Jiang Xiongjing, Li Wei, Ma Linmao, Kong Lingzhi, Jin Shuigao, Liu Lisheng
Hypertension Division, Department of Cardiology Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2002 Aug;23(4):269-72.
To estimate the current knowledge on hypertension and the effect of management on hypertension in patients attending hospital clinics.
A cross-sectional survey was used in the outpatients over the age of 35 years in 18 general hospitals (provincial, district and community) which represented the different levels of medical care in 8 major cities covering Northern and Southern China including an interview with two blood pressure measurements and one questionnaire in one clinical visit.
A total of 9 703 subjects participated in this project, who were similarly distributed by gender and age in the hospitals at different levels. Of all the 9 703 subjects, 4 510 (46.5%) were found to be hypertensive. 6.4%, 12.1%, 25.5%, 41.1% and 14.6% of all the participants were categorized into knowledge on hypertension grade 0, 1, 2, 3, 4 respectively. The classification was based on the number of correct answers to four questions about knowledge of hypertension. The higher the grade of hypertension knowledge the more response to higher rate of awareness, treatment, and control in this hypertensive population was noticed. There was significantly positive correlation between the grade of hypertension knowledge and treatment compliance. The major cause of poor treatment compliance was due to lack of hypertension knowledge.
There was poor knowledge on hypertension in the investigated participants, which would influence on the management of hypertension. Data suggested that health education on the knowledge of hypertension in the population needs to be improved.
评估在医院门诊就诊患者对高血压的现有认知以及高血压管理措施的效果。
对来自中国北方和南方8个主要城市的18家综合医院(省级、区级和社区级)35岁以上门诊患者进行横断面调查,这些医院代表了不同医疗水平。在一次临床就诊中进行两次血压测量并发放一份问卷进行访谈。
共有9703名受试者参与本项目,不同级别医院的受试者在性别和年龄分布上相似。在所有9703名受试者中,发现4510名(46.5%)患有高血压。所有参与者中,分别有6.4%、12.1%、25.5%、41.1%和14.6%被归类为高血压知识0级、1级、2级、3级、4级。该分类基于关于高血压知识的四个问题的正确答案数量。高血压知识级别越高,在该高血压人群中观察到的知晓率、治疗率和控制率越高。高血压知识级别与治疗依从性之间存在显著正相关。治疗依从性差的主要原因是缺乏高血压知识。
被调查参与者对高血压的认知较差,这会影响高血压的管理。数据表明,需要加强人群中高血压知识的健康教育。