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[目的]对成都市社区卫生服务慢性病管理中高血压控制情况的影响因素进行分析。[方法]采用简单随机抽样的方法进行调查,采用描述性方法、单样本t检验和Logistic回归分析方法对高血压控制率的影响因素进行分析。[结果]成都市社区卫生服务中的高血压患者控制率为76.22%。41～50岁的高血压患者控制率最高为84.93%;职业中专业技术人员控制率为83.87%。调查对象社区卫生服务中心血压测量点的知晓与否,按照医嘱服药与否、规律服药与否、生活规律与否对高血压的控制率有统计学意义(P﹤0.05)。[结论]个体经营户、参加城镇职工医疗保险、参加新型农村合作医疗是影响高血压控制的危险因素,需要加强个体职业者者等重点人群的健康教育和需要医疗保险部门工作的配合。
[Objective] To analyze the influencing factors of hypertension control in chronic health care of community health service in Chengdu. [Methods] A simple random sampling method was used to investigate. Influencing factors of hypertension control rate were analyzed by descriptive method, one-sample t-test and Logistic regression analysis. [Results] The control rate of hypertensive patients in community health service in Chengdu was 76.22%. The highest control rate of hypertension in 41-50 years old patients was 84.93%. The control rate of professional technicians in occupations was 83.87%. The community health centers surveyed blood pressure measurement point of awareness or not, according to medical advice or not, regular medication or not, whether the laws of life or hypertension control rate was statistically significant (P <0.05). [Conclusion] Self-employed households, participating in medical insurance for urban workers and participating in new-type rural cooperative medical care are the risk factors that affect the control of hypertension. There is a need to strengthen the health education of the key population such as individual occupational persons and the cooperation with the medical insurance departments.