住院高血压患者家庭自测血压的现状及影响因素研究
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Current status of home blood pressure monitoring and its influencing factors in hospitalized hypertensive patients
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    摘要:

    目的:探讨住院高血压患者家庭自测血压的现状及影响因素。方法:选取2018年5月在重庆医科大学附属第一医院心内科住院并且病程超过1年的高血压患者进行面对面问卷调查,收集相关资料进行分析。采用logistic回归分析影响住院高血压患者家庭自测血压的因素。结果:纳入分析的105例患者中,男性52人占49.5%,女性53人占50.5%;平均年龄(71.3±9.8)岁,病程范围为1~40年,第一和第三四分位数分别为6.5年和20年。进行家庭自测血压的住院高血压患者83例(79.0%)。单因素分析显示,影响家庭自测血压的因素包括文化程度(?字2=18.335,P=0.000)、就诊医院级别(?字2=7.385,P=0.025)、吸烟习惯(?字2=3.834,P=0.050)、知晓HBPM理念(?字2=65.561,P=0.000);多因素logistic回归分析提示,吸烟习惯(OR=0.110,P=0.018)、知晓HBPM理念(OR=166.593,P=0.000)可能为影响住院高血压患者家庭自测血压的主要因素。结论:住院高血压患者家庭自测血压率虽然较高,但有必要通过网络媒体这种便利的方式宣传家庭自测血压的知识,同时鼓励高血压患者参加家庭自测血压相关培训,加强患者对家庭自测血压作用的认识,提高人群家庭自测血压的比例;督促其戒烟并加强对其家人进行相关健康教育。

    Abstract:

    Objective:To investigate the current status of home blood pressure monitoring(HBPM) and its influencing factors in hos-pitalized hypertensive patients. Methods:A face-to-face questionnaire survey was conducted in hypertensive patients who were hos-pitalized Department of Cardiology,The First Affiliated Hospital of Chongqing Medical University,in May 2018 and had a duration of disease longer than 1 year,and relevant data were collected for analysis. Logistic regression was used to analyze the influencing fac-tors for HBPM in hospitalized hypertensive patients. Results:Of the 105 patients included in the analysis,52(49.5%) were males and 53(50.5%) were females;the mean age was (71.3±9.8) years,and the duration of disease was between 1 and 40 years with the 1st quartile and the 3rd quartile to be 6.5 and 20 years,respectively. Eighty-three(79%) hospitalized hypertensive patients performed HBPM. A univariate analysis showed that the influencing factors for HBPM included educational level,level of hospital patients visited,smoking habit,knowledge of the concept of HBPM( ?字2=18.335,7.385,3.834,and 65.561,respectively;P=0.000,0.025,0.050,and 0.000,respectively). A multivariate logistic regression indicated that smoking habit and knowledge of the concept of HBPM may be the main influencing factors for HBPM in hospitalized hypertensive patients(OR=0.110 and 166.593,respectively;P=0.018 and 0.000,respectively). Conclusion:Although there is a relatively high proportion of hospitalized hypertensive patients performing HBPM,it is necessary to promote the knowledge of HBPM in a convenient way(i.e.,internet media) and encourage hypertensive pa-tients to participate in HBPM-related training,which would strengthen patients’ understanding of HBPM and increase the proportion of patients performing HBPM in the population. Meanwhile,pa-tients should be urged to quit smoking,and their family should be provided with related health education.

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郑棚文,杨瑷宁,张 帆,杨 渊.住院高血压患者家庭自测血压的现状及影响因素研究[J].重庆医科大学学报,2020,45(4):547-

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  • 在线发布日期: 2020-05-25
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