社区高血压患者血压控制情况及影响因素分析

Analysis of Blood Pressure Control and Influencing Factors of Hypertension Patients in Community

目的:了解社区高血压患者的血压控制情况,并探讨生活行为方式对高血压患者血压控制的影响。方法:采用整群抽样方法选择3 608例高血压患者,调查患者的一般资料及生活行为方式,采用单因素及多因素logistic回归分析筛选影响社区高血压患者血压控制的相关因素。结果:血压控制达标率为73.0%。多因素logistic回归分析显示,生活行为方式因素中,吸烟、饮酒是影响高血压患者血压控制达标率的独立危险因素,而规律服药、均衡饮食是血压控制达标率的保护因素;高龄、肥胖和长病程是影响血压控制的危险因素。结论:吸烟、饮酒、规律服药和均衡饮食是影响患者血压控制达标率的主要生活行为因素;年龄、身体质量指数和高血压病程也会影响血压控制效果。

OBJECTIVE To understand the blood pressure control of community hypertension patients,and to explore the influence of lifestyle on hypertension patients’ blood pressure control.METHODS Cluster sampling method was used,3608 patients with hypertension were selected to investigate their general data and lifestyle.Univariate and multivariate logistic regression analysis was used to screen the related factors affecting blood pressure control of patients with hypertension in the community.RESULTS The rate of blood pressure control was 73.0%.Multivariate logistic regression analysis showed that among the lifestyle factors,smoking and drinking were the independent risk factors affecting the blood pressure control compliance rate of patients with hypertension,while regular medication and balanced diet were the protective factors.At the same time,it was found that high age,obesity and long course of disease were the risk factors affecting blood pressure control.CONCLUSION Smoking,drinking,regular medication and balanced diet were the main life behavior factors that affected the rate of blood pressure control.At the same time,age,BMI and the course of hypertension also affected the effect of blood pressure control.