社区高血压控制效果的影响因素分析

An analysis of the factors that undermine the control of hypertension in the local communities

目的探讨影响社区高血压控制效果的相关因素,寻求更好的血压控制途径。方法选取社区中自愿参与高血压降压控制管理的原发性高血压患者320例,随访1年;采用问卷调查影响血压控制效果的相关因素。结果单因素分析结果显示,吸烟、酗酒、饮食、并发症、体质指数、用药方式、服药依从性、体育锻炼和社会医疗保障条件等因素会影响高血压患者的服药控制效果(P<0.05);Logistic回归分析显示,高盐高脂饮食、合并脏器并发症、体质指数、用药方式、服药依从性和社会医疗保障条件均为影响社区高血压控制效果的独立指标(P<0.05)。结论饮食、肥胖程度、服药环节和社会医疗保障条件等因素影响社区高血压控制的效果。

Objective To determine the factors that undermine the control of hypertension in the local communities.Method 320 patients with essential hypertension who underwent voluntary blood pressure control and management were firstly chosen as the subjects of study and followed up for one year.A questionnaire survey and Logistic regression were then usedto identify the relevant factors influencing the effect of community hypertension control.Findings（1） Univariate analysis showed that smoking and alcohol abuse,salt diet,organ complication,physical index,medication,medication compliance,physical exercise and economic stress were the factors that affected the control of hypertension（P〈0.05）.（2）Logistic regression analysis showed that smoking,alcohol,salt diet,combined with organ complications,body mass index,medication,medication compliance,adherence to physical exercise and economic stress were the independent factors that affected the control of hypertension（P〈0.05）.Conclusion Diet,obesity,medication compliance as well as medi-care and social security are the factors that undermine the control of hypertension within the local communities.