| 摘要: |
| ［摘要］ 目的 探讨影响广西田东县农村社区高血压规范化管理实施效果的因素，为有针对性地实施农村社区规范化管理及进一步提高管理效果提供依据。方法 随机抽取该院所辖农村社区高血压患者103例，按照高血压全国社区规范化管理的要求，进行为期12个月的规范化管理，分析与血压控制效果相关的影响因素。结果 经规范化管理后，研究对象收缩压、舒张压均低于规范化管理前，血压控制率高于规范化管理前，差异有统计学意义（P<0.01）。多因素Logistic回归分析显示，本地户籍（OR=10.258）与规范化管理前接受降压治疗（OR=86.947）是影响血压控制效果的促进因素，左室肥厚（OR=0.103）与膳食偏咸（OR=0.011）是影响血压控制效果的限制因素。结论 规范化管理可显著降低高血压人群血压水平，提高血压控制率，应加强农村社区高血压患者的高血压健康教育，根据患者实际情况调整治疗方案。 |
| 关键词: 田东县 农村社区 高血压规范化管理 影响因素 |
| DOI：10.3969/j.issn.1674-3806.2017.02.15 |
| 分类号:R 544.1 |
| 基金项目: |
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| The influencing factors of standardized hypertension management in rural communities of Tiandong county, Guangxi Zhuang Autonomous Region |
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LI Li-ding
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Department of Cardiology, the People′ s Hospital of Tiandong County, Guangxi 531500, China
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| Abstract: |
| ［Abstract］ Objective To explore the influencing factors of standardized hypertension management(SHM) in rural communities of Tiandong county, Guangxi Zhuang Autonomous Region, and to provide the basis and reference for the strategy of rural community SHM in Tiandong county.Methods According to the Chinese guidelines of hypertension management, 103 hypertensive patients who were selected from the physical examinees in rural communities of the health centers were managed for 12 months, and were analyzed the influencing factors associated with blood pressure treatment.Results After SHM, the average values of systolic pressure and diastolic pressure declined, and the blood pressure control rates rose before the management among the communities（P<0.05）. In multivariate logistic regression analysis, local registered residence（OR=10.258） and antihypertensive therapy before standardization management（OR=86.947） were the positive factors influencing the effect of blood pressure treatment, while left ventricular hypertrophy（OR=0.103） and eating salty food（OR=0.011） were the negative factors.Conclusion SHM can increase the control rates of blood pressure significantly in the rural communities. Health education should be strengthened to control high blood pressure in the patients in rural communities and the therapy should be adjusted individually. |
| Key words: Tiandong county Rural communities Hypertension standardized management Influencing factors |
