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目的:分析社区高龄高血压患者的患病情况与血压控制不良的主要因素。方法:选取2013年2月至2016年2月广州市天河区冼村街社区卫生服务中心243位高龄老年人中筛选出180例高血压患者作为研究对象,通过知识调查问卷的方式以及logistic回归分析法对社区高龄高血压患者血压控制不良的因素进行分析。结果:对照组患者血压、高脂血症以及有糖尿病和吸烟、饮酒史、心血管家族史和体质量指数等指标显示高于研究组的指标,差异具有统计学意义(P<0.05)。logistic回归分析中显示影响血压控制不良的主要因素在吸烟、饮酒以及疾病认知情况等方面比较,差异具有统计学意义(P<0.05)。结论:社区医护人员要从多角度分析其因素,提高社区高龄高血压对高血压的防范和治疗意识。
OBJECTIVE: To analyze the prevalence of hypertension in elderly patients and the main factors controlling poor blood pressure. Methods: From February 2013 to February 2016, 180 hypertensive patients were selected from 243 senile people in Xiancun Street Community Health Service Center, Tianhe District, Guangzhou City as the research object. Through questionnaire survey and logistic regression analysis Analysis of the factors of poor blood pressure control in elderly patients with hypertension in community. Results: The indexes of blood pressure, hyperlipidemia, diabetes and smoking, drinking history, family history of cardiovascular disease and body mass index in the control group were higher than those in the study group, with statistical significance (P <0.05). Logistic regression analysis showed that the main factors influencing poor blood pressure control were statistically significant (P <0.05) in terms of smoking, alcohol consumption and disease cognition. Conclusion: Community health workers should analyze their factors from multiple perspectives and raise awareness of prevention and treatment of hypertension in elderly patients with hypertension in community.