社区高血压病患者高血压知识态度行为及影响因素调查分析

目的 通过对社区高血压病现症患者高血压病相关知、信、行进行基线调查，并分析相关的影响因素，为开展社区高血压病防制提供基础资料。方法 随机抽取成都市武侯区玉林社区卫生服务中心已建立家庭健康档案的社区高血压病现症患者，由经专门培训的社区医生担任调查员，采取面对面访谈的方式进行调查，对调查资料进行非参数检验，单因素及多因素logistic回归分析。结果 高血压病KAP总得分及格率52．5％，相关知识得分及格率57．6％，态度得分及格率63．4％，行为得分及格率53．5％；KAP总得分与文化程度、职业、高血压病家族史有关；多因素Logistic回归分析提示，知识得分与调查对象年龄和文化程度有关；态度得分与知识得分相关；行为得分与态度得分和家人关心程度有关；高血压病相关知识主要来源是医疗单位(67．7％)，其次是电视(58．6％)；希望获知途径为电视广播(69．7％)，其次为讲座(54．5％)，专家咨询(52．5％)；希望了解的知识主要为治疗措施(79．8％)，其次是控制疾病发展的具体方法(71．7％)。结论 本次基线显示高血压病现症患者知识、态度和行为水平不高，揭示有必要针对社区高血压病现症患者的健康需求开展以高血压病综合防制为主的健康促进活动。干预重点可以放在较低文化层次人群、体力劳动者和有高血压病家族史的人群。

A Survey on Knowledge,Attitude,Practice and Influence Factors of Community Patients with Hypertension

Objective Through the investigation on the KAP of community patients with hypertension and analysis of the related influence factors, the data for the community hypertension prevention were acquired Method The hypertension patients in Yulin Community, Wuhou District, Chengdu, Sichuan Province were investigated by random sample and interviewed by community doctors who were trained for this investigation The data were analyzed by non parameter test, single and multi-factor logistic regress methods. Result The pass rate of total KAP of hypertension was 52 5%, 57 6%, 63 4% and 53 5% respectively; the total KAP has been concerned with education, occupation and family history of hypertension The multi-factor logistic regression indicates that the K score, A score and P score were related to the age and the education of patients. K score and A score are related to family care to a large extent. The patients acquired the knowledge of hypertension from hospital (67 7%), television (58 6%). The patients wish to acquire the knowledge of hypertension through television (69 7%), lecture (54 5%) and lecture consultation (52 5%); and the desired knowledge was cure measure (79 8%) and the detail way for prevention and control (71 7%). Conclusion This base investigation on the community hypertension patients indicates that their KAP score was low. This shows that it is necessary to carry out the health education program for them according to their health demand and the key intervened population should be those who have gained lower education level, conducted physical work and had family history of hypertension.