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高血压患者疾病防治认知情况与其并发症的相关性研究

谢瑞瑾 王珩 赵允伍 侯芳芳 任平平 姜雨晴

中国农村卫生事业管理2026,Vol.46Issue(2):135-140,146,7.
中国农村卫生事业管理2026,Vol.46Issue(2):135-140,146,7.DOI:10.19955/j.cnki.1005-5916.2026.02.010

高血压患者疾病防治认知情况与其并发症的相关性研究

Correlation between the cognition of disease prevention and treatment in hypertensive patients and their complications

谢瑞瑾 1王珩 2赵允伍 2侯芳芳 3任平平 3姜雨晴3

作者信息

  • 1. 安徽中医药大学,安徽 合肥 230012
  • 2. 安徽医科大学第一附属医院健康大数据与群体医学研究所
  • 3. 安徽医科大学卫生管理学院
  • 折叠

摘要

Abstract

Objective To clarify the awareness level of disease prevention/control-related knowledge among primary-level hypertension patients in Anhui Province,to analyze its association with complications,and to optimize primary-level prevention and control strategies for chronic diseases,thus providing evidence for targeted interventions.Methods A multi-stage stratified cluster random sampling method was adopted to conduct a survey on chronic disease risk factors and hypertension prevention/control-related knowledge among hypertensive patients in eight counties/districts of Anhui Province.The chi-square test and logistic regression analysis were applied to explore the influencing factors for the risk of hypertension-related complications.Results A total of 1 797 hyper-tensive patients were surveyed,and 21.5%were diagnosed as presenting with complications.Results of the multi-variate logistic regression analysis,after adjusting for confounding factors,showed that compared with patients who believed that hyperglycemia and hyperlipidemia were not related to hypertension,those who recognized the associa-tion between hyperglycemia,hyperlipidemia and hypertension had a lower likelihood of developing complications(OR=0.611,95%CI:0.449~0.830);compared with individuals who thought mental stress was unrelated to hypertension,those who acknowledged the relationship between mental stress and hypertension had a lower risk of complications(OR=0.589,95%CI:0.421~0.824).However,the study also found that compared with indi-viduals who believed that medication could be discontinued once blood pressure returned to normal,those who thought medication should not be discontinued(OR=1.874,95%CI:1.206~2.914)and those who were unsure about whether to discontinue medication(OR=2.667,95%CI:1.364~5.214)had a higher probability of de-veloping complications.Conclusions A correlation was observed between patients' awareness of hypertension prevention and the occurrence of complications.Therefore,chronic disease prevention strategies at the primary care level should reorient their focus:while continuing to enhance patients' health knowledge,interventions must prioritize behavior modification as a core component.This can be achieved by developing actionable behavioral change plans and establishing multi-dimensional support and monitoring mechanisms to facilitate the translation of knowledge into concrete health actions,thereby improving the management of hypertension and reducing its com-plications.

关键词

高血压/高血压并发症/疾病防治认知情况/健康教育/慢性病

Key words

Hypertension/Hypertension complications/Awareness of disease prevention and control/Health education/Chronic disease

分类

医药卫生

引用本文复制引用

谢瑞瑾,王珩,赵允伍,侯芳芳,任平平,姜雨晴..高血压患者疾病防治认知情况与其并发症的相关性研究[J].中国农村卫生事业管理,2026,46(2):135-140,146,7.

基金项目

安徽省卫生健康科研重点项目(AHWJ2023A10018) (AHWJ2023A10018)

合肥综合性国家科学中心大健康研究院项目(JKS2022002) (JKS2022002)

中国农村卫生事业管理

1005-5916

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