CAJ | 학술논문

目的：了解贵阳市高血压患者社区卫生服务利用情况及控制效果，评价贵阳市基层卫生服务体系建设和公共卫生政策实施效果。方法：通过分层随机抽样方法，对贵阳市6个社区卫生服务中心的969名高血压患者进行结构式问卷调查。结果：不同类型高血压患者的防治方式和血压控制率之间差异具有统计学意义（ P＜0．05）。兼职和无职业的高血压患者血压未控制的风险分别是全职高血压患者的2．32倍和2．29倍；单纯药物防治和单纯非药物防治，其高血压未控制的风险分别是综合防治的3．70倍和2．41倍；社区基本医疗服务利用频率小于1次/月和不利用的高血压患者，其血压未控制的风险分别是利用频率大于1次/月的1．57倍和2．24倍。结论：无职业或兼职的人群、未采取综合防治手段、社区服务利用不充分是血压控制不良的主要影响因素。
목적：료해귀양시고혈압환자사구위생복무이용정황급공제효과，평개귀양시기층위생복무체계건설화공공위생정책실시효과。방법：통과분층수궤추양방법，대귀양시6개사구위생복무중심적969명고혈압환자진행결구식문권조사。결과：불동류형고혈압환자적방치방식화혈압공제솔지간차이구유통계학의의（ P＜0．05）。겸직화무직업적고혈압환자혈압미공제적풍험분별시전직고혈압환자적2．32배화2．29배；단순약물방치화단순비약물방치，기고혈압미공제적풍험분별시종합방치적3．70배화2．41배；사구기본의료복무이용빈솔소우1차/월화불이용적고혈압환자，기혈압미공제적풍험분별시이용빈솔대우1차/월적1．57배화2．24배。결론：무직업혹겸직적인군、미채취종합방치수단、사구복무이용불충분시혈압공제불량적주요영향인소。
Objective: To explore hypertension in community health care utilization and control outcome in Guiyang City , to reflect develop-ment and effectiveness of basic health care providing system and public health care policy.Methods: 969 hypertension patients were surveyed with structured questionnaire through stratified random sampling in 6 community health care centers in Guiyang City.Results:Blood pressure con-trol rate were statistically significant in different types groups of hypertension (P<0.05).The hypertension patients with part-time job and no-job were 2.32 and 2.29 times more likely to be uncontrolled than hypertension with full-time job.The hypertension patients with less than 1 time per month and zero health care utilization in community were 1.57 times and 2.24 times more likely to be poor hypertension control with more than 1 time per month health care utilization.Conclusion:Compared with hypertension stage one and stage two, patients with hypertension stage three and isolated systolic hypertension were elder, more female and high complication rate, and they were more likely poor hypertension control.Pa-tients with part-time job and no job, less health care utilization were associated with poor hypertension control.