目的 探讨高血压急症的影响因素.方法 选取2015年9月—2017年7月在黑龙江省大庆市油田总医院心内科入院治疗的高血压患者782例,根据是否发生高血压急症分为非高血压急症组(n=472)和高血压急症组(n=310).采用问卷调查的方式,收集纳入患者的临床资料,问卷内容包括一般情况调查表、Morisky服药依从性问卷、健康促进生活方式量表(HPLP-Ⅱ)、健康相关生命质量调查量表(SF-12)、社会支持评定量表(SSRS)、家庭功能评定量表(FAD)、健康行为自我效能量表(SRAHP).比较两组患者的临床资料,采用多因素Logistic逐步回归分析探讨高血压急症的影响因素.结果 高血压急症的发生率为39.6%.两组患者的性别、饮酒史、高血压家族史、脑血管病家族史、糖尿病家族史、BMI、腰围、SSRS得分比较,差异无统计学意义(P＞0.05);吸烟史、糖尿病病史、心血管病家族史、食盐情况、运动情况、睡眠情况、服药依从性情况、年龄、空腹血糖(FPG)、总胆固醇(TC)、三酰甘油(TG)、HPLP-Ⅱ得分、SF-12得分、FAD得分、SRAHP得分比较,差异有统计学意义(P＜0.05).多因素Logistic逐步回归分析结果显示,糖尿病病史、睡眠情况、HPLP-Ⅱ得分、SF-12得分、FAD得分是高血压急症的影响因素(P＜0.05).结论 高血压患者急症发生率较高,有糖尿病病史、睡眠较差、生活方式不良、生活质量不佳、家庭功能较差是其危险因素.%Objective To explore the influencing factors of hypertensive emergencies(HE).Methods A case-control study was performed among 782 patients with hypertension from Department of Cardiology,Daqing Oilfield General Hospital,Heilongjiang Province from September 2015 to July 2017.Of them,310 with a history of HE and other 472 without were assigned to HE group and non-HE group,respectively.Clinical data were collected by a questionnaire survey using a self-developed Baseline Characteristics Questionnaire,Chinese version of Morisky Medication Adherence Scale,Chinese version of Health-promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ-C),Chinese version of 12-item Short Form Health Survey(SF-12-C), Social Support Rating Scale(SSRS),Chinese version of Family Assessment Device(FAD-C),and Chinese version of Self-rated Abilities for Health Practices Scale(SRAHP-C),and were compared between the groups.Multivariate stepwise Logistic regression analysis was used to explore the influencing factors of HE.Results The incidence of HE was 39.6%.There were no significant difference in sex,alcohol consumption history,family history of hypertension,family history of cerebrovascular disease,family history of diabetes,BMI,waistline and mean score of SSRS between the two groups(P＞0.05).However, smoking history,diabetes history,family history of cardiovascular disease,salt consumption status,exercise status,sleep quality,medication compliance,age,fasting plasma glucose,total cholesterol,triglyceride,mean score of HPLP-Ⅱ-C, SF-12-C,FAD-C and SRAHP-C differed significantly between the groups(P＜0.05).Multivariate stepwise Logistic regression analysis revealed that diabetes history,sleep quality,mean score of HPLP-Ⅱ-C,SF-12-C and FAD-C were the influencing factors of HE(P＜0.05).Conclusion The morbidity of HE is high in patients with hypertension.And diabetes history,poor sleep quality,poor lifestyle,poor quality of life and poor family functioning are the risk factors.
展开▼
