论文部分内容阅读
目的 :了解社区高血压患者自我管理行为执行情况,为高血压防控提供依据。方法 :采用量表对完全随机抽取的社区健康服务中心登记的高血压患者进行面对面问卷调查,并测量血压。结果 :640名高血压患者自我管理行为平均得分为71.59±15.21分,各条目得分均在4分以上的个体占总数3.75%(24/640);Pearson相关分析显示,高血压患者自我管理行为个体得分与其收缩压和舒张压均呈负相关,相关系数分别为r收缩压=-0.13、r舒张压=-0.21;r收缩压与r舒张压分布存在统计学差异;不同病程患者自我管理行为得分存在统计学差异;另外具有并发症的高血压患者得分为85.65±5.84分,而无并发症高血压患者得分为70.90±15.20分,其分布存在统计学差异。结论 :深圳市光明新区高血压患者自我管理行为执行不高,且自我管理行为与血压呈负相关,采取针对性干预措施提高患者自我管理行为执行力势在必行。
Objective: To understand the implementation of self-management behavior in community-based hypertensive patients and provide basis for prevention and control of hypertension. METHODS: A scale was used to conduct a face-to-face questionnaire survey of hypertensive patients enrolled in a randomly selected community health service center and to measure blood pressure. Results: The average score of self-management behavior of 640 hypertensive patients was 71.59 ± 15.21, and the percentage of individuals with scores above 4 was 3.75% (24/640). Pearson correlation analysis showed that individuals with self-management behavior in hypertensive patients The score was negatively correlated with systolic and diastolic blood pressure, the correlation coefficients were r systolic pressure = -0.13, r diastolic pressure = -0.21; r systolic blood pressure and r diastolic blood pressure distribution were statistically different; patients with different duration of self-management behavior score There was statistical difference. In addition, the score of hypertensive patients with complication was 85.65 ± 5.84, while the score of non-complication hypertensive patients was 70.90 ± 15.20, the distribution was statistically different. CONCLUSIONS: The self-management behavior of patients with hypertension in Guangming New District of Shenzhen City is not high, and self-management behavior is negatively correlated with blood pressure. It is imperative to take targeted interventions to improve patient self-management behavior.