本文選題：老年高血壓患者 + KAP　； 參考：《安徽醫(yī)科大學》2012年碩士論文

【摘要】：目的：通過現場調查,了解城市社區(qū)老年高血壓患者高血壓相關知識、行為方式現狀,測算老年高血壓患者疾病經濟負擔,分析老年高血壓患者對高血壓相關知識的認識誤區(qū)及存在的不良衛(wèi)生行為,探討老年高血壓患者高血壓相關知識、行為的影響因素,提出進一步提高社區(qū)老年高血壓患者高血壓知識水平,增進自我保健行為的有效措施。 方法：選擇合肥市車站街道明光路社區(qū)、七里塘街道七里塘社區(qū),通過查閱社區(qū)衛(wèi)生服務中心高血壓患者資料獲得社區(qū)60歲及以上老年高血壓患者人數,隨機抽取15%患者為調查對象。采用自制《城市社區(qū)高血壓患者高血壓KAP及經濟負擔調查表》,于2011年8月--10月,由調查員深入社區(qū),采用入戶詢問和測量方法收集資料。調查內容包括被調查對象人口學特征、高血壓相關知識及衛(wèi)生行為三部分,測量身高、體重及血壓值。高血壓相關知識部分共設計10個問題,每個問題項回答正確得1分,回答錯誤得0分,高血壓相關知識水平得分范圍[0,10]；高血壓患者衛(wèi)生行為部分共設計10個問題,每個問題項回答健康行為得1分,回答不良行為得0分,衛(wèi)生行為得分范圍[0,10]。運用Epidata3.0建立數據庫并錄入資料,SPSS13.0統(tǒng)計分析軟件進行分析,分析方法有t檢驗、方差分析、相關分析及l(fā)ogistic回歸分析。 結果：①被調查對象高血壓知識得分為6±2.061分；92.1%的被調查者就“高血壓會發(fā)展成哪些疾病?”能夠給予正確回答；僅18.3%的被調查者就“血壓控制穩(wěn)定時,是否有必要繼續(xù)服藥?”給予正確回答；②被調查對象的健康衛(wèi)生行為平均得分為6.47±1.884分；87.2%-89.6%的被調查者能做到“堅持減少膳食脂肪”、“堅持服用降壓藥物”；僅23.2%-28.7%的被調查者能做到“經常與病友交流自助活動”和“經常自我測量血壓”；③logistic回歸分析顯示：年齡、文化程度是影響老年高血壓患者高血壓知識得分的主要因素；性別、文化程度是影響老年高血壓患者自我保健水平的主要因素;④被調查對象人均兩周就診門診費用211.5元,(其中因高血壓病人均兩周就診191.6元)；被調查對象人均半年住院費用2135.7元,(其中因高血壓病人均半年住院1448.5元) 結論：老年高血壓患者對高血壓相關知識尚存在認識上誤區(qū)；自我保健行為有待進一步改進；年齡、文化程度是影響老年高血壓患者知識水平的重要因素；性別、文化是影響高血壓患者健康行為的重要因素；老年高血壓患者疾病經濟負擔高。建議：積極開展社區(qū)健康教育,提高老年高血壓患者自我防治意識,加強社區(qū)高血壓規(guī)范化管理,規(guī)范醫(yī)療機構行為等。
[Abstract]:Objective: to investigate the related knowledge and behavior of hypertension in elderly hypertensive patients in urban community, and to calculate the economic burden of diseases in elderly patients with hypertension. This paper analyzed the misunderstanding of hypertension related knowledge and unhealthy hygiene behavior in elderly patients with hypertension, and discussed the influencing factors of hypertension related knowledge and behavior in elderly patients with hypertension. The effective measures to improve the knowledge level of hypertension and to improve self-care behavior of elderly hypertensive patients in community were put forward. Methods: select Mingguang Road Community of Hefei Station Street and Qilitang Community of Qilitang Street, and obtain the number of hypertension patients aged 60 years and above in the community by consulting the data of hypertension patients in community health service center. A total of 15% of the patients were randomly selected. The questionnaire of KAP and economic burden of hypertension in urban community was made by ourselves. From August to October 2011, investigators went into the community and collected data by means of household inquiry and measurement. The survey included demographic characteristics, hypertension related knowledge and health behavior. Height, weight and blood pressure were measured. A total of 10 questions were designed for hypertension related knowledge, with a score of 1 for each question item, 0 for a wrong answer, and a score range of 10 for hypertension related knowledge level, and 10 questions were designed for the health behavior part of hypertension patients. Each question item scores 1 for healthy behavior, 0 for bad behavior, and 0 for hygienic behavior [0 / 10]. SPSS 13.0 statistical analysis software was used to establish database and input data by Epidata3.0. The analysis methods included t-test, ANOVA, correlation analysis and logistic regression analysis. Results the respondents with a score of 6 鹵2.061% or 92.1% said, "what diseases will hypertension develop?" Can give the correct answer; only 18.3% of the respondents on the "blood pressure control stability, is it necessary to continue taking medicine?" The average score of healthy and hygienic behavior of the respondents was 6.47 鹵1.884, 87.2% -89.6% of the respondents could "insist on reducing dietary fat" and "adhere to taking antihypertensive drugs". Only 23.2-28.7% of the respondents were able to "communicate self-help activities with patients" and "measure blood pressure frequently" by logistic regression analysis. The results showed that age and education level were the main factors influencing hypertension knowledge scores of elderly patients with hypertension. The education level is the main factor that affects the self-care level of the elderly patients with hypertension. (4) the average two-week outpatient expenses of the subjects surveyed were 211.5 yuan (191.6 yuan per week for hypertension patients and 2135.7 yuan for half a year hospital expenses for hypertension patients (1448.5 yuan for hypertension patients). Conclusion: there are some misunderstandings on the knowledge of hypertension in elderly patients with hypertension, self-care behavior needs to be further improved, age and education are the important factors influencing the knowledge level of elderly patients with hypertension, sex, sex, Culture is an important factor to affect the health behavior of hypertensive patients, and the burden of disease is high in elderly patients with hypertension. The suggestion is to carry out community health education, to improve the awareness of self-prevention and cure of elderly patients with hypertension, to strengthen the standardized management of hypertension in community, and to standardize the behavior of medical institutions.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R544.1

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