Li H, Dong Z, Ma A J, Dong J, Fang K, Xie C, Qi K, Xie J, Zhou Y, Zhao Y
Beijing Center for Disease Control and Prevention, Beijing 100020, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Sep 10;37(9):1202-1206. doi: 10.3760/cma.j.issn.0254-6450.2016.09.004.
To understand the practices and effects of different measures for blood pressure control in hypertension patients. Patients who have known hypertension from the subjects of "2014 Beijing adult (aged 18-79 years) chronic diseases and risk factors survey" were selected. The choices of different hypertension control measures, the relationship between the measures and demographic characteristics of hypertension patients, and the effects of different control measures were analyzed. A total of 2 229 known hypertension patients were included, the analysis was conducted through a questionnaire survey. Those who answered "never taking any measures" , "taking medication according to doctor's instructions" and "taking medication when blood pressure rose" accounted for 7.0%, 79.8% and 8.3%, respectively. Those who had "diet control" , "physical exercises" and "blood pressure monitoring" accounted for 22.4%, 23.7% and 22.1%, respectively. In terms of "taking medicine according to doctor's instructions" , women (84.3%), those aged ≥60 years (87.6%), those living in urban area (81.5%), those living alone (83.8%), and Beijing local residents (82.3%) had higher compliance rates. As for "diet control" , women (24.4%), those aged ≥60 years (25.8%) and those with educational level of college or above (29.5%) had better practices. In terms of "physical exercise" , those aged ≥60 years (27.9%), those living in urban area (25.3%), those with educational level of college or above (32.5%) had better practice. Women (24.2%) and those aged ≥60 years (28.4%) had higher "blood pressure monitoring" rate. More men (9.7%), those aged 18-44 years (14.7%), those with educational level of high school (9.3%), the unmarried (18.2%), and non-Beijing local residents (14.7%) answered "never taking any measure" , and in terms of "taking medication when blood pressure rose" , non-Beijing local residents (12.8%) had higher rate. In the field survey, more patients who never took any measure (98.1%) had higher blood pressure than those who took control measures (67.1%), and those who took medicine according to doctor's instructions had lowest blood pressure rise rate (63.9%). Most hypertension patients could take medication according to doctor's instructions, but less patients received other comprehensive intervention measures, and there were still some patients never took any control measure, or took medication only when blood pressure rose. "Taking medication according to doctor's instructions" showed a significant effect in blood pressure control.
了解高血压患者不同血压控制措施的实施情况及效果。选取“2014年北京市成人(18 - 79岁)慢性病及危险因素调查”中的高血压患者。分析不同高血压控制措施的选择、措施与高血压患者人口学特征的关系以及不同控制措施的效果。共纳入2229例已知高血压患者,通过问卷调查进行分析。回答“从未采取任何措施”“遵医嘱服药”和“血压升高时服药”的患者分别占7.0%、79.8%和8.3%。采取“饮食控制”“体育锻炼”和“血压监测”的患者分别占22.4%、23.7%和22.1%。在“遵医嘱服药”方面,女性(84.3%)、年龄≥60岁者(87.6%)、居住在城区者(81.5%)、独居者(83.8%)以及北京本地居民(82.3%)的依从率较高。在“饮食控制”方面,女性(24.4%)、年龄≥60岁者(25.8%)以及大专及以上文化程度者(29.5%)实施情况较好。在“体育锻炼”方面,年龄≥60岁者(27.9%)、居住在城区者(25.3%)以及大专及以上文化程度者(32.5%)实施情况较好。女性(24.2%)和年龄≥60岁者(28.4%)的“血压监测”率较高。更多男性(9.7%)、18 - 44岁者(14.7%)、高中文化程度者(9.3%)、未婚者(18.2%)以及非北京本地居民(14.7%)回答“从未采取任何措施”,在“血压升高时服药”方面,非北京本地居民(12.8%)的比例较高。在现场调查中,从未采取任何措施的患者(98.1%)血压高于采取控制措施的患者(67.1%),遵医嘱服药的患者血压升高率最低(63.9%)。大多数高血压患者能遵医嘱服药,但接受其他综合干预措施的患者较少,仍有部分患者从未采取任何控制措施,或仅在血压升高时服药。“遵医嘱服药”在血压控制方面显示出显著效果。