| Objective To survey the knowledge awareness rate,control rate and treatment satisfaction in outpatients with hypertension in tertiary hospitals in Chongqing.Methods A total of 1036 outpatients who was diagnosed as hypertension in tertiary hospitals in Chongqing received questionnaires in the cross-sectional study(measurements included blood pressure, waist circumference, hip circumference, height and weight). After strict check and arrangement,15 unqualified questionnaires were excluded. The rest of 1021 questionnaires were eligible, including 244(23.9%) in Fuling Central Hospital,107(10.5%) in Chongqing Three Gorges Central Hospital,166 (16.3%) in The Fifth People's Hospital of Chongqing,157(15.4%) in Zhongshan hospital, and 347(34.7%) in The Second Affiliated Hospital of Chongqing Medical University. All data were inputed with EpiData and statistical analysis was performed with SPSS for windows (version 19.0).Results (1) Overall awareness rate in hypertensive outpatients in Chongqing tertiary hospitals was 51.4%.Knowledge awareness rate in male was 54.8%, and female 45.4%(?2= 3.341,P=0.068).Given the course of disease, the knowledge awareness rate of patients with duration<5 years, duration ranged from 5 to 15 years and duration>15 years were 44.1%, 54.4% and 54.9%, respectively (?2= 9.948, P= 0.007). In further pairwise comparisons, significant differences were observed between the patients with duration<5 years (44.1%) and duration ranged from 5 to 15 years (54.4%) (?2= 7.699,P=0.006), or between the patients with duration< 5 years (44.1%) and duration> 15 years (54.9%)(?2=7.233, P=0.007). There was significant difference in awareness rate of hypertension knowledge between patients with spouse and patients without spouse (53.8%vs.38.4%)(?2= 13.030, P= 0.000). The hypertension knowledge awareness rate in patients with primary school education or less, junior middle school education, senior middle school education and college education or above were 18.0%,52.4%,67.5%and 71.1%, respectively (?2 = 167.954, P= 0.000). In further pairwise comparisons, there was significant difference between those with primary school education or less(18.0%) and those with junior middle school education(52.1%) (?2= 70.548, P=0.000), or between those with primary school education or less(18.0%) and those with senior middle school education(67.5%) (?2= 131.777, P= 0.000), or between those with primary school education or less(18.0%) and those with college education or above(71.1%) (?2= 120.403, P= 0.000). There was significant difference between those with junior middle school education(52.4%) and those with senior middle school education(67.5%) ( ?2= 14.128, P= 0.000), or between those with junior middle school education(52.4%) and those with university and above(71.1%) (?2=16.175, P= 0.000). The hypertension knowledge awareness rate in patients with social insurance, other health insurance and rural cooperative medical insurance were 57.9%,32.3%and 9.1%, respectively (?2= 98.416, P=0.000). In further pairwise comparisons, there was significant difference between those with social insurance(57.9%) and those with other health insurance(32.3%) (?2=84.715,P=0.000), or between those with social insurance(57.9%) and those with rural cooperative medical insurance(9.1%) (?220.417, P=0.000) There was significant difference between those with other health insurance(32.3%) and those with rural cooperative medical insurance(9.1%).(?2=10.519,P=0.001).The hypertension knowledge awareness rate in patients with family hypertension history and patients without family hypertension history were 58.6% and 43.6%, respectively (?2= 22.719, P= 0.000). The hypertension knowledge awareness rate of office workers, retirees, formers and patients with other occupation were 64.3%,56.7%,10.1% and 44.9%, respectively (?2= 84.129, P= 0.000). In further pairwise comparisons, there was significant difference between retirees(56.7%) and patients with other occupation(44.9%) (3(2 =6.418, P=0.011), or between retirees(56.7%) and farmers(10.1%) (?2= 75.148, P = 0.000). There was significant difference between farmers(10.1%) and office workers(64.3%) (3(2 = 61.992, P = 0.000), or between farmers(10.1%) and patients with other occupation(44.9%) (?2 = 32.817, P = 0.000 ) .There was significant difference between office workers(64.3%) and patients with other occupation (44.9%)(?2 = 8.634, P = 0.003). (2) Overall control rate of hypertensive outpatients in tertiary hospital were 51.1%. Control rate in male was 50.1%%, and female51.9%(?2 = 0.302, P = 0.583). The control rate of patients with duration <5 years, duration ranged from 5 to 15 years and duration> 15 years were 51.9%, 54.9% and 45.1%, respectively (?2= 6.627, P = 0.035). In further pairwise comparisons, there was significant difference between patients with duration ranged from 5 to 15 years(54.9%) and duration>IS years(45.1%) (?2 = 6.621, P = 0.010). (3) Overall treatment satisfaction of hypertensive outpatients in tertiary hospital were 93.4%. Treatment satisfaction in male was 92.1%, and female was 94.4% (?2= 2.242, P = 0.134). The treatment satisfaction of office workers, retirees, farmers and patients with other occupation were 89.8%, 94.6%, 96.0% and 88.2%, respectively (?2= 10.724, P = 0.013). In further pairwise comparisons, there was significant difference between patients with other occupation(88.2%) and retirees(94.6%) (?2 = 7.696, P = 0.006), or between patients with other occupation(88.2%) and formers(96.0%) (?2= 4.390, P= 0.036). As showed by multivariate Logistic regression analysis, education, health insurance type and family hypertension history were the main factors affecting hypertension knowledge awareness rate; The course of disease was the main factor affecting hypertension control rate; Occupational category was the main factor impacting treatment satisfaction.Conclusions (1) Education degree was the main factor impacting awareness rate of hypertension knowledge, and higher education was associated with higher hypertension knowledge awareness rate; The next was health insurance, the awareness rate in those with social insurance was significantly higher than those with rural cooperative medical insurance; Moreover, awareness rate would be higher in those with presence of immediate family history of hypertension. (2) The course of hypertension was the main factor affecting control rate, and prolonged course of hypertension resulted in decreased control rate. (3) Occupational categoriy was the main factor affecting hypertension treatment satisfaction, and higher treatment satisfaction was observed in the farmers and retirees in contrast to office workers and those with other occupation. |
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