ABSTRACT
Objective To investigate the knowledge, attitude, practice (KAP)status of patients under hypertension management in Huamu Street, Shanghai. Methods According to the method of cluster random sampling, 220 hypertension patients in Huamu Street were selected and investigated by questionnaire, and the latest weight and blood pressure monitoring data were obtained from the patients of the hypertension management information system. Results Of the respondents, 59.55% were hypertension patients complicated with diabetes or other cardiovascular diseases.Overweight or obesity (BMI≥24) accounted for 47.72%, and the blood pressures between overweight and normal weight patients were significantly different(χ2 =4.05, P < 0.05).It was found that there were significant difference in prevention and treatment of hypertension among patients with different cultural levels; 28.18% of respondents did not know the diagnostic criteria of hypertension; 36% of respondents did not know that poor blood pressure control could cause a variety of systemic diseases; 33.18% of the respondents did not know the risk factors of hypertension, and 6.36% of respondents could not keep on regular blood pressure measurement.However, 45% of the subjects started to concern their eating habits.85.91% of respondents were willing to improve their lifestyle and control blood pressure by participating in self-management activities for hypertension. Conclusion Hypertensive patients in Huamu Street have poor basic knowledge of hypertension.According to the needs of patients, self-management team construction should be further strengthened to rapidly improve the effect of hypertension management.
ABSTRACT
Objective To investigate the knowledge, attitude, practice (KAP)status of patients under hypertension management in Huamu Street, Shanghai. Methods According to the method of cluster random sampling, 220 hypertension patients in Huamu Street were selected and investigated by questionnaire, and the latest weight and blood pressure monitoring data were obtained from the patients of the hypertension management information system. Results Of the respondents, 59.55% were hypertension patients complicated with diabetes or other cardiovascular diseases.Overweight or obesity (BMI≥24) accounted for 47.72%, and the blood pressures between overweight and normal weight patients were significantly different(χ2 =4.05, P < 0.05).It was found that there were significant difference in prevention and treatment of hypertension among patients with different cultural levels; 28.18% of respondents did not know the diagnostic criteria of hypertension; 36% of respondents did not know that poor blood pressure control could cause a variety of systemic diseases; 33.18% of the respondents did not know the risk factors of hypertension, and 6.36% of respondents could not keep on regular blood pressure measurement.However, 45% of the subjects started to concern their eating habits.85.91% of respondents were willing to improve their lifestyle and control blood pressure by participating in self-management activities for hypertension. Conclusion Hypertensive patients in Huamu Street have poor basic knowledge of hypertension.According to the needs of patients, self-management team construction should be further strengthened to rapidly improve the effect of hypertension management.
ABSTRACT
Objective To evaluate the new model of "1+2+X" in the self-management of hypertension in community. Methods A total of 205 patients with hypertension were enrolled in the hypertension self-management group in Huamu subdistrict of Pudong New Area, Shanghai.The patients were randomly divided into intervention group and control group.The control group used the traditional self-management group model, whereas the intervention group implemented a new mode of "1" group leader plus "2" deputy group leaders plus "X" social resources to participate in the self-management.Changes in the patients′ knowledge, awareness, behavior, blood pressure control, and group activity satisfaction were collected by questionnaires and then compared before and after the implementation of the self-management. Results After one-year implementation, the proportion of the patients being aware of knowledge in the intervention group and control group was 92.23% and 70.59%, respectively; the qualified proportion of patients′ confidence on blood pressure control was 77.67% and 60.78%, respectively; the qualified proportion of health behavior was 77.67% and 72.55%, respectively; and the proportion of being satisfied with self-management was 76.70% and 61.76%, respectively.In all the results, the intervention group was better than the control group, with statistical significance (P < 0.05). Conclusion The new management model of "1+2+X" effectively improves the efficiency of hypertension self-management, which could be recommended in community-based hypertension self-management.