文章摘要
靳荣荣,张娟,李晋磊,李娟娟,马帅,边峰,邓桂娟,苏夏雯,沈忠周,王宇萍,江宇.国家慢性病综合防控示范区居民高血压患病、治疗和管理现状研究[J].中华流行病学杂志,2018,39(4):401-406
国家慢性病综合防控示范区居民高血压患病、治疗和管理现状研究
Current status on prevalence, treatment and management of hypertension among Chinese adults in the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases
收稿日期:2017-10-27  出版日期:2018-04-18
DOI:10.3760/cma.j.issn.0254-6450.2018.04.003
中文关键词: 慢性病  国家慢性病综合防控示范区  高血压  治疗  管理
英文关键词: Non-communicable diseases  National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases  Hypertension  Treatment  Management
基金项目:国家卫生和计划生育委员会委托项目
作者单位E-mail
靳荣荣 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
张娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
李晋磊 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
李娟娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
马帅 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
边峰 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
邓桂娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
苏夏雯 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
沈忠周 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
王宇萍 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
江宇 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院 jiangyu@pumc.edu.cn 
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中文摘要:
      目的 了解国家慢性病综合防控示范区(示范区)居民高血压的患病、治疗和管理情况,为示范区高血压管理提供科学依据。方法 2016年11-12月采用多阶段抽样方法抽取10个示范区4 000名≥ 18岁常住居民,采取问卷调查方式收集信息,分析不同人群的高血压自报患病、治疗、管理现状以及随访满意情况。结果 有效问卷为3 891份。≥ 35岁人群高血压自报患病率为31.47%(1 011/3 213)。在过去2周,高血压自报治疗率为86.75%(877/1 011),且56.87%(575/1 011)得到身体活动指导、40.95%(414/1 011)得到膳食指导、38.33%(385/1 011)得到体重管理指导、22.75%(228/1 011)得到戒烟指导。在过去12个月里,高血压自报管理率为74.68%(755/1 011),自报规范化管理率为62.12%(628/1 011)。社区医生对其随访形式主要是门诊随访(53.51%),其次是入户随访(22.91%)和电话随访(13.64%)。社区医生对患者的随访次数为6(P25~P75:4~12)次,每次随访时间为15(P25~P75:10~20)min。被随访的高血压患者对社区医生随访满意率为94.83%(716/755)。多因素分析结果显示,慢性病管理实施评分较高的示范区高血压自报治疗率(OR=1.986,95% CI:1.222~3.228)、自报规范化管理率(OR=2.204,95% CI:1.519~3.199)均较高。结论 示范区高血压防治和管理工作取得一定成效,已达到"十二五"期间示范区创建要求,示范区创建工作对于高血压规范化管理起着积极作用。
英文摘要:
      Objective To investigate the current status of prevalence, treatment, and management on hypertension among Chinese adults from the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases. Methods We selected a total of 4 000 residents aged ≥ 18 years for this questionnaire-based survey by multi-stage clustering sampling in 10 National Demonstration Areas between November and December, 2016. Results There were 3 891 effective questionnaires. The self-reported prevalence of hypertension among aged ≥ 35 years was 31.47% (1 011/3 213). For the past two weeks, the self-reported treatment of hypertension was 86.75%(877/1 011), with the rates of guidance as 56.87% (575/1 011) on physical activity, 40.95% (414/1 011) on diet, 38.33% (385/1 011) on weight management, and 22.75% (228/1 011) on smoking cessation. For the past 12 months, 74.68% (755/1 011) of the residents aged ≥ 35 years were under the proper management and 62.12% (628/1 011) of them were under the standardized management programs. The follow-up program lasted for 4 (P25-P75:4-12) times per year, with 15 (P25-P75:10-20) minutes per each visit. Hypertensive patients would mainly visit the outpatient clinics (53.51%), followed by home visits (22.91%) and telephone calls (13.64%). Rate of satisfaction on management services was 94.83% (716/755) from the hypertensive patients. Multivariate analysis showed that the rate of self-reported treatment (OR=1.986, 95% CI:1.222-3.228) and self-reported standardized management (OR=2.204, 95% CI:1.519-3.199) on hypertension were higher in the Demonstration Areas with higher implementation scores of self-reported non-communicable diseases management. Conclusions Prevention and management on hypertension in the Demonstration Areas had met the requirement set for the Demonstration Areas during the "12th Five-Year Plan". Projects on setting up the National Non-communicable Diseases Demonstration Areas had played an active role in promoting the standardized management program on hypertension.
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