天津市河东区社区老年高血压患者知信行水平及其影响因素

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摘要目的分析天津市河东区社区老年高血压患者高血压相关知识、相关态度及相关行为的现状及其相关影响因素,为老年高血压患者血压管理策略的制定提供依据。方法 2018年9月从天津市河东区的四个社区采用整群随机抽样的方法选取2252例年龄≥60岁老年高血压患者作为调查对象。采用面对面问答的方式对调查对象进行问卷调查。高血压患者知信行问卷参照最新高血压防治指南和最新循证证据自行设计。收集患者的人口学特征、体格检查、既往病史等资料,对入选患者高血压相关知识、相关态度及相关行为的现状及相关影响因素进行分析。结果入组的老年高血压患者高血压相关知识平均得分14.31±3.25,高血压相关态度平均得分7.20±1.33,高血压相关行为平均得分18.60±4.06,总体高血压知信行平均得分40.11±5.95;经logistic多元回归分析显示,文化程度(OR=1.776,95%CI:1.463~2.155,P<0.001)、吸烟(OR=0.526,95%CI:0.453~0.612,P<0.001)、饮酒(OR=0.862,95%CI:0.744~0.999,P=0.049)、高血压家族史(OR=1.404,95%CI:1.152~1.712,P<0.001)和既往病史(OR=1.532,95%CI:1.274~1.843,P<0.001)与老年高血压患者高血压知信行评分独立相关。结论天津市河东区社区老年高血压患者的知信行水平有待提高,应不断深化对社区老年高血压患者的健康教育,以进一步提高老年高血压患者的知信行水平。

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	杨国红
	蔡伟
	石蕊
	张建起
	牛秀珑
	郭卿
	张芯
	王涛
	王晓静
	陈少伯

关键词 ：老年, 高血压, 知信行, 影响因素

Abstract：Objective To analyze the status quo of hypertension-related knowledge, attitude and behavior (KAP) of elderly patients with hypertension in Hedong district of Tianjin and the related influencing factors so as to provide evidence for the development of hypertension management strategies. Methods In September 2018, a total of 2252 elderly patients with hypertension aged ≥60 years were selected from four communities in Hedong District of Tianjin through cluster random sampling as the investigation subjects. A questionnaire survey was conducted on the respondents by means of face-to-face question-and-answer. The KAP questionnaire was designed based on the latest hypertension prevention and control guidelines and the latest evidence-based evidence. The demographic characteristics, physical examination, past medical history and other information of the patients were collected to analyze the status quo and influencing factors of hypertension-related knowledge, attitude and behavior of the selected patients. Results The average score of hypertension-related knowledge, attitude and behavior was 14.31±3.25, 7.20±1.33, 18.60±4.06 respectively, and the average score of overall KAP was 40.11±5.95. Logistic multiple regression analysis showed that education level (OR=1.776,95%CI:1.463-2.155,P<0.001)smoking (OR=0.526,95%CI:0.453-0.612,P<0.001), drinking(OR=0.862,95%CI:0.744-0.999,P=0.049),family history of hypertension (OR=1.404,95%CI:1.152-1.712,P<0.001)and past medical history (OR=1.532,95%CI:1.274-1.843,P<0.001)were independently correlated with the KAP score of elderly patients with hypertension. Conclusions The KAP level among the elderly hypertension patients in HeDong district of Tianjin needs to be improved, and continuous health education should be carried out for the elderly hypertension patients in the community to further improve their level of KAP.

