实用老年医学

实用老年医学 ›› 2023, Vol. 37 ›› Issue (6): 586-589.doi: 10.3969/j.issn.1003-9198.2023.06.012

• 临床研究 • 上一篇    下一篇

慢性病核心知识知晓与老年高血压病人血压控制的关系

秦真真, 戚圣香, 陈一佳, 吴洁, 杨华凤, 叶青, 王琛琛, 洪忻   

  1. 210003 江苏省南京市,南京市疾病预防控制中心慢性非传染病防制科
  • 收稿日期:2022-08-18 出版日期:2023-06-20 发布日期:2023-06-29
  • 通讯作者: 洪忻,Email:nj_hongxin@126.com
  • 基金资助:
    南京市医学科技发展项目(ZKX18049)

Relationship between the awareness rate of core knowledge of chronic diseases and blood pressure control in elderly hypertensive patients

QIN Zhen-zhen, QI Sheng-xiang, CHEN Yi-jia, WU Jie, YANG Hua-feng, YE Qing, WANG Chen-chen, HONG Xin   

  1. Department of Noncommunicable Disease Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
  • Received:2022-08-18 Online:2023-06-20 Published:2023-06-29
  • Contact: HONG Xin, Email:nj_hongxin@126.com

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摘要： 目的 了解南京市老年(≥60岁)高血压病人慢性病核心知识知晓对血压控制的影响,为制定和评价南京市公共卫生政策及慢性病干预措施提供科学依据。 方法 利用2017年开展的南京市慢性病及其危险因素监测数据,以老年自报高血压病人为研究对象,采用广义线性混合模型(多水平模型)分析慢性病核心知识知晓对血压控制情况的影响。 结果 本研究共纳入老年自报高血压病人5997例,慢性病核心知识知晓率为74.9%,男性和女性知晓率分别为77.1%和72.6%。调整年龄、文化程度、吸烟、饮酒等混杂因素后,慢性病核心知识知晓组血压控制情况明显优于不知晓组(OR=1.21,95% CI:1.07~1.38)。以性别进行分层分析,结果显示,无论在男性还是女性中,慢性病核心知识知晓组血压控制情况都明显优于不知晓组(男性:OR=1.21,95% CI:1.01~1.45;女性:OR=1.22,95% CI:1.01~1.47)。以地区进行分层分析,结果显示,在非主城区,慢性病核心知识知晓组血压控制情况优于不知晓组(OR=1.46,95% CI:1.16~1.84)。 结论 慢性病核心知识知晓水平影响老年高血压病人的血压控制,建议采取有利于普及慢性病核心知识的针对性措施,使老年病人血压得到有效控制。

关键词: 慢性病核心知识, 知晓水平, 老年人, 高血压, 血压控制, 干预措施

Abstract: Objective To investigate the influence of core knowledge of chronic diseases on blood pressure control in the elderly hypertensive patients in Nanjing. Methods A cross-sectional surveillance data on chronic diseases between 2017 and 2018 in Nanjing was used to evaluate the association between the awareness rate of core knowledge of chronic diseases and blood pressure control in elderly hypertensive patients. A total of 5997 reported hypertensive residents were enrolled in this study. Generalized linear mixed model regression was adopted to analyze the association. Results The awareness rate of core knowledge of chronic diseases in this study was 74.9%.After adjusting age, education level, smoking, drinking and other factors, the blood pressure control rate of the patients with core knowledge of chronic diseases was significantly higher than that of the patients without core knowledge of chronic diseases (OR=1.21, 95%CI:1.07-1.38). Stratified analysis showed similar effects in different genders (male:OR=1.21, 95%CI:1.01-1.45; female:OR=1.22, 95%CI:1.01-1.47) and regional groups(suburb area: OR=1.46, 95%CI:1.16-1.84), respectively. Conclusions The awareness rate of core knowledge of chronic diseases affects the blood pressure control of the elderly hypertensive patients. It is suggested that various targeted measures to popularize the core knowledge of chronic diseases should be taken to effectively control the blood pressure in the elderly with hypertension.

Key words: core knowledge of chronic diseases, awareness rate, aged, hypertension, blood pressure control, interventions

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