Analysis Of Blood Pressure Control Level And Related Factors In Hypertensive Patients In A Community During 2019-2021

ObjectiveThis study mainly conducted a retrospective analysis of hypertension contracted patients in a health service center in Futian District,Shenzhen,to understand the blood pressure control of hypertension contracted patients in a community from 2019 to 2021,and to analyze the relevant factors affecting the blood pressure control of hypertensive patients in a community,so as to find valuable hypertension interventions,so as to provide reference strategies for the management of community-contracted hypertension patients during the new crown epidemic period and in the face of public health events.MethodPatients who underwent follow-up with hypertension and chronic diseases in a community health service center in Shenzhen from January 2019 to December 2021 were collected,and their basic information and clinical data were recorded.Patients who met the inclusion criteria and exclusion criteria were included in the study.The study indicators included gender,age,systolic blood pressure,diastolic blood pressure,heart rate,number of interviews,number of telephone visits,whether or not to be referred for referral,BMI value,daily smoking volume,daily alcohol consumption,weekly exercise,regular medication,and satisfactory control.The analysis compared differences in study measures between different years and analysed factors affecting blood pressure control.Results1.A total of 121 patients were included in this study,including 63 males and 58 females,with an average age of 56.16±10.69(calculated as of 2019).2.Comparison between groups of follow-up results and blood pressure levels of patients with hypertension contracted in the community from 2019 to 2021:In the quantitative data,systolic blood pressure,diastolic blood pressure,heart rate,BMI value,and number of telephone visits of hypertensive patients in 2020 and 2021 increased compared with 2019,and the number of weekly exercise and face-to-face visits in 2020 and 2021 decreased compared with 2019,the difference was statistically significant,and the rest of the clinical data were not statistically significant before and after the epidemic.Among the qualitative data,the number of patients satisfied with blood pressure control in 2020 and 2021 was statistically significant compared with 2019,and the difference in the remaining clinical data was not statistically significant in 3 years.In the quantitative data,the systolic blood pressure,diastolic blood pressure and BMI values of hypertensive patients were statistically significant at different blood pressure levels.Among the qualitative data,there were statistically significant differences in gender,whether medication was used regularly,and whether or not referral was made at different blood pressure levels.3.Correlation between blood pressure level and follow-up results and influencing factors in patients with hypertension in the community from 2019 to 2021:In 2019,systolic blood pressure level was positively correlated with BMI value(OR=1.235,P=0.024).In 2020,systolic blood pressure levels were positively correlated with daily smoking(OR=1.174,P=0.029);The diastolic blood pressure level was positively correlated with BMI(OR=1.289,P=0.047),positively correlated with daily smoking(OR=1.294,P=0.002),and positively correlated with daily alcohol consumption(OR=3.788,P=0.012).In 2021,systolic blood pressure level was positively correlated with daily smoking(OR=1.148,P=0.031)and daily alcohol consumption(OR=8.748,P=0.038).Diastolic blood pressure was positively correlated with daily smoking volume(OR=1.206,P=0.005)and negatively correlated with weekly exercise(OR=0.859,P=0.049).Conclusion1.In patients with hypertension contracted by the community,lower BMI values and more regular medication may be more conducive to blood pressure control.2.During the study,higher BMI value,more daily smoking,and more daily alcohol consumption may be risk factors for blood pressure control in patients with hypertension contracted by the community;A higher number of weekly exercise sessions may be a protective factor for blood pressure control in community-contracted hypertensive patients.