| Objective:This study is based on the National Basic Public Health Services Norm (2011), to understand the urban community management of hypertension in Changsha. To understand the hypertension patients’related knowledge, self-efficacy, compliance and the blood pressure control and the affecting factors. To make individualized interventional measures, and to eventually explore effective prevention and control of chronic diseases community experience model.Methods:By multistage proportional random sampling methods. Self-designed general information inventory, community hypertension management inventory, HK-LS, SES, TAQPH were applied to evaluat e all the qualified hypertension patients.Results:1. Community health service center the Health Management rate of hypertension of38.5%.2. Community management of hypertension patients:the results showed Health Management rate of hypertension of35.3%and stand ardized management rate of16.3%.3. Satisfaction assessment on community management of hypertension:the highest rate of satisfaction was the staff service attitude (69.3%), while the lowest were the technical level and medical equipment (42.1%).4. HK-LS:On a scale of total score between6～22scores, the average score was18.87±3.46. In the non-conditioned logistic regression model, in which we used knowledge level as the dependent variable, the results showed culture and course of disease were statistically significant factors of knowledge level. 5. SES:On a scale of total score between26～78scores, there were a middle level of facilitators (28.36±9.66) and barriers (6.99±2.55). In the ordinal regression model, in which we used self-efficacy level as the dependent variable, the results showed sex (OR=1.660,95%CI:1.254～2.198), income (OR=0.549,95%CI:0.417～0.724), marital status (OR=0.649,95%CI:0.454～0.927), knowledge level (OR=2.442,95%CI:1.775～3.350) and standardized management (OR=0.610,95%CI:0.402～0.926) were statistically significant factors of self-efficacy.6. TAQPH:scale total score between29～100scores, scored an average of1.94±0.48. In the ordinal regression model, which we used compliance level as the dependent variable, the results showed sex (OR=0.778,95%CI=2.852～8.012), culture(OR=0.757,95%CI:0.591～0.969), knowledge level (OR=2.232,95%CI:1.387～4.212), self-efficacy level (OR=8.031,95%CI:5.028～12.820) were statistically significant factors of compliance.7.51.5%of the patients’blood pressure was well controlled. In the non-conditioned logistic regression model, in which we used whether blood pressure is controlled as the dependent variable, the results showed sex (OR=0.463,95%CI:0.214～1.002), marital status (OR=3.839,95%CI:1.422～10.364), self-efficacy (31.3～54.7scores OR=4.139,95%CI:1.326～12.925,>54.8scores OR=51.255,95%CI:6.600～398.046) and compliance (46～62scoresOR=2.402,95%CI:1.006～5.735,>62scores OR=15.588,95%CI:2.636～91.814)were statistically significant factors of hypertension control.Conclusions:1. Changsha community management of hypertension has begun to take the effectiveness. However the overall management level is low, Health Management rate of hypertension of38.5%(9377/24349). Personnel engaged in management of hypertension insufficiency, unable to meet the needs of residents.2.51.5%(206/400) of the patients’blood pressure was controlled. Standardized management rate of16.3%(65/400), indicating a lower rate for standardized management. Not entirely in accordance with the National Basic Public Health Services Norm.3. Being male, marital instability, absence of sphygmomanometer in the home, low self-efficacy and low compliance of patients are risk factors of high blood pressure control. With this result, we should take some targeted interventional measures for the management of hypertension. |
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