Investigation of knowledge,belief,practice of community hypertensive patients in Tianjin
YANG Guohong1, GENG Yuanyuan1, WANG Tao1, WANG Xiaojing1, WANG Na2, LI Dongyan2, ZHANG Caili1, ZHUANG Jian1, WU Xiangli1, CHEN Shaobo1
1. Institute of Prevention and Treatment of Cardiovascular Diseases in Tianjin Key Laboratory of Cardiovascular Remodeling and Target Organ Injury, Characteristic Medical Center of the Chinese People's Armed Police Force, Tianjin 300162, China; 2. Dawangzhuang Community Health Care,Tianjin 300012,China
Abstract：Objective To investigate the current hypertension-related knowledge, attitude and behavior in community hypertensive patients in Tianjin, and to provide reference for more effective management of community hypertension patients. Methods A cluster random sampling method was employed to select 4093 hypertensive patients in four communities in Tianjin for a knowledge-belief- practice survey. The information about knowledge,belief and practice related to hypertension was collected through face-to-face interlocution by community doctors. The demographic characteristics, results of physical examinations, and previous medical history of the subjects were also collected. The related influencing factors were analyzed. Results A total of 3962 patients with hypertension in four communities were finally enrolled, including 1772 males (44.75%). The average age was (60.37±10.19) years. The average systolic blood pressure was (136.72±10.88) mmHg, and the average diastolic blood pressure was (81.06±6.79) mmHg. The score of knowledge of hypertension was 13.52±3.12, compared with 7.17±1.47 for attitude, and 17.89±4.89 for behavior. The score of knowledge, belief and practice regarding hypertension was 38.58±6.16. Logistic multiple regression analysis showed that age (OR=1.381,95%CI:1.205-1.558,P=0.009), levels of education (OR=1.042, 95%CI: 1.077-1.078, P=0.019), occupations (OR=1.275, 95%CI: 1.088-1.494, P=0.003) income levels (OR=1.340, 95%CI: 1.135-1.581, P=0.001) and accessibility to social insurance (OR=1.905, 95%CI: 1.407-2.579, P<0.001) were independently correlated with the scores of knowledge, belief and practice of patients with hypertension. Conclusions The levels of knowledge, belief and practice of community hypertensive patients is still low. Targeted health education is required so as to step up the prevention and treatment of hypertension and reduce the occurrence of cardiovascular diseases.
Lu J,Lu Y,Wang X, et al. Prevalence, awareness, treatment, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project)[J]. Lancet, 2017, 390 (10112): 2549-2558.
Unger T,Borghi C,Charchar F, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines[J].Hypertension,2020,75(6):1334-1357.
[10]
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]. Journal of the American College of Cardiology, 2018, 71 (19): e127-e248.
[11]
Williams B,Mancia G,Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension[J]. European heart journal,2018,39(33):3021-3104.
Wang J,Ning X,Yang L, et al. Trends of hypertension prevalence, awareness, treatment and control in rural areas of northern China during 1991-2011[J]. Journal of human hypertension, 2014, 28 (1): 25-31.
2021, Vol. 32 
