Analysis On Blood Pressure Control And Influencing Factors In Elderly Patients With Hypertension In Parts Of Shanghai

Objectives: 1.To study on the blood pressure control in elderly patients with hypertension in parts of Shanghai;2.To analyze the influencing factors of blood pressure control in the elderly patients with hypertension in parts of Shanghai;3.To help community doctors improve the managements of hypertension in the elderly better.Methods: A total 789 elderly patients with hypertension from January 2018 to January 2019 in five medical institutions,Tangqiao Community Health Service Center,Huamu Community Health Service Center,Caojiadu Community Health Service Center,Meilong Community Health Service Center and Renji Hospital,were selected by a random sampling method.Blood pressure measurement and questionnaire survey were performed on these patients.Results: The proportion of patients achieving target blood pressure was68.9%.Multivariate logistic regression analysis showed that taking less kinds of antihypertensive medications,waist circumference(less than 85 cm for men and less than 80 cm for women),taking blood pressure by themselves daily,sharing knowledge with other patients,participating in healthy education organized by community,are the influencing factors of hypertension control in the elderly.Conclusion: In addition to pharmacological management of hypertension,we should strengthen the control of patients’ waist circumference,encourage elderly patients to take self-measurement of blood pressure at home,encourage patients to communicate with other patients,and organize healthy education lectures about hypertension to improve the blood pressure control in the elderly patients with hypertension.