不同铁路系统职工高血压患者的调查分析

Investigation and Analysis of On-the-job Hypertensive Patients in Key Railway System

了解不同铁路系统职工高血压患者的生活方式、对高血压的认知情况、服药情况等,为高血压患者的健康管理提供依据。选取某铁路局集团公司机辆系统、工务系统、客运系统和直属站5023名高血压患者为研究对象,采用问卷调查的形式了解其生活方式和自我管理水平。调查结果显示,4个系统高血压患者在吸烟、饮酒、运动、睡眠、饮食等方面的差异均有统计学意义(P<0.05);全部高血压患者中,不清楚高血压相关知识的人数占比26.44%,不清楚自身高血压分级的占比25.94%,不服药的人群占比52.06%,18.12%的患者存在血压控制好后停止服药情况,有23.89%的患者一般不进行血压测量。针对职工高血压自我健康管理不足的情况,提出应进一步加强健康教育、改善不良生活方式、遵医嘱规范服药等建议,以进一步提升职工的健康水平。

Understanding the lifestyle,awareness of hypertension,and medication adherence among hypertensive patients in different railway system units serves as a foundation for health management and interventions.A total of 5023 hypertensive patients from the rail vehicle system,the railway track division,the passenger transport system,and the station system of a railway bureau group were selected as research subjects and surveyed using questionnaires to comprehend their lifestyles and self-management levels.The results revealed statistically significant variations in smoking,drinking,exercise,sleep patterns,and dietary habits among the four units of hypertensive patients(P<0.05).Among all hypertensive patients surveyed,26.44%lacked knowledge about hypertension-related information;25.94%were unaware of their hypertension grade;52.06%did not adhere to medication regimens;while 18.12%discontinued medication after achieving controlled blood pressure levels.Additionally,23.89%of patients typically neglected blood pressure measurements.According to the investigation of the lack of self-health management of workers with hypertension,this paper puts forward some suggestions,such as strengthening health education,improving unhealthy lifestyle and taking medicine according to doctor's advice,so as to further improve the health level of workers.