摘要
目的:了解上海某社区60岁及以上老年高血压患者的血压控制情况。方法:收集某社区参加免费体检的60岁及以上老年高血压患者305人的血压值。患者平均年龄(68.88±0.23)岁,其中男性患者151人,平均年龄(63.72±0.46)岁,女性患者154人,平均年龄(73.94±0.46)岁,分析患者的血压控制情况以及糖尿病、冠心病、脑卒中伴发情况。结果:305名高血压患者中,血压控制人数为153人,血压控制率为50.2%。血压未控制组的糖尿病、冠心病、脑卒中等伴发症发生率为20.4%,高于血压控制组的伴发症发生率9.3%(χ^2=4.97,P<0.05)。结论:应加强对血压控制不佳者进行管理,包括生活方式干预、高血压知识宣教、药物治疗、跟踪随访等,提高患者和家属对高血压的认识,帮助患者建立良好的生活习惯,改善生活质量,提高服药依从性,提升患者的自我效能,最终有效控制高血压患者的血压水平。
Objective:To investigate the blood pressure control in hypertension patients aged 60 and above in a community in Shanghai.Methods:The data of blood pressure of 305 elderly patients with hypertension aged 60 years and above who took part in free medical examination in a certain community were collected.The average age was(68.88±0.23)years old,of whom 151 were male with the average age of(63.72±0.46)years old,154 were female with the average age of(73.94±0.46)years old,and the blood pressure control status and the concomitant conditions of diabetes,coronary heart disease and stroke of the patients were analyzed.Results:Among 305 patients with hypertension,the number of the blood pressure control was 153,and the blood pressure control rate was 50.2%.The incidence of complications such as diabetes,coronary heart disease and stroke in the uncontrolled blood pressure group was 20.4%,which was higher than that in the blood pressure control group 9.3%,and the difference was statistically significant(χ^2=4.97,P<0.05).Conclusion:The patients with poor blood pressure control should be managed,including lifestyle intervention,hypertension knowledge education,drug treatment,follow-up,etc.to improve the awareness of patients and their families about hypertension,help the patients to establish good living habits,improve quality of life,compliance with medication,and the self-efficacy of the patients,and finally effectively control the blood pressure level of the patients with hypertension.
作者
王娟英
WANG Juanying(General Practice Clinic of Nanqiao Community Health Service Center of Fengxian District,Shanghai 201499,China)
出处
《上海医药》
CAS
2020年第10期58-59,共2页
Shanghai Medical & Pharmaceutical Journal
关键词
高血压
血压控制
老年人
社区
hypertension
blood pressure control
elderly people
community
