高血压诊断后患者的行为变化分析

The Change of Behavior After the Diagnosis of the Hypertension

目的以江苏省铜山县农村居民为研究对象,了解该地区农村居民高血压病诊断以后患者的行为变化情况。方法整群随机抽取35岁以上人群20364人为样本,使用Logistic回归方法分析确诊病例和新检出病例在生活习惯和行为之间的差异。结果高血压诊断以后,部分患者开始戒酒、限盐、少吃主食、不吃猪肉、偶尔吃海产品和牛羊肉;部分患者的生活变得非常紧张;其他生活习惯因素和饮食相关因素没有受到影响,如:经常吸烟、被动吸烟、优质蛋白摄入较低、较少的水果摄入、睡眠差、不参加体育锻炼和肥胖程度等都没有受到影响。结论诊断高血压对改变患者行为,进一步控制高血压是有益的,推广首诊测量血压制度十分必要。应以健康为中心大力推进社区卫生服务。

OBJECTIVE To discuss the change of behavior after the diagnosis of the Hypertension. METHODES A random sample which included 2 0364 cases aged above 35 was investigated. By logistic regression the difference of the behavior between the two groups, one is the newly found patients of hypertension and the other is originally found ones. RESULTS After the diagnosis of hypertension some kinds of behavior changed. The newly found patients began to get rid of drinking alcohols, intake less salt and carbohydrate, have little pork, have some mutton and beef, have some sea food. The life of the newly found patients tense up. Other habits or hobbies or body status like smoking, bad sleeping, little exercise, over weight, low protein in taking, low vegetable and fruits in taking etc.are not changed. CONCLUSIONS Diagnosis does well to the patients by changing their behavior. To carry out health education and promotion is very important in county area.