与低于最佳的抗高血压药物坚持相关的因素:使用全国代表性数据库进行横截面研究
Sangyong Jo1, Taegyu Um2, Jihye Shin2
1Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Republic of Korea.
Heliyon
|October 11, 2024
概括
对抗高血压药物的低最佳坚持是高血压管理中的一个重要问题. 这项研究确定了与韩国患者不接受治疗和不坚持治疗相关的因素,强调了需要量身定制的干预措施的需要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低于最佳的抗高血压药物的坚持在血压控制中构成了重大挑战.
- 有限的研究存在于高血压治疗的非最佳坚持,特别是在韩国人口中.
研究的目的:
- 调查与低最佳抗高血压药物坚持相关的因素,包括不治疗和不坚持.
- 描述韩国不坚持和不接受治疗的高血压患者群体.
主要方法:
- 利用了2007年至2021年的韩国国家健康和营养检查调查 (KNHANES) 的数据.
- 根据自我报告的抗高血压药物使用情况,将参与者分为坚持,不坚持和不接受治疗的组.
- 采用多变量调整后勤回归分析,以确定次优坚持和共变量之间的关联.
主要成果:
- 该研究包括14903名参与者:13831人 (92.8%) 坚持,460人 (3.1%) 不坚持,612人 (4.1%) 不接受治疗.
- 与接受治疗相关的因素包括年龄,高血压持续时间,糖尿病,脂质失调和血红蛋白水平升高.
- 年龄较大,高血压持续时间较长,以及糖尿病和缺血性心脏病等并发症与坚持相关.
结论:
- 这项研究提供了对韩国非坚持和非治疗高血压患者的特征的见解.
- 这些发现强调了开发和实施个性化健康干预措施的必要性,以改善药物服药和血压控制.
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