Jokisalo Erkki, Enlund Hannes, Halonen Pirjo, Takala Jorma, Kumpusalo Esko
Department of Social Pharmacy, University of Kuopio, Finland.
Blood Press. 2003;12(1):49-55.
To study the associations of patient-related and perceived healthcare-related factors with the control of blood pressure.
Physicians identified all of the hypertensive patients they saw during I week in 26 health centres. Out of 2,219 patients, 80% agreed to participate, 88% of which took antihypertensive medication.
In this cross-sectional questionnaire study, based on 82 opinion statements, 14 problem indices were formed using factor analysis. Logistic regression models were used to study the associations with blood pressure control.
Eighty per cent of the men and 79% of the women had poor blood pressure control (BP > or = 140/90 mmHg). High levels of hopelessness towards hypertension (adjusted OR 2.16; 95% confidence interval (CI) 1.20-3.88) as well as medium and high levels of frustration with treatment (adjusted OR 1.50; 95% CI 1.04-2.18 and OR 1.83; 95% CI 0.98-3.44) were associated with poor control. The perceived tension with blood pressure measurement (adjusted OR 1.60; 95% CI 1.08-2.36) was similarly associated with poor control. Non-compliance in men, old age and monotherapy were also associated with poor blood pressure control.
Hopelessness, frustration with treatment, and perceived tension with blood pressure measurement are associated with poor blood pressure control.
研究患者相关因素及感知到的医疗保健相关因素与血压控制之间的关联。
医生识别出他们在26个健康中心1周内诊治的所有高血压患者。在2219名患者中，80%同意参与，其中88%正在服用抗高血压药物。
在这项横断面问卷调查研究中，基于82条意见陈述，采用因子分析形成了14个问题指标。使用逻辑回归模型研究与血压控制的关联。
80%的男性和79%的女性血压控制不佳（血压≥140/90 mmHg）。对高血压的高度绝望感（校正比值比[OR]为2.16；95%置信区间[CI]为1.20 - 3.88）以及对治疗的中度和高度挫败感（校正OR分别为1.50；95% CI为1.04 - 2.18和OR为1.83；95% CI为0.98 - 3.44）与控制不佳相关。感知到的血压测量紧张感（校正OR为1.60；95% CI为1.08 - 2.36）同样与控制不佳相关。男性的不依从、老年和单一疗法也与血压控制不佳相关。
绝望感、对治疗的挫败感以及感知到的血压测量紧张感与血压控制不佳相关。
