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目的了解北京市城区社区中高血压患者的社会网络特征,为完善社区高血压自我管理提供可靠的依据。方法采用分阶段随机抽样的方法抽取北京市西城区4个社区卫生服务站1 074例高血压患者作为调查对象。由调查员统一完成调查,使用SPSS 16.0、Ucinet 6,运用率、中位数、度数中心度、中间中心度、秩和检验等指标方法进行统计描述和分析。结果社区高血压患者社会网络度数中心度最大值为15,最小值为0,中位数为1;中间中心度最大值为176,最小值为0,中位数为0。不同文化程度的高血压患者之间的社会网络度数中心度、中间中心度差异均有统计学意义(H值分别为23.023、8.635,P<0.01,P<0.05);退休、与家人居住情况、锻炼情况、病程不同,社会网络度数中心度差异均有统计学意义(Z=4.672,H值分别为62.582、94.330、31.77,P<0.05,P<0.01);与家人居住情况、锻炼情况不同,中间中心度差异均有统计学意义(H值分别为63.691、25.378,P<0.01)。结论社区高血压患者之间社会网络特征明显松散,不同特征的社区高血压患者社会网络特征不同,可以据此建立社区高血压管理活动小组。
Objective To understand the social network characteristics of hypertensive patients in urban areas of Beijing and provide a reliable basis for improving self-management of community hypertension. Methods A total of 1 074 hypertensive patients from 4 community health service stations in Xicheng District of Beijing were sampled by staged random sampling method. The investigators completed the survey in a unified way and used statistical methods such as SPSS 16.0, Ucinet 6, utilization rate, median, degrees of centrality, center of gravity, rank sum test and other indicators to describe and analyze the statistics. Results The maximal social network degree of community hypertension patients in community was 15, the minimum was 0 and the median was 1; the median of centrality was 176, the minimum was 0 and the median was 0. Hypertension patients of different education levels had a significant difference in centrality and centrality of social networks (H = 23.023 and 8.635, respectively; P <0.01, P <0.05) (Z = 4.672, H values were 62.582, 94.330, 31.77 respectively, P <0.05, P <0.01). Different from the family living conditions and exercise conditions, the difference of exercise center, The differences in central centers were statistically significant (H values were 63.691,25.378, P <0.01). Conclusions The characteristics of social network in community-based hypertensive patients are obviously loose. The social network characteristics of community-based hypertension patients with different characteristics are different, and community-based hypertension management activities can be established accordingly.