Key words： the elderly hypertension knowledge, attitude and practice influencing factor

收稿日期: 2024-07-12

ZTFLH:

R544

基金资助:天津市卫生健康科研项目(TJWJ2023MS050);国家重点研发计划项目(2017YFC1307600,2017YFC1307602)。

通讯作者: 陈少伯, E-mail: chensbwj@126.com

作者简介: 杨国红,博士,副主任医师。

引用本文:

杨国红, 蔡伟, 石蕊, 张建起, 牛秀珑, 郭卿, 张芯, 王涛, 王晓静, 陈少伯. 天津市河东区社区老年高血压患者知信行水平及其影响因素[J]. 武警医学, 2024, 35(12): 1058-1061. YANG Guohong, CAI Wei, SHI Rui, ZHANG Jianqi, NIU Xiulong, GUO Qing, ZHANG Xin, WANG Tao, WANG Xiaojing, CHEN Shaobo. KAP level of elderly hypertension patients in Hedong district of Tianjin and its influencing factors. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(12): 1058-1061.

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https://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 https://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2024/V35/I12/1058

[1]	Martin S S, Aday A W, Almarzooq Z I, et al. 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association[J]. Circulation, 2024, 149 (8): e347-e913.
[2]	中国老年医学学会高血压分会, 北京高血压防治协会, 国家老年疾病临床医学研究中心. 中国老年高血压管理指南2023[J]. 中华高血压杂志, 2023, 31(6):508-538.
[3]	张梅, 吴静, 张笑, 等. 2018年中国成年居民高血压患病与控制状况研究[J]. 中华流行病学杂志, 2021, 42(10): 1780-1789.
[4]	Wang J, Zhang L, Wang F, et al. Prevalence, awareness, treatment, and control of hypertension in China: results from a national survey[J]. Am J Hypertens, 2014, 27 (11): 1355-1361.
[5]	杨国红, 耿圆圆,王涛, 等. 天津市社区高血压患者知信行现况调查[J]. 武警医学, 2021, 32 (10): 860-863.
[6]	Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines[J]. Hypertension, 2020, 75 (6): 1334-1357.
[7]	Whelton P K, Carey R M, Aronow W S, et al. 2017 ACC/AHA/AAPA/ABC/ ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J]. J Am Coll Cardiol, 2018, 71 (19): e127-e248.
[8]	Williams B, Mancia G,Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension[J]. Eur Heart J, 2018, 39 (33): 3021-3104.
[9]	中国高血压防治指南修订委员会. 中国高血压防治指南(2018年修订版)[J]. 心脑血管病防治, 2019, 19 (1): 1-44.
[10]	王薇, 赵冬.中国老年人高血压的流行病学[J]. 中华老年医学杂志, 2005, 24 (4): 246-247.
[11]	李立明, 饶克勤, 孔灵芝, 等. 中国居民2002年营养与健康状况调查[J]. 中华流行病学杂志, 2005, 26 (7): 478-484.
[12]	李苏宁, 陈祚, 王增武, 等. 我国老年人高血压现状分析[J]. 中华高血压杂志, 2019, 27 (2): 140-148.
[13]	Ahmed S T, Li R, Richardson P, et al. Association of atherosclerotic cardiovascular disease, hypertension, diabetes, and hyperlipidemia with gulf war illness among gulf war veterans[J]. J Am Heart Assoc, 2023, 12 (19): e029575.
[14]	Dabers T, Sass P, Fechner F, et al. Age- and sex-specific reference values for renal volume and association with risk factors for chronic kidney disease in a general population-an MRI-based study[J]. J Clin Med, 2024, 13 (3): 1-12.
[15]	Lun R, Shaw J R, Roy D C, et al. Effect modification of age and hypertension on cancer and prevalence of self-reported stroke - A cross-sectional study[J]. Cancer Med, 2023, 12 (11): 12518-12523.
[16]	李妍宏. 社区老年高血压患者知信行现状调查分析[J]. 医学食疗与健康, 2020, 18 (3): 193,195.
[17]	徐丽霜, 高志广, 何玫. 知信行模式对社区高血压患者的干预效果研究[J]. 中国预防医学杂志, 2024, 25 (1): 53-57.
[18]	张雪艳, 严军, 王萍, 等. 江西省居民慢性病患病情况及影响因素分析[J]. 保健医学研究与实践, 2019, 16 (6):16-20,25.