社区老年高血压患者家庭监测认知调查及其影响因素研究

A Study on Cognition of Home Blood Pressure Monitoring and Its Influencing Factors among Community Residents with Hypertension

摘要: 目的：分析其家庭血压监测依从性的相关影响因素，为提升该群体家庭血压监测认知与依从性、优化社区老年高血压健康管理策略提供科学的理论依据。方法：选取杭州多个社区的老年高血压患者为研究对象。采用一般资料调查表、血压监测认知与依从性评估表、高血压治疗依从性量表开展问卷调查，分析筛选影响家庭血压监测依从性的关键因素。结果：杭州社区老年高血压患者家庭监测认知与依从性整体处于中低水平。结论：杭州社区老年高血压患者家庭监测认知不足、依从性偏低，受血压监测频率、血压计配备、治疗依从性等多因素共同影响。提升该群体的家庭血压监测认知与依从性，需立足社区老年人群特点，实施分层精准的健康宣教，完善社区医疗服务保障。

Abstract: Objective: To analyze the influencing factors associated with the adherence to home blood pressure monitoring among elderly hypertensive patients, so as to provide a scientific theoretical basis for improving their awareness and adherence to home blood pressure monitoring and optimizing community-based health management strategies for elderly hypertension. Methods: Elderly hypertensive patients from multiple communities in Hangzhou were selected as research subjects. A questionnaire survey was conducted using a general information questionnaire, an assessment scale for awareness of and adherence to blood pressure monitoring, and a hypertension treatment adherence scale to identify and screen the key factors affecting adherence to home blood pressure monitoring. Results: The overall awareness and adherence to home blood pressure monitoring among community-dwelling elderly hypertensive patients in Hangzhou were at a low-to-moderate level. Conclusions: Community-dwelling elderly hypertensive patients in Hangzhou have insufficient awareness and low adherence to home blood pressure monitoring, which are jointly influenced by multiple factors including blood pressure monitoring frequency, availability of sphygmomanometers, and treatment adherence. To improve their awareness and adherence to home blood pressure monitoring, targeted and stratified health education should be implemented based on the characteristics of the elderly population in communities, and community medical service support should be improved.