社区自导血压查:机遇和挑战
Edel T O'Hagan1, Simone L Marschner1, Shiva Mishra1,2
1Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia (E.T.O., S.L.M., S.M., H.M., T.S., C.K.C.).
Hypertension (Dallas, Tex. : 1979)
|October 25, 2024
概括
社区卫生亭有助于检测高血压,但老年人和偏远地区的重复使用率较低. 需要有针对性的干预措施来改善这些群体的长期监测.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社区健康检查亭为高血压检测和监测提供了一个平台.
- 了解用户特征是优化这些服务的关键.
研究的目的:
- 描述社区健康检查亭的首次和反复使用者的社会人口统计和心血管概况.
- 为了识别与重复使用台相关的因素.
主要方法:
- 观察性研究分析了来自澳大利亚药房430个健康检查站的非身份化数据 (2018年1月至2020年11月).
- 后勤回归用于确定与重复检查相关的因素,计算调整的赔率比率 (aOR) 和95%置信区间 (CI).
主要成果:
- 进行了超过982,000次检查;13%的用户是重复访问者.
- 22%的使用者可能有高血压 (血压≥140/90 mmHg或服用血压药物).
- 老年人 (50+),生活在非常偏远地区的人和吸烟者不太可能复发;服用高血压药物的人更有可能复发.
结论:
- 社区健康检查可以识别患有高血压的个体,并促进自我监测.
- 实施战略应侧重于在农村地区和老年人中增加接触力,以加强长期高血压管理.
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