北京城乡老年高血压患者生命质量现状

Study on quality of life of elderly hypertensive patients in Beijing

目的了解北京城乡老年高血压患者生命质量现状。方法对一个流行病学队列研究人群1826例老年人进行血压测量，分为血压正常组（693例）和高血压组（1133例），进行躯体健康、认知功能、生活能力、心理健康等相关生命质量的评估。结果高血压纽患者的生命质量低于血压正常组，在高血压纽中，女性高血压患者的生命质量较男性差，增龄增加了老年高血压患者的认知损害和躯体功能受损的风险，农村老年高血压患者的生命质量低于城区。结论加强对高血压和相关疾病的防治及慢性病恢复期的功能康复是提高高血压患者生命质量的基础。

Objective To know the quality of life of hypertensive patients in the elderly community residents in Beijing. Methods 1 826 Beijing elderly residents in a cohort study received blood pressure examination and were divided into two groups： normal blood pressure and hypertension groups. They were evaluated for body health, cognition, vitality and mental heath. Results The quality of life of elderly hypertensive patients was worse than that of normal blood pressure group. Among the elderly hypertensive patients, females had worse quality of life than males. The incidences of cognition impairment and body health damage increased with age. The rural elderly hypertensive patients had worse quality of life than the urban patients. Conclusion Strengthening the heath education of hypertension and related chronic diseases and the function recovery of convalescent period is the foundation for improving the quality of life of elderly hypertensive patients.