摘要
目的了解哈萨克族牧民高血压患者血压控制现状、依从性情况及影响因素。方法采用整群随机抽样对新疆伊犁哈萨克自治州新源县那拉提镇>25岁哈萨克族常住居民784人进行调查。结果哈萨克族牧民高血压粗患病率为30.9%,标化患病率为35.9%,且男性高于女性;高血压知晓率为16.5%,总治疗率为51.2%,药物治疗率为30.2%,控制率为9.9%。男性控制率低于女性(P=0.020);服用降压药组血压控制率高于不服药组(P=0.001)。不同性别、文化程度间依从率差异均有统计学意义(均有P<0.05),其中女性依从性高于男性(P=0.038),文化程度高者依从性高(P=0.016)。有高血压家族史、女性、病程≥10年3个因素有利于提高患者依从性。结论哈萨克族牧民高血压患者治疗率、控制率、依从率均较低,亟待提高。
Objective To understand the control status, compliance and influential factors of blood pressure in patients with hypertension among Kazak herdsmen. Methods 784 Kazakh herdsmen over 25 years were selected through cluster random sampling in Yili area and interviewed with a questionnaire. Results Crude prevalence of hypertension among Kazak herdsmen was 30.9% , standard prevalence of hypertension was 35.9% , and men was higher than women;the rate of awareness on hypertension was 16. 5% ; total treatment rate was 51.2%, drug treatment rate was 30. 2% , control rate was 9.9%. Compared to men and women, men＇ s treatment rates was lower than women＇ s （P =0. 020） ; blood pressure medication group control rate was higher than non-treated group （P = 0. 001 ） ; compliance rate between different gender and cultures of the difference was statistically significant （ both P 〈 0. 05 ） , compliance rates of female （ P = 0. 038 ） and high levels of education （P = 0. 016） control were higher. Family history of hypertension, women, and longer duration were favorable factors for good compliance. Conclusions Kazak herdsmen hypertension treatment rates, control rates, compliance rates were low, and need to be improved.
出处
《中华疾病控制杂志》
CAS
北大核心
2013年第2期114-117,共4页
Chinese Journal of Disease Control & Prevention
基金
国家科技支撑计划(2009BAI82B04)
关键词
高血压
治疗
病人依从
Hypertension
Therapy
Patient compliance
