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目的探讨农村社居民高血压患病知-信-行情况及高血压患者的药物治疗情况,为制定有针对性的高血压社区综合防治措施提供科学依据。方法在广东省中山市某镇随机抽取4个村各5个生产队共800户居民进行问卷调查。分析农村社区≥18岁2 639名居民的高血压患病情况,并随机调查116例高血压患者药物治疗情况。结果 215例居民患高血压,患病率为8.15%;患者中平均酒龄39.3年,平均烟龄41.2年,相关卫生保健知识的获取途径单一,166例(77.2%)患者不知道高血压的诊断标准,202例(94.0%)患者一直接受药物治疗,116例患者不服或不规律服药的主要原因为忘记服药80例(69.0%)和不良反应50例(50.0%)。结论农村居民高血压患者知-信-行情况有待改善,应加强农村居民高血压的规范化管理以及居民的健康教育和健康促进,改善居民不良生活方式和行为习惯。
Objective To investigate the prevalence of hypertension in rural communities and the treatment of hypertension patients and to provide a scientific basis for the development of targeted comprehensive prevention and control measures for hypertensive communities. Methods A total of 800 households from 5 production teams in 4 villages were randomly selected from a town in Zhongshan City, Guangdong Province for questionnaire survey. To analyze the prevalence of hypertension among 2 639 residents aged 18 or older in rural community and randomly investigate the drug treatment of 116 hypertensive patients. Results Among 215 residents, the prevalence of hypertension was 8.15%. The mean age of patients was 39.3 years and the mean age was 41.2 years. There was a single access to health care knowledge and 166 patients (77.2%) were unaware of hypertension According to the diagnostic criteria, 202 patients (94.0%) had been treated with drugs. The main reasons for 116 patients’ dissatisfaction or irregular medication were forgetting to take medication in 80 patients (69.0%) and adverse reactions in 50 patients (50.0%). Conclusion The situation of rural residents with hypertension-related information needs to be improved. We should strengthen the standardized management of hypertension in rural residents and residents ’health education and health promotion, and improve the residents’ bad lifestyles and behaviors.