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上海豫园街道外来人口高血压的知信行调查分析(1)
http://www.100md.com 2016年5月15日 《上海医药》 2016年第10期
     摘 要 目的:调查豫园街道外来人口高血压患者的知信行现状,为开展有效的社区高血压管理及干预提供相应依据。方法:2014年11月—2015年1月在外来高血压人群中抽取160例患者进行问卷调查,内容包括个人基本情况、用药情况、饮食及锻炼等相关情况。结果:被调查者文化程度中等偏下,医疗费用支付以自费为主,男、女吸烟率分别为50.0%和3.4%,饮酒率分别为77.8%和9.1%。外来高血压患者中从未服用抗高血压药物者占35.6%,随意服药或忘记服药者占29.4%,按时服药者占35.0%。结论:外来务工人口高血压患者对于高血压的认识及治疗情况欠佳,应采取有效的高血压管理和干预,提高外来高血压患者的血压控制率。

    关键词 高血压 外来人口 管理

    中图分类号:R544.1 文献标志码:A 文章编号:1006-1533(2016)10-0055-03

    Investigation and analysis of the knowledge, attitude and practice of hypertension in the migrant population in Yuyuan Community of Shanghai

    LIU Houjuan, XU Min

    (Yuyuan Community Health Service Center of Huangpu District, Shanghai 200010, China)

    ABSTRACT Objective: To investigate the current situation of the knowledge, attitude and practice (KAP) of the hypertension patients in the migrant population in Yuyuan Community to provide the corresponding basis for the effective development of the community hypertension management and intervention. Methods: From Nov. 2014 to Jan. 2015, 160 patients were randomly selected from the migrant population and investigated with the questionnaire, whose contents included the basic personal information, use of medicine, diet and exercise, etc. Results: The education of the respondents was in the lower middle level, the medical expenses were paid mainly at their own expenses; smoking rates were 50.0% and 3.4%, and drinking rates 77.8% and 9.1% for the male and female, respectively. The migrant hypertension patients who never took hypertension drugs accounted for 35.6%. Those who took hypertension drugs when they wanted or forgot taking it accounted for 29.4% and those who took hypertension drugs on time accounted for 35.0%. Conclusion: The understanding and treatment of hypertension of the hypertension patients in migrant population are not well, and the effective management and intervention of high blood pressure should be taken to improve the control rate of blood pressure in migrant patients with hypertension.

    KEY WORDS hypertension; migrant population; management

    改革开放三十多年来,我国经济持续快速发展,上海的流动人口数量逐年增加,大批外来务工人员涌入上海。外来务工人员在为城市发展做出贡献的同时,他们的健康却没得到社会的重视[1-2]。2013年,据中国疾病控制中心(CDC)报道,我国15岁及以上人群高血压患病率为24%,全国共有2.66亿人患高血压,每5个成人中至少有1人患高血压[1]。高血压和脑卒中等心血管病已经成为我国突出的公共卫生问题,本文通过调查,评价本社区外来高血压人群的知信行水平,以探索有针对性的慢性病管理方式。

    1 对象与方法

    1.1 对象

    选取2014年11月—2015年1月在豫园街道社区卫生服务中心就诊及居委咨询的30~80岁外来人口高血压患者160例,其中男72例,女88例;年龄<35岁3例,35~44岁32例,45~54岁66例,55~64岁44例,65~74岁14例,≥75岁1例;每月收入2 500~3 000元87例,3 100~3 500元40例,3 600~4 000元18例,>4 000元15例;有高血压家族史96例,无家族史64例。, http://www.100md.com(刘厚娟 徐敏;参考文献)
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