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内蒙古地区高血压患者自我管理现状及影响因素调查

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目的 调查内蒙古地区高血压患者的自我管理现状及影响因素。方法 于2022年9月至2023年10月,采用分层随机抽样方法从内蒙古的东、中、西部盟市共抽取 766 例高血压患者进行高血压自我管理现状问卷调查,采用多因素Logistic回归分析探究高血压自我管理的影响因素。结果 766 例患者中,自我管理低、中、高水平各占35。77%、39。03%、25。20%。高中/中专文化程度、退休人员、平均月收入≤1 000元、身体质量指数(BMI)分级正常或超重、病程≤5 年或 6~10 年、自费、已建立或未建立健康档案、签约家庭医生、经常或有时进行社区高血压健康宣教和生活方式指导均是高血压患者自我管理水平的影响因素(P<0。05)。结论 内蒙古地区高血压患者的自我管理现状总体处于中低等水平,应着重提高较低文化程度、低收入、BMI超重、病程较短、自费患者的自我管理水平。有效落实健康档案及家庭医生签约服务、社区经常性开展高血压健康宣教和生活方式指导能有效提高患者的自我管理能力。
Investigation on self-management status and influencing factors of patients with hypertension in Inner Mongolia
Objective To investigate the self-management status and influencing factors of patients with hypertension in Inner Mongolia.Methods From September 2022 to October 2023,a total of 766 patients with hypertension were selected from the eastern,central and western cities of Inner Mongolia by stratified random sampling method to conduct a questionnaire survey on the status of hypertension self-management.Multivariate Logistic regression analysis was used to explore the influencing factors of hypertension self-management.Results Among the 766 patients,low,medium and high levels of self-management accounted for 35.77%,39.03%and 25.20%respectively.The influencing factors of self-management level of patients with hypertension were high school/technical secondary school,retirees,average monthly income≤1 000 yuan,normal or overweight body mass index(BMI)classification,course of disease≤5 years or 6-10 years,self-paid,established or not established health records,contracted family doctors,often or sometimes community hypertension health education and lifestyle guidance(P<0.05).Conclusion The self-management status of patients with hypertension in Inner Mongolia is generally at a low level.It is necessary to focus on improving the self-management level of patients with low education level,low income,overweight BMI,short course of disease and self-paid patients.Effective implementation of health records and family doctor contract services,regular community hypertension health education and lifestyle guidance can effectively improve patients'self-management ability.

hypertensionself-managementinfluencing factorbasic public health servicesInner Mongolia

樊子莹、刘可征

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包头医学院,内蒙古 包头,014040

内蒙古科技大学包头医学院第一附属医院全科医学科,内蒙古 包头, 014010

高血压 自我管理 影响因素 基本公共卫生服务 内蒙古

内蒙古自治区高等学校科研项目

NJZZ21044

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(13)
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