Health Management Of Hypertension Patients In Urban Communities Based On Knowledge-Belief-Behavior And Psychology

ObjectiveThis paper investigated the knowledge,attitude,behavior,psychological development and influencing factors of hypertension patients in Guangzhou urban community,and put forward the intervention countermeasures,to provide the opinion support for the community health management of hypertension in Guangzhou.Research object and methodsFrom June 2019 to October 2019,from 16 community neighborhood committees in Tianhe District of Guangzhou City,10 community neighborhood committees in Dongpu,West Lake,Tianya,Longkou,West Bank,Shamei,east bank,Guangn,Xujing and Chepo north were randomly selected to carry out a questionnaire survey,a random sample of 130 essential hypertension patients was taken from each street.Patients with high blood pressure,such as Secondary hypertension,confusion,and communication problems,were excluded.The theory research adopts the questionnaire survey method to study the hypertension and the community health management related theory,the practice method mainly uses the questionnaire survey method,the interview method,the physical examination method,the laboratory examination method,the content of field investigation mainly includes general demographic characteristics,cognition,attitude,behavior and psychology of hypertension patients,and analyzes the related factors of hypertension patients in community.Research ResultsThe score of knowledge,attitude and behavior of hypertension patients in Guangzhou is better,and’ the score of knowledge is higher than that of attitude and behavior.In terms of knowledge score,the awareness rate of hypertension patients with the lowest score was 58.5%;in terms of knowledge of influencing factors of hypertension,the awareness rate of infection was the lowest,and the awareness rate of sleep was 85.3%.In terms of attitude score of hypertension patients,the item with the lowest accuracy rate was "taking antihypertensive drugs according to the doctor’s order can effectively control hypertension",the accuracy rate was 64.1%,and the score was 0.64 ± 0.48.In terms of the score of hypertension health management behavior,the subjects with lower score were the frequency of smoking and drinking,with the scores of 2.38± 1.56 and 2.87± 1.68The results showed that the score of hypertension knowledge was(13.70±1.89),the score of hypertension attitude was(4.03±1.14),and the score of hypertension behavior was(21.03±1.52).The time of illness had influence on the score of knowledge,attitude and behavior of hypertension patients,the difference was statistically significant(P Ring.Among the 1268 hypertension patients investigated,the overall control rate of blood pressure in hypertension subjects was relatively low,the.control rate was 45.50%.The total population is 577,including 284 male(22.4%)and 293 female(27.5%).Through single factor and binary logistics analysis,whether there is a family genetic history,whether living with children is the influencing factor of hypertension.Family genetic history is a risk factor for hypertension control.The blood pressure control rate of hypertension patients without family genetic history(or=2.181,95%CI:1.138～4.181)was better than that of hypertension patients without family genetic history.The blood pressure control rate of hypertension patients who lived by themselves or with their old friends(or=4.325,95%CI:2.325-8.044)was better than that of hypertension patients who lived with their children.According to the survey results,the score of Guangzhou hypertension patients’psychological depression scale is 45.98±7.38,the average score is less than 53 points.As a whole,the psychological depression state of the investigated subjects is non depression state.But there are also a small number of patients with mild or moderate depression in the survey.We should prevent the depression tendency of patients with hypertension,do early prevention,early intervention,early treatment,and reduce the occurrence of depression in patients with hypertension.According to the results of single factor and multiple ordered logistic analysis,age,time of illness and type of medication were the influencing factors of psychological depression in patients with hypertension,the difference was statistically significant(P<0.05).research conclusionThe score of knowledge attitude behavior of hypertension patients in Guangzhou is better,but there is still a gap between the score and the overall goal.Community health service center should carry out a series of health education activities to improve the poor living habits,improve the compliance of patients with hypertension,and finally achieve the unity of patients’ knowledge,attitude and behavior.The total score of knowledge,attitude and behavior of hypertension patients who did not live with their children was better than that of hypertension patients who lived with their children.The community medical staff can actively guide and support the change of their bad living habits through the establishment of hypertension peer support network,the supervision and guidance of the community medical staff,hypertension patients and their relatives.The blood pressure control rate of hypertension patients in Tianhe community of Guangzhou is relatively low.It is suggested to strengthen the health education of chronic diseases for the elderly in the community,improve the health literacy of hypertension patients,so as to improve the rate of blood pressure control.According to the analysis results of the depression scale of hypertension patients,the overall mental health of hypertension patients,but some patients also have mild and moderate depression symptoms,which need to be paid attention to strengthen intervention.The medical workers in the community health service center should regularly follow up the patients with hypertension,conduct psychological counseling and correct treatment,so as to improve the rate of blood pressure control.Family members can provide patients with sufficient emotional support,help them get rid of loneliness,improve their psychological mood,guide them to actively carry out treatment,improve their compliance,and achieve the ultimate goal of prevention and control.