沙特阿拉伯胡巴尔市初级保健中心登记患者的高血压药物控制
Drug control of hypertension in primary health care centers-registered patients, Al-khobar, saudi arabia.
作者信息
Elzubier A G, Al-Shahri M A
机构信息
Department of Family and Community Medicine, College of Medicine & Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
出版信息
J Family Community Med. 1997 Jul;4(2):47-53.
OBJECTIVE
To assess the quality of the pharmacological control of hypertension.
DESIGN
A cross-sectional study.
SUBJECTS
Primary health care centers-registered hypertensive patients.
SETTING
Primary health care centers in Al-Khobar, Saudi Arabia.
METHODS
Data was recorded, using a structured questionnaire, through direct interviewing of patients, and from their medical records. It included demographic characteristics, hypertension related, and doctors'-related variables; and patients' utilization of other health facilities and whether they had other chronic diseases.
RESULTS
The proportion of patients with controlled hypertension was 37%. It was significantly increased with age below 55 years, with non-Saudis, duration of treatment shorter than 5 years; and with the use of monotherapy. Doctors' care-related variables did not show significant variation with the number of controlled patients which may imply that the quality of follow-up might not be adequate.
CONCLUSIONS
The proportion of controlled patients cared for in the PHC centers is low. The factors associated with control were age, and the use of a single antihypertensive drug. The study questions the quality of follow-up of patients by the PHC physicians.
目的
评估高血压药物治疗控制的质量。
设计
一项横断面研究。
研究对象
在初级卫生保健中心登记的高血压患者。
地点
沙特阿拉伯胡拜尔的初级卫生保健中心。
方法
通过直接询问患者并查阅其病历，使用结构化问卷记录数据。数据包括人口统计学特征、高血压相关变量、医生相关变量；患者对其他卫生设施的利用情况以及他们是否患有其他慢性病。
结果
血压得到控制的患者比例为37%。在年龄低于55岁的患者、非沙特患者、治疗时间短于5年的患者以及使用单一疗法的患者中，这一比例显著增加。与医生护理相关的变量在血压得到控制的患者数量方面未显示出显著差异，这可能意味着随访质量可能不足。
结论
初级卫生保健中心护理的血压得到控制的患者比例较低。与血压控制相关的因素是年龄和使用单一抗高血压药物。该研究对初级卫生保健医生对患者的随访质量提出了质疑。
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