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目的分析广州市天河区石牌社区65岁及以上老年人高血压患病情况及相关的发病因素,为高血压病的防治寻找对策。方法采用简单随机抽样法对广州市天河区石牌社区常住人口中65岁及以上老年人进行高血压患病情况及相关影响因素调查,调查内容包括问卷调查、体格检查、实验室检查和查阅居民电子健康档案。对调查结果进行描述性分析,并采用单、多因素分析方法对高血压影响因素进行分析。结果共对2 018名65岁及以上老年人进行调查,以女性为主,有1 050人,占52.03%,年龄以65~74岁为主,占52.43%。吸烟者563人,占27.90%,饮酒者447人,占22.15%。高血压患病人数为1 029例,患病率为50.99%,其中706例既往有高血压病史。多因素logistic回归模型结果显示,年龄越大(OR=1.074)、有高血压家庭史(OR=2.514)的调查对象患高血压的可能性越大。结论广州市天河区石牌社区老年人高血压患病率较高,建议利用健康档案加强老年人健康管理。
Objective To analyze the prevalence of hypertension and the related risk factors in the elderly aged 65 years old and above in Shipai Community, Tianhe District, Guangzhou City, and to find a solution to the prevention and treatment of hypertension. Methods A simple random sampling method was used to investigate the prevalence of hypertension and its related influencing factors in the elderly population aged 65 years old and above in the resident community of Shipai Community in Tianhe District, Guangzhou. The survey included questionnaires, physical examination, laboratory tests and residents’ Electronic health records. The descriptive analysis of the survey results, and the use of single and multivariate analysis of the impact of hypertension factors. Results A total of 2 018 elderly people aged 65 and above were surveyed. Mostly female, with 1,050 or 52.03%, aged 65-74, accounting for 52.43%. 563 smokers, accounting for 27.90%, drinkers 447, accounting for 22.15%. The number of hypertensive patients was 1 029 with a prevalence of 50.99%, of whom 706 had a previous history of hypertension. In the multivariate logistic regression model, the higher the age (OR = 1.074), the higher the family history of hypertension (OR = 2.514) was. Conclusion The prevalence of hypertension in the elderly in Shipai Community, Tianhe District, Guangzhou is relatively high. It is suggested that health records be used to strengthen the health management of the elderly.