptance of internet+health management.
作者
聂礼贺
赵丽珍
张欣
高修银
Nie Lihe;Zhao Lizhen;Zhang Xin;Gao Xiuyin(Department of General Practice,Xuzhou Medical University,Xuzhou 221002,China;Department of Neonatal Intensive Care Unit,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China;Department of General Practice,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221002,China)
出处
《中华全科医师杂志》
2019年第12期1136-1140,共5页
Chinese Journal of General Practitioners
关键词
高血压
社区健康管理
“互联网+”
影响因素
Hypertension
Community health management
Internet plus
Influencing factors
