安卡拉地区高血压患者的认知、治疗和控制率

R. Gümüştakım, A. Ozkara, R. Kahveci, Pınar Döner Güner, Duygu Ayhan Başer, F. Dede
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引用次数: 0

摘要

目的:了解患者对高血压的认知程度、治疗及控制率。方法:描述性研究纳入2011年9月至2012年1月在安卡拉努穆尼培训与研究医院初级保健门诊就诊的年龄在35-80岁之间的高血压患者203例。采用了42项问卷调查和19个问题来确定他们的意识水平。研究人员在办公室测量了9次,患者在家测量了12次。结果:男性占25.6%,女性占74.4%。中位年龄59岁(IQR=13)。意识水平评分部分显示:27.1%的患者不知道,58.6%的患者意识水平低,14.3%的患者意识水平高。72.9%的患者知情,93.1%的患者正在接受降压治疗,42.4%的患者在家和办公室测血压均得到控制。认知水平与饮食、运动、受教育程度、食盐用量、血压测量频次、医生转诊频次、高血压知识教育程度、血压监测科室、降压治疗状况、高血压持续时间、降压药物用量、常规使用率有关;但高血压控制仅与盐的使用、降压治疗和降压药物的数量有关。结论:高血压在我国是一种常见的疾病,但从我们的研究中可以看出,高血压的知晓率还不够。虽然治愈率很高,但控制率还不够。这表明患者对治疗的依从性没有达到预期水平。在这方面最重要的是通过提高公众对高血压的认识来提高认识。在这方面,初级保健医生有很大的责任。
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Awareness, Treatment and Control Rates of Hypertensive Patients in Ankara
Aim: It was aimed to evaluate the awareness levels of patients about hypertension, treatment and control rates. Methods: The descriptive study included 203 patients between ages of 35–80 with a previous diagnosis of hypertension to the primary care outpatient clinic of Ankara Numune Training and Research Hospital in September 2011-January 2012. A 42-item questionnaire was used and 19 questions were used to determine the level of awareness among them. Nine measurements were in the office by the researcher and 12 measurements at home by the patient. Results: 25.6% of the patients were males and 74.4% were females. The median age was 59 years (IQR=13). The section for scoring the awareness levels revealed following: 27.1% of patients were non-aware, 58.6% had a low level of awareness and 14.3% had a high level of awareness. 72.9% of the patients were aware, 93.1% were taking antihypertensive treatment, while 42.4% measured blood pressures both at home and at office are under control. Awareness level is related to diet, exercise, education, salt usage, blood pressure measurement frequency, doctor referral frequency, education and knowledge level about hypertension, blood pressure monitoring branch, antihypertensive treatment status, hypertension duration, number of antihypertensive drugs and regular usage rates; but hypertension control was only associated with salt use, antihypertensive treatment and number of antihypertensive drugs. Conclusion: Hypertension is a common problem in our country and as we have seen in our studies, awareness rates are insufficient. Although the treatment rates are high, the control rates are not sufficient. This suggests that patients' compliance with treatment is not at the desired level. The most important thing to do in this regard is to raise awareness by increasing public awareness about hypertension. In this respect, primary care physicians have a great responsibility.
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