可修改的因素,以实现高血压参与者的目标血压
Sachiko Tanaka-Mizuno1, Fumiko Nakatsu2, Shunsuke Eguchi2
1Laboratory of Epidemiology and Prevention, Kobe Pharmaceutical University, Kobe, Japan.
概括
在日本,许多未经治疗的高血压的成年人无法达到目标血压. 年龄和轻度高血压等因素影响成功,突出了针对性公共卫生干预措施的必要性,以更好地管理高血压.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压管理是一个关键的公共卫生问题,特别是在日本,许多未经治疗的高血压患者需要干预.
- 未经治疗的高血压会带来很大的风险,需要在一般人群中制定有效的血压控制策略.
研究的目的:
- 为了确定在初始查后达到目标血压 (<140/90 mmHg) 的成年人的比例.
- 在日本的城市群体中,确定与实现目标血压相关的可修改因素.
主要方法:
- 追溯队列研究分析合并索赔,特定健康检查 (SHC) 和国家健康保险数据 (2016年6月至2023年3月).
- 纳入标准:40-74岁的成年人没有先前治疗高血压,血压在SHC时≥140/90mmHg.
- 多变量逻辑回归用于识别影响血压控制的因素.
主要成果:
- 在5428名参与者中,58.4%的参与者在随后的SHC中达到目标血压 (<140/90 mmHg).
- 与成就相关的因素包括年龄较小 (50-69岁),轻度高血压 (I级),没有先前高血压诊断,最近的SHC参与,以及改变生活方式的意愿.
- 三分之一的参与者没有达到目标血压.
结论:
- 基于社区的干预措施,包括以改善生活方式为重点的公共卫生护士的教育,对于管理高血压至关重要.
- 建议针对老年人,持久性或严重高血压患者提供有针对性的支持,以改善健康结果.
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