Wang Lexin
School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.
Med Princ Pract. 2004 Sep-Oct;13(5):282-5. doi: 10.1159/000079528.
To investigate the levels of understanding and implementation of current hypertension guidelines among specialist physicians.
A survey of the understanding and practice in the management of hypertension was conducted among 56 physicians who individually had managed more than 150 new hypertensive patients annually.
All respondents were familiar with the current hypertension guidelines and 51.8% always or usually followed these guidelines in treating their patients. Most believed that the lowest blood pressure where pharmacological therapy should be initiated was 155/95 mm Hg. Forty-five (80.4%) physicians considered a blood pressure of less than 140/ 90 mm Hg should be achieved in hypertensive patients. Only 12 (21.4%) respondents provided routine advice on lifestyle modification to their patients. Fifty-four (96.4%) respondents ranked poor adherence to antihypertensive drugs as the major patient barrier to blood pressure control.
Most physicians are familiar with the current hypertension guidelines but the implementation of these guidelines in clinical practice is inadequate. Systematic educational programs are needed to enhance physicians' awareness of the optimal goals of blood pressure control.
调查专科医生对当前高血压指南的理解和执行水平。
对56名每年各自管理超过150例新高血压患者的医生进行了高血压管理方面的理解与实践调查。
所有受访者均熟悉当前的高血压指南，51.8%的人在治疗患者时总是或通常遵循这些指南。大多数人认为启动药物治疗的最低血压为155/95毫米汞柱。45名（80.4%）医生认为高血压患者的血压应降至140/90毫米汞柱以下。只有12名（21.4%）受访者向患者提供了关于生活方式改变的常规建议。54名（96.4%）受访者将患者对抗高血压药物依从性差列为血压控制的主要障碍。
大多数医生熟悉当前的高血压指南，但这些指南在临床实践中的执行情况并不理想。需要开展系统的教育项目，以提高医生对血压控制最佳目标的认识。
