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
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)