[1]张云红 龙珑 张碧芳 沙敏 佘慧媛 张雪莲.大理市三级医院高血压患者家庭血压监测现状和影响因素分析[J].心血管病学进展,2025,(10):946.[doi:10.16806/j.cnki.issn.1004-3934.2025.10.016]
 ZHANG Yunhong,LONG long,ZHANG Bifang,et al.Analysis of the Current Status and Influencing Factors of Home Blood Pressure Monitoring Among Hypertensive Patients in Tertiary Hospitals in Dali City[J].Advances in Cardiovascular Diseases,2025,(10):946.[doi:10.16806/j.cnki.issn.1004-3934.2025.10.016]
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大理市三级医院高血压患者家庭血压监测现状和影响因素分析()

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年10期
页码:
946
栏目:
论著
出版日期:
2025-10-25

文章信息/Info

Title:
Analysis of the Current Status and Influencing Factors of Home Blood Pressure Monitoring Among Hypertensive Patients in Tertiary Hospitals in Dali City
作者:
张云红 龙珑 张碧芳 沙敏 佘慧媛 张雪莲
(大理白族自治州人民医院全科医学科,云南 大理 671000)
Author(s):
ZHANG YunhongLONG longZHANG BifangSHA MinSHE HuiyuanZHANG Xuelian
(Department of General Medicine, Dali Bai Autonomous Prefecture People’s Hospital, Dali 671000,Yunnan, China)
关键词:
高血压家庭血压监测家庭血压监测现状影响因素
DOI:
10.16806/j.cnki.issn.1004-3934.2025.10.016
摘要:
目的?/b>调查大理市三级医院高血压患者家庭血压监测(HBPM)的现况及其影响因素,为本地区高血压患者制定长期血压管理措施提供依据。方法?/b>通过便利抽样法收集2022年1月至2024年1月在大理州人民医院就诊的1 132高血压患者,自制问卷调查,内容包括患者的一般资料、HBPM认知和行为模式,采用多因素ogistic回归分析HBPM的影响因素。结果 男性52.4%(593/1 132),年龄55.80±9.62岁,病程4.12±2.28年,持有家庭血压计73.5%,HBPM44.3%,知晓家庭血压正常值(<135/85 mmHg)为16.1%,知晓正确时间(清晨和睡前)为7.1%,知晓正确血压测量次数(23次)为23.3%,医生告知行HBPM57.9%,30.6%就诊时提供血压记录,多因素ogistic回归分析结果显示,医师告知行HBPM(OR18.63,95% CI 11.81~29.38)、肾脏疾病史(OR=9.1695% CI 5.77~14.54)、就诊时提供血压记录(OR=4.1995% CI 2.71~6.47)、知晓正确血压测量方式(OR=2.6395% CI 1.78~3.90)、家人支持(OR=2.5095% CI 1.71~3.68)、知晓家庭血压可诊断高血压(OR=1.7595% CI 1.14~2.66)、低盐认知(OR=1.5095% CI 1.02~2.21)、高钾认知(OR=2.9495% CI 1.87~4.61)、低脂认知(OR=1.9595% CI 1.32~2.88)、减重认知(OR=5.4795% CI 3.56~8.41)、戒酒认知(OR=1.8595% CI 1.24~2.74)、年龄(OR=1.0395% CI 1.01~1.05)是高血压患者HBPM独立的促进因素(P均<0.05)。结论?/b>大理地区高血压患者HBPM和知晓率低,监测行为不规范,HBPM影响因素较多,宣教工作亟待加强。

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更新日期/Last Update: 2026-01-16