社区门诊老年高血压患者自测健康调查及其影响因素分析

Survey of self-rated health and associated factors analysis of elderly hypertensive patients in community clinics

目的·了解上海部分社区门诊老年高血压患者自测健康现状,并分析老年高血压患者自测健康的影响因素。方法·运用老年人基本情况问卷和自测健康评定量表对上海市3所社区门诊就诊的老年高血压患者进行调查,采用多元线性逐步回归分析法分析老年高血压患者自测健康的影响因素。结果·共调查了458例社区门诊老年高血压患者,自测健康总分为347.91±32.97,自测生理健康得分为142.29±13.03,自测心理健康得分为116.95±12.65,自测社会健康得分为88.66±11.83,自测健康总分达到良好水平的百分比为88.4%。多元线性逐步回归结果显示,年龄、原职业、每日服用降压药的次数、婚姻状况、生活满意度是老年高血压患者自测健康评定量表总分的独立影响因素。结论·上海社区门诊老年高血压患者自测总体健康水平良好,年龄、原职业、每日服用降压药的次数、婚姻状况、生活满意度是老年高血压患者自测健康的影响因素。

Objective To understand the status of self-rated health of elderly hypertensive patients in some community clinics in Shanghai, and analyze the influence factors. Methods The elderly patients with hypertension in three community clinics in Shanghai were investigated with the basic information questionnaire and the Self-rated Health Rating Scale(SRHMS). The influence factors of self-rated health of these people were analyzed by multiple linear stepwise regression. Results A total of 458 elderly patients with hypertension were enrolled. The total score of SRHMS and the scores of its 3 subscales, i.e., physiological health, mental health, and social health, were 347.91±32.97, 142.29±13.03, 116.95±12.65, and 88.66±11.83, respectively. Totally, 88.4% of the patients were at good level of self-rated health. The results of multiple linear stepwise regression showed that age, primary occupation, daily times of taking antihypertensive drugs, marital status and life satisfaction were independent influence factors of the total score of SRHMS in the elderly patients with hypertension. Conclusion The self-rated health level of elderly hypertension patients in the community clinics in Shanghai is good, and age, original occupation, daily times of taking antihypertensive drugs, marital status and life satisfaction are the influence factors.