The Analysis Of Influential Factors For The Follow-up Effect Of Hypertension

Objective:Providing follow-up health for hypertension patients in community, this study is to find the related influence factors to affect the follow-up among hypertension patients in community in order to provide scientific reference for hypertension prevention.Methods:According to the national basic public health service specification (2011edition), we have followed702hypertension patients from September,2012to March,2013. Follow-up effect will illustrate from four aspects, including psychological adjustments, treatment compliance, drug therapy compliance and the classification of follow-up control. We used chi-square, logistic regression and other statistical methods to analyze the related factors. Epi Data3.1is used to set up a database, and Software SPSS17.0is used for data and statistical analysis. Single-factor analysis, which compares the measuring data of t-test or Mann-Whitney and count data by comparing χ2or Fisher’s exact rate; Multi-factor Logistic Regression is applied to analyze the related factors of follow-up results affected, testing standard a=0.1.Results:As revealed by singular factor analysis, psychological adjustment was related to hypertensive of brothers and sisters (family history)(χ2=8.557, P=0.014), exercise frequency (x2=11.290, P=0.023) and health assessment (x2=14.593, P=0.001); treatment compliance was related to occupation (x2=19.844, P=0.003), hypertensive of brothers and sisters (family history)(x2=8.151, P=0.017) and health assessment(x2=9.642, P=0.008); drug therapy compliance was related to marital status (x2=6.873, P=0.009) and health assessment(x2=24.092, P<0.001); the classification of follow-up control was related to occupation(x2=1.437, P=0.010), exercise time for each time (x2=13.832, P=0.001), drinking frequency (x2=5.111, P=0.078), interval time of follow-up (days)(x2=12.483, P=0.002) and health assessment (x2=54.906, P<0.001). Logistic regression analysis was used for the statistical significant variables in single factor analysis. Our results showed in psychological adjustment factor (In "favorable" for reference), psychological adjustment of patients wihtout hypertensive of brothers and sisters (family history) was the possibility of "general" that was1.940(95%CI:1.128-3.338) times the hypertensive; patients wiht no exercise regularly was the possibility of "general" that was0.463(95%CI:0.223-0.963) times the patients wihtout exercise; cadres and farmers wiht hypertensive was the possibility of "bad" that were0.148(95%CI:0.039-0.553) times and0.019(95%CI:0.002-0.19) times other professionals; hypertensives of physical examination without abnormalities were the possibility of "bad" that were0.037(95%CI:0.004-0.312) times physical examination with abnormalities. In treatment compliance factor (In "favorable" for reference), adres and farmers wiht hypertensive was the possibility of "general" that were0.305(95%CI:0.116-0.801) times and0.331(95%CI:0.125-0.869) times other professionals, adres and farmers wiht hypertensive was the possibility of "bad" that were0.154(95%CI:0.044-0.533) times and0.056(95%CI:0.012-0.269) times other professionals; patients wihtout hypertensive of brothers and sisters (family history) was the possibility of "general" that was1.907(95%CI:1.120-3.245) times the hypertensive; hypertensives of physical examination without abnormalities were the possibility of "general" and "bad" that were0.402(95%CI:0.229-0.706) and0.362(95%CI:0.146-0.896) times physical examination with abnormalities; treatment compliance of male hypertensives were the possibility of "bad" that was3.123(95%CI:1.315-7.418) times female hypertensives. In drug therapy compliance factor (In "regular medication" for reference), unmarried and divorced hypertensives were the possibility of "irregular medication" that was0.532(95%CI:0.333-0.850) times married; hypertensives of physical examination with abnormalities were the possibility of "irregular medication" that was2.695(95%CI:1.818-3.993) times without abnormalities. In the classification of follow-up control factor (In "satisfaction" for reference), hypertensives of non-outpatient were the possibility of "dissatisfaction" that was10.271(95%CI:1.415-74.534) times outpatients.Conclusion:The effect of the follow-up among hypertension patients in community was related with profession, family history, exercise frequency and health assessment.