›› 2010, Vol. 5 ›› Issue (06): 440-444.

• 论著 • 上一篇    下一篇

社区≥50岁人群高血压与卒中防治知识、态度和行为的调查

茹小娟,吴升平,王文志,张辉,鲍秋菊,刘红梅,杜晓立,滑蓉蓉,江滨   

  1. 北京市首都医科大学 北京市神经外科研究所流行病室
  • 收稿日期:2009-09-15 修回日期:2009-08-15 出版日期:2010-06-20 发布日期:2010-06-20
  • 通讯作者: 吴升平

Survey on the Knowledge, Attitude, Practice about Hypertension and Prevention of Stroke among Aged ≥ 50 of the Community Population

RU Xiao-Juan, WANG Wen-Zhi, WU Sheng-Ping, et al.   

  • Received:2009-09-15 Revised:2009-08-15 Online:2010-06-20 Published:2010-06-20
  • Contact: WU Sheng-Ping

摘要: 目的 了解50岁以上社区人群高血压与卒中防治知识、态度、行为(Knowledge,Attitude,Practice,KAP)状况。方法 在北京崇文和石景山地区,选择各约5万自然人群的社区,按照整群随机抽样的方法,对1352名年龄≥50岁的非卒中人群中进行卒中危险因素与卒中防治KAP水平的调查。结果 崇文组和石景山组除了在文化程度方面崇文组高于石景山组,差异有统计学意义外(P<0.01),性别、年龄以及血压水平的差异均无统计学意义。知晓高血压诊断标准者崇文组高于石景山组,差异有统计学意义(P<0.01)。知晓高血压可引起脑出血和脑梗死者均在90%左右,并且石景山组高于崇文组,差异有统计学意义(P<0.05)。认为有必要经常测量血压者均在80%以上,差异没有统计学意义(P>0.05)。曾经测量过血压者两组均在90%以上,石景山组高于崇文组,差异有统计学意义(P<0.01)。两组的高血压患者能按医嘱治疗高血压者均超过85%。结论 社区≥50岁人群高血压患病率居高不下,继续广泛开展和加强高血压与卒中防治知识的宣传教育十分必要。

关键词: 高血压; 卒中; 知识; 态度; 行为

Abstract: Objective To know the situation of knowledge, attitude, practice about hypertension and prevention of stroke among the selected community population.Methods One thousand three hundred and fifty-two non-stroke subjects aged ≥50 years were selected by cluster random sampling from two districts of Beijing including 50,000 people respectively, to investigate the level of knowledge, attitude, practice about risk factors and prevention of stroke.Results Chongwen group and Shijingshan group in education showed different, Chongwen group was higher than Shijingshan group, and the difference was statistically significant(P<0.01). But there was no difference in sex, age as well as blood pressure. In the aspect of knowledge, the awareness rate of simple diagnosis standard of hypertension in Chongwen group was higher than that in Shijingshan group. Whereas the awareness rate about hypertension leading to ischemic and hemorrhagic stroke is opposite. In the aspect of attitude and practice, the subjects who thought it necessary to often measure blood pressure were both more than 80% in two groups. The subjects who had ever examined blood pressure in two groups both achieved 90%, but it was higher in Shijingshan group than that in Chongwen group. Hypertension patients accepting antihypertensive treatment in two groups were more than 85%.Conclusion Due to high prevalence of hypertension in aged ≥ 50 of community population, it’s necessary to further improve the health education about prevention of hypertension and stroke.

Key words: Hypertension; Stroke; Knowledge; Attitude; Practice