在社区内患有高血压的老年人群中控制脉压和影响其因素
Qianfeng Yang1, Lishuang Xu2, Qingxia Gao1
1Department of Cardiology, Graduate School of Chengde Medical University, 067000 Chengde, Hebei, China.
Reviews in cardiovascular medicine
|March 3, 2025
概括
社区医生干预改善了老年高血压患者的脉冲压控制. 知识,态度和实践 (KAP) 模型增强了患者的坚持和生活方式,显著降低了脉压力.
科学领域:
- 老年医学 老年医学
- 心血管健康 心血管健康
- 公共卫生干预 公共卫生干预
背景情况:
- 老年人高血压的管理对心血管健康至关重要.
- 脉压是高血压患者心血管风险的关键指标.
- 基于社区的干预措施对于管理老龄化人口的慢性疾病至关重要.
研究的目的:
- 用知识,态度和实践 (KAP) 模型评估一个统一的社区医生干预的有效性.
- 评估这项干预措施对老年高血压患者脉压管理的影响.
- 在这个人口群体中确定影响脉冲压控制的因素.
主要方法:
- 一年的干预涉及2660名沈阳高血压老年患者.
- 知识,态度和实践 (KAP) 水平和脉压在干预前后进行比较.
- 描述性分析和多因素后勤回归来探索影响变量.
主要成果:
- 干预后脉压显著降低10.71 mmHg (p < 0.05). 在干预后,脉压显著降低10.71 mmHg (p < 0.05).
- 脉压控制率从32.59%增加到64.92% (p < 0.01).
- 在高血压知识,预防意识和药物/行为坚持方面观察到的改善.
结论:
- 统一的社区医生干预有效地改善了老年高血压患者的感知和坚持.
- 这些干预措施导致更好的生活习惯和更好的脉压控制.
- 女性性别,糖尿病并发症和因忘记症而导致的药物不服药被确定为危险因素.
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