School of Nursing, University of South China, Hengyang, China.
Department of Public Works Development, The First Affiliated Hospital of University of South China, Hengyang, China.
Clin Exp Hypertens. 2023 Dec 31;45(1):2224942. doi: 10.1080/10641963.2023.2224942.
The total number of elderly patients with hypertension in China has been increasing year by year, it is necessary to adopt simple and valid measures to evaluate the health status of elderly patients with hypertension to reduce the heavy burden faced by this group.
This study is a cross-sectional analysis. Participants aged at least 65 years were included. Self-Rated Health (SRH) assessment of respondents was classified into two groups: participants who responded as "very good" and "good" were considered as having good SRH, and participants who answered as "average," "poor," and "very poor" were considered as having poor SRH. Chi-square tests were used to determine differences in patient characteristics between the two groups. Binary logistic regression models were used to identify factors associated with SRH.
The results of the logistic regression analysis indicated that having a spouse, better economic status, exercise, eating fruits and vegetables, nighttime sleep of 7 to 9 hours, good living environment, interaction with friends, and hypertension with comorbidity such as diabetes mellitus, heart disease, stroke or hyperlipidemia were influencing factors of SRH ( < .05). Another finding was that alcohol use significantly affected SRH ( < .05). Depression, anxiety, and community nursing services did not figure as determinants of health in this group.
The findings of this study provide evidence for the need to develop effective health promotion programs for the well-being of hypertensive patients.
中国老年高血压患者人数逐年增加，有必要采取简单有效的措施来评估老年高血压患者的健康状况，以减轻这一群体面临的沉重负担。
本研究为横断面分析。纳入年龄至少 65 岁的参与者。受访者的自我报告健康（SRH）评估分为两组：将回答“非常好”和“好”的参与者视为具有良好的 SRH，将回答“一般”、“差”和“非常差”的参与者视为具有较差的 SRH。卡方检验用于确定两组患者特征之间的差异。二项逻辑回归模型用于确定与 SRH 相关的因素。
逻辑回归分析的结果表明，有配偶、较好的经济状况、运动、吃水果和蔬菜、夜间睡眠时间为 7 至 9 小时、良好的生活环境、与朋友互动以及高血压合并糖尿病、心脏病、中风或高脂血症等合并症是 SRH 的影响因素（<0.05）。另一个发现是，饮酒显著影响 SRH（<0.05）。抑郁、焦虑和社区护理服务并不是这一群体健康的决定因素。
本研究结果为制定有效的高血压患者健康促进计划提供了依据。
