大理市三级医院高血压患者家庭血压监测现状和影响因素分析

打开文本图片集

【Abstract】ObjectiveToinvestigatethecurrntstatusandinfluencingfactorsofhomeblood pressuremonitoring（HBPM）among hypertensivepatitsinTertayHospialsinDaliCityrovidingevdencefoevelopiglogeblodpresseanagetatei. MethodsAself-desigedquestioairesurveywasconductedamong132hypertensivepatientsofDaliBaiAutonomousPrefecturePeople sHospitalfroJanuary2tJauary24.Dataidedgneraldmgrapcs，Pawaresndehavioralpates.uliarat logistic regression was used to analyze HBPM associated factors.ResultsParticipants were 52.4 % male，aged（55.80±9.62）years，with a disease duration of （ 4.12±2.28 ）years.Notably，73.5%owned home sphygmomanometers，but only 44. 3% practiced HBPM，16. 1% （204号 recognized normal thresholds，7. 1% followed recommended timing，and 23. 3% performed adequate repeated measurements，physician recommendationHBPM prevalence 57.9%，only 30.6% shared records with clinicians.Multivariate logistic regression analysis revealed that thefollowing factors were independent predictors of HBPMamong hypertensivepatients：Healthcare provider guidance（ OR=18 .63，95 % CI （20 11.81～29.38），history of kidney disease（ OR=9 .16，95 % CI5.77～14.54），providing blood pressure records at the time of consultation （OR=4.19，95% CI 2.71～6.47），knowledge of correct HBPM methods（ OR=2.63，95% CI1.78～3.90），family support（ OR=2.50，95% （204 CI1.71～3.68），awareness that HBPM can diagnose hypertension（ OR=1 .75，95% CI1.14～2.66），awareness of low-salt diet（ OR= 1.50，95% CI1.02～2.21），awareness of high-potassium diet（ OR=2 .94，95% CI1.87～4.61），awareness of low-fat diet（ OR=1.95 ， 95% CI1.32～2.88），awareness of weight loss（ OR=5 .47，95% CI3.56～8.41），awareness of alcohol abstinence（ OR=1 .85，95%CI 1. 24～2.74），age（ OR=1 .03， 95% CI 1.01～1.05）（all P<0. 05 ）. ConclusionThe proportion of HBPM and awareness among hypertensiveptntsinthDaligioniselatielylompoprasuentbavirs，ithuiplodifableeteatsad education programs to improve HBPM awareness and practice are urgently needed.

【Keywords】 Hypertension; Home blood pressure monitoring;Influencing factor

据最新的《中国高血压防治指南（2024年修订版）》显示，中国高血压患病人群为 27.9% ，患者达2.45亿。（剩余12243字）