医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2015年
2期
11-14
,共4页
高血压%紧急发作%社区卫生服务
高血壓%緊急髮作%社區衛生服務
고혈압%긴급발작%사구위생복무
Hypertension%Hypertensive Emergencies%Community Health Service
目的：分析武汉市中老年高血压患者血压控制和急性发作的影响因素，为改进社区慢性病管理提供政策建议。方法：高血压患者问卷调查和关键知情人访谈相结合。采用多阶段抽样，按照是否纳入高血压规范管理分组，选取武汉市3个社区卫生服务中心的45岁及以上高血压患者共363名进行问卷调查。结果：血压控制率为57．8％，紧急发作率为38．9％。经卡方检验和Logistic分析发现，较高的文化程度是血压控制的保护性因素，高血压严重程度是血压控制的危险因素；较高的文化程度、良好的血压控制情况和优先选择社区就诊的习惯是高血压急性发作的保护性因素，而高血压严重程度是高血压紧急发作的危险因素。结论：落实高血压分级管理，强化对3级高血压患者和低学历人群的干预；社区就医习惯的养成可以有效降低高血压紧急发作的风险。
目的：分析武漢市中老年高血壓患者血壓控製和急性髮作的影響因素，為改進社區慢性病管理提供政策建議。方法：高血壓患者問捲調查和關鍵知情人訪談相結閤。採用多階段抽樣，按照是否納入高血壓規範管理分組，選取武漢市3箇社區衛生服務中心的45歲及以上高血壓患者共363名進行問捲調查。結果：血壓控製率為57．8％，緊急髮作率為38．9％。經卡方檢驗和Logistic分析髮現，較高的文化程度是血壓控製的保護性因素，高血壓嚴重程度是血壓控製的危險因素；較高的文化程度、良好的血壓控製情況和優先選擇社區就診的習慣是高血壓急性髮作的保護性因素，而高血壓嚴重程度是高血壓緊急髮作的危險因素。結論：落實高血壓分級管理，彊化對3級高血壓患者和低學歷人群的榦預；社區就醫習慣的養成可以有效降低高血壓緊急髮作的風險。
목적：분석무한시중노년고혈압환자혈압공제화급성발작적영향인소，위개진사구만성병관리제공정책건의。방법：고혈압환자문권조사화관건지정인방담상결합。채용다계단추양，안조시부납입고혈압규범관리분조，선취무한시3개사구위생복무중심적45세급이상고혈압환자공363명진행문권조사。결과：혈압공제솔위57．8％，긴급발작솔위38．9％。경잡방검험화Logistic분석발현，교고적문화정도시혈압공제적보호성인소，고혈압엄중정도시혈압공제적위험인소；교고적문화정도、량호적혈압공제정황화우선선택사구취진적습관시고혈압급성발작적보호성인소，이고혈압엄중정도시고혈압긴급발작적위험인소。결론：락실고혈압분급관리，강화대3급고혈압환자화저학력인군적간예；사구취의습관적양성가이유효강저고혈압긴급발작적풍험。
Obejective:To analyze the Influence factors of blood pressure control and hypertensive emergencies of the middle-aged and eld?erly patients with hypertension in Wuhan. And to offer suggestions on hypertension management for community health care. Methods: Question?naire survey and interview with key persons were taken. According to weather accepted community standardized management, all the patients were divided into two groups. 363 hypertension patients(≥45 years old) in 3 community health care centers were surveyed with structured question?naire through multistage sampling in Wuhan. Results:Blood pressure control rate was 57. 8%, and hypertensive emergencies rate was up to 38. 9%. By chi-square test and logistic analysis,better effect of hypertension control was observed in patients with higher education level, while worse effect was observed in patients with higher hypertension grade. The higher education level, better hypertension control and the preferred choice of community care were protective factors for hypertensive emergency, while the severity of the hypertension was its risk factor. Conclu?sion:In order to effectively reduce the risk of hypertension emergency attack, it is important to Implement the management of different hyperten?sion grades, strengthen the intervention of the grade 3 hypertension and less educated patients, and develop the habit of preferred choice of com?munity care.
