来院就诊病人继发性高血压认知现状及态度的调查分析

Survey and analysis of patients′cognitive status quo and attitudes toward secondary hypertension

目的:了解来院就诊病人对继发性高血压的认知现状及态度,分析其影响因素,为医院进一步加强继发性高血压相关宣教和专病诊疗提供参考。方法:对来院就诊病人继发性高血压的认知情况及态度进行问卷调查,对调查结果进行统计分析。结果:22.05%的来院就诊病人对继发性高血压的概念知晓且比较了解;对继发性高血压诊疗必要性的认可度较高,完全认可和基本认可例数分别占总例数的45.09%和48.83%;愿意接受继发性高血压诊疗者占比为79.18%,同时有96.84%的来院就诊病人建议医院进一步推广继发性高血压诊疗知识。年龄[OR=2.03,95%CI(1.52,2.70)]、学历[OR=2.57,95%CI(1.83,3.62)]、医疗保险情况[OR=2.64,95%CI(2.10,3.31)]和所属区域[OR=13.14,95%CI(6.27,27.54)]均进入多元回归方程,年龄、学历、医疗保险情况、所属区域是影响来院就诊病人对继发性高血压相关诊疗接受行为的影响因素(P<0.05)。结论:来院就诊病人对继发性高血压认知情况差,但对继发性高血压诊疗的必要性认可度较高,绝大多数病人愿意接受继发性高血压诊疗,并且建议医院进一步推广继发性高血压宣教和专病诊疗。针对年龄大、学历低、来自乡镇的病人应加大宣教力度。

Objective:To understand the cognitive status quo and attitudes of patients toward secondary hypertension,analyze their influencing factors,and provide reference for the hospital to further strengthen the education and treatment of secondary hypertension.Methods:A questionnaire survey was conducted on the cognition and attitude of patients toward secondary hypertension,and the results were statistically analyzed.Results:22.05%of the surveyed patients who came to the hospital knew and understood the concept of secondary hypertension,the approval degree towards the diagnosis and treatment of secondary hypertension was higher,the fully approval and basic approval cases accounted for 45.09%and 48.83%of the total cases,respectively.79.18%of the patients were willing to accept the diagnosis and treatment of secondary hypertension.At the same time,as many as 96.84%of the patients suggested that the hospital should further promote the knowledge of diagnosis and treatment of secondary hypertension.Age[OR=2.03,95%CI(1.52,2.70)],education background[OR=2.57,95%CI(1.83,3.62)],medical insurance status[OR=2.64,95%CI(2.10,3.31)]and region[OR=13.14,95%CI(6.27,27.54)]were included into multiple regression equation.Age,educational background,medical insurance status and region were the influencing factors of patients′accepting behavior of secondary hypertension related diagnosis and treatment(P<0.05).Conclusions:The patients who come to the hospital had poor cognition of secondary hypertension,but had a higher approval degree to the necessity of the diagnosis and treatment of secondary hypertension.The vast majority of people were willing to accept the diagnosis and treatment of secondary hypertension.It was suggested that the hospital should further promote the secondary hypertension education and diagnosis and treatment of specific diseases.For the elderly,patients with low education,from the township,the propaganda and education efforts should be increased.