Survey On Hypertension Status, Quality Of Life Of Residents Over 35 Years Old And Community Care Decision

Objective To understand the status of hypertension over 35 years old, including prevalence 、 awareness, treatment, control rate, and the quality of life of hypertensive patients, analysis the factors influence the prevalence of hypertension and quality of life of hypertension. Putting forward to promote health strategy to control blood pressure, and improve quality of life, providing reference for community managers.Methods Multi-layer multi-stage stratified random sampling method was used to choose 6 villages residents over 35 years old, from Huaguo and Hanjiang Street in Zhangwan district, Shiyan. The questionnaire was made by National Cardiovascular Center and Fuwai hospital. Adopted the combination of quantitative and qualitative methods. The stata was analyzed by SPSS20.0 package, main methods including descriptive statistical analysis, t test, Chi-square Test, Analysis of variance, and Ordinal Regression Analysis.Results The total prevalence was 42.3% and 32.0% after standardized. The prevalence of hypertension was 44.3% in male and 40.7% in female; there was no significance（P<0.05）. The awareness, treatment, control rate of hypertension was 55.1%, 46.1%, 14.4%.The prevalence of 35^, 45^, 60^, and 75 was 15.3%, 41.6%, 54.2%, 64.4%.The prevalence of the person without spouse, retired was higher than the person had spouse, employment and the unemployment（P<0.001）. Analysis of single factor, the prevalence of hypertension who used to smoke, average salt >6g one person, BMI≥28, or central obesity was higher than the other group（P<0.05）. Ordinal Logistic Regression Analysis showed that age 45^OR=3.475、60^OR=6.142、75^OR=10.861, average salt >6g one person（OR=1.367）, BMI（18.5^）（OR=1.854）, BMI（24^）（OR=2.033）, BMI（28^）（OR=4.680）, central obesity（OR=1.592） were the risk factors of hypertension.The score of PHYS, PSYCH, SCOIL, and ENVIP was 62.49±13.50, 65.84±12.16, 65.45±11.73, 62.53±11.66; only the score of hypertension was lower than normal in PHYS（P<0.05）.Analysis of single factor showed that the score of quality of life was more in male、self-reported quality of life and self-reported health status than the other group（P<0.05）; In PHYS domain, the score of who were over 75 years old, with primary school education, unemployment was significantly lower than the other group（P<0.05）. The score of PSYCH of whom with primary school education、the unemployment was significantly lower than the other degree of education and the other employment situation（P<0.05）. In SCOIL and ENVIP domain, the score was lowest in unemployment（P<0.05）. In SCOIL domain, the score of treated hypertension was higher than the untreated; the controlled was significantly higher than the uncontrolled（P<0.01）.Multiple linear regression showed that the degree of education, self-reported quality of life and self-reported health status were protective factors of quality of life, the employment situation and sex were the risk factors of PHYS. the employment situation was the risk factors of PSYCH. The treated group was protective factors and sex was the risk factors of SCOIL and ENVIP domain. Age was protective factor of ENVIP domain.Conclusions The prevalence in Shiyan district was in a medium level, the control rate of hypertension wasn’t good, and the quality of life of hypertension was in a low level. It’s most important to focus on prevention for hypertensive, and change the dangerous factor to improve the control rate of blood pressure from community health promotion. Guided by problem-oriented community nursing module, to strengthen the management of blood pressure, and improve the quality of life in patients with hypertension.