Study On The Impact Of Personal Control On Hypertension

Objective:Through the research on the mentality and behavior of hypertension patients,gain an understanding of the impact personal control have on hypertension, thus to provide a new way to promote the hypertension patients' health and public health education.Method:Conducting a questionnaire survey in hospitals and communities in Zhejiang Province.The survey covered 257 patients.Results are collected by researcher and analyzed by spss15.0 system.This essay is first to give a descriptive analysis of overall situation of hypertension,then the main factor of the impact individual behavior and personal control have on hypertension,and finally the multi-factors of the impact.The main factor and multi-factors are analyzed by logistic 10.0 system.Result:The survey covered 257 patients,including 153 men(average age 64.6±7.53) and 99 women(average age 63.8±8.18).In the diagnosis at very beginning,the average systolic pressure is 164.18±14.230mmHg,diastolic pressure 93.97±8.691mmHg;in the latest diagnosis,the average systolic pressure is 139.48±23.325mmHg,diastolic pressure 80.86±9.775mmHg.As to the cause of hypertension, 19.4%of the patients impute to inheritance,9.5%improper diet,9.5%pressure,3.6% lack of exercise;still 57.9%are unclear about the cause.In treatment,only 4.8%by controlling diet,3.2%by exercise,3.6%by mental accommodation,37.3%by taking medicines,and combined treatment accounts a larger percentage,51.2%.Among factors effecting the treatment,"Disregarding" pay a greater impact on the results.This is the reason for 77.2%of the patients failing in taking medicine on time,57.5%in doing regular exercise,57.5%in having proper diet,54.4%in psychological accommodation,and 55.6%in keeping weight.After treatment,15.9%of the patients become better,78.2%have a stable pressure,and only 6%worsen.Patients have complications accounts for 51.6%,while no complication takes 47.2%.In individual behavior and personal control,as to life pressure,31.7%deem very little,27.4% somewhat little,22.6%ok,13.9%somewhat heavy,4.4%very heavy.As to the personal control ability in patients,43.3%think they can control the weight themselves, 41.3%think they can change their habit,43.3%think they can keep doing exercise,and 77%think they can take the medicine on time.Among the patients,75%do housework at home,33.3%think life is unpredictable,32.5%do not have a clear objective,25.4% think life's in a mess,6.3%usually over-eat,32.5%take part in leisure activities,5.2% often attend social activities.Analyzed by main-factor logistic regression,the dangerous factors of personal control on hypertension are:the pressure suffer in work and life(OR=2.55,95%CI:1.25-5.21);do not do housework(OR=2.06,95%CI: 1.03-4.13);love spicy food(OR=2.10,95%CI:1.13-3.69),irnproper diet(OR=2.13, 95%CI:1.16-3.89);do not take part in leisure activities in the recent months(OR=2.79, 95%CI:1.56-4.98);do not take part in social activities in recent months(OR=3.56, 95%CI:1.16-10.91);fail in taking medicine in time(OR=2.98,95%CI:1.60-5.53).On the other hand,positive factors are:do not think life unpredictable(OR=0.49,95%CI: 0.29-0.85),have a clear objective in work and life(OR=0.42,95%CI:0.24-0.73),know the rule in work and life(OR=0.33,95%CI:0.18-0.58).Finally,multi-factor logistic regression analysis is used,and get the meaningful results as following:the pressure suffered(OR=2.04,95%CI:1.09-3.81),being able or not to find regular rule in work and life(OR=0.41,95%CI:0.22-0.74) often attend leisure activities(OR=2.08, 95%CI:1.14-3.71),attend social activities(OR=3.31,95%CI:1.08-10.18),take medicine in time(OR=2.24,95%CI:1