转化医学杂志2026，Vol.15Issue(10)：1686-1690,5.DOI:10.3639/j.issn.2095-3097.2026.10.010
冠状动脉粥样硬化性心脏病合并高血压患者血压管理决策行为现状及影响因素研究
Study on the Current Status and Influencing Factors of Blood Pressure Management Decision-Making Behavior in Patients with Coronary Atherosclerotic Heart Disease Complicated with Hypertension
摘要
Abstract
Objective To analyze the current status and influencing factors of blood pressure management decision-making behavior in patients with coronary heart disease complicated with hypertension.Methods A total of 192 patients with coronary heart disease(CHD)and hypertension admitted to the Fourth People's Hospital of Taizhou from January 2023 to December 2025 were selected as the study subjects.The Blood Pressure Management Decision-Making Behavior Questionnaire(BPM-DMBQ),8-item Morisky Medication Adherence Scale(MMAS-8),and Health Literacy Measurement Scale for Patients with Chronic Diseases(HLMS)were used to assess patients'blood pressure management decision-making behavior,medication adherence,and health literacy levels.The BPM-DMBQ scores of CHD patients with hypertension were compared across different clinical characteristics.Pearson correlation coefficient analysis was used to examine the correlations of blood pressure management decision-making behavior with medication adherence and health literacy.Multiple linear regression analysis was employed to investigate the influencing factors of blood pressure management decision-making behavior in CHD patients with hypertension.Results Patients with CHD complicated with hypertension had a total BPM-DMBQ score of(42.35±5.67)points,a total MMAS-8 score of(5.82±1.54)points,and a total HLMS score of(68.45±7.36)points.Pearson correlation coefficient analysis revealed that blood pressure management decision-making behavior was positively correlated with medication adherence and health literacy in patients with CHD complicated with hypertension(P<0.05).There were statistically significant differences in BPM-DMBQ scores among CHD patients with hypertension grouped by age,education level,per capita monthly household income,duration of hypertension and number of comorbid chronic diseases(P<0.05).Multiple linear regression analysis indicated that education level(β=5.245),duration of hypertension(β=-3.187),number of comorbid chronic diseases(β=-2.156),medication adherence(MMAS-8 score)(β=0.873),and health literacy(HLMS score)(β=0.125)were influencing factors of blood pressure management decision-making behavior in patients with CHD complicated with hypertension(P<0.05).Conclusion The blood pressure management decision-making behavior of patients with CHD complicated with hypertension is at a medium level,and is mainly influenced by education level,duration of hypertension,number of other comorbid chronic diseases,medication adherence,and health literacy.关键词
冠状动脉粥样硬化性心脏病/高血压/血压管理/决策行为/影响因素/线性模型Key words
coronary heart disease/hypertension/blood pressure management/decision-making behavior/influencing factors/linear model引用本文复制引用
冼朝霞,钱晓燕,张素..冠状动脉粥样硬化性心脏病合并高血压患者血压管理决策行为现状及影响因素研究[J].转化医学杂志,2026,15(10):1686-1690,5.基金项目
江苏省卫生健康委员会医学科研重点项目(ZD2022062) （ZD2022062）
