Effect and influencing factors of standard management on patients with hypertension / 预防医学

ABSTRACT

Objective To learn the implementation and effects of standardized management of hypertension in Xiangshan. Methods A total of 1500 patients who were over 35 years and admitted to community hypertension management were enrolled in the research. The patients were given standardized management of hypertension, and acceptance questionnaire survey and physical examination. Multivariate logistic regression model was used to analyze the influencing factors of blood pressure control. Results Totally 597 patients were managed according to the standardized management requirements, and the standardized management rate was 39.80％ . All patients were received blood pressure ≥1 times /year, 84.00％ , 84.47％ , 78.27％ and 77.67％ of the patients were received dietary guidance, physical activity guidance, guidance and control tobacco smoking cessation / drinking / alcohol limit guidance respectively. The standardized blood pressure control rate was 42.20％ , which was higher than that of the non standardized management patients (31.01％), and the difference was statistically significant (P<0.05) . Logistic regression showed that high education background (ORjunior middle scho l=0.86, 95％ CI 0.78-0.95;ORhighscho landabove= 0.76, 95％ CI 0.68-0.85), excessive waist circumference (OR=0.93, 95％ CI 0.89-0.97), obesity (OR=0.66, 95％ CI 0.47-0.93) , receiving dietary guidance, (OR=0.73, 95％ CI 0.56-0.95 ) , receiving physical activity guidance (OR=0.89, 95％CI 0.81-0.98), acceptance of standardized management (OR=0.74, 95％CI 0.62-0.88) were promote factors of blood pressure control. Elder (OR=1.29, 95％CI 1.08-1.54), male (OR=1.12, 95％ CI 1.02-1.23), living in rural areas (OR=1.09, 95％ CI 1.03-1.15) and high income (OR=2.01, 95％ CI 1.31-3.08) were barriers of blood pressure control. Conclusion Providing standardized management services for patients with hypertension can effectively control the blood pressure level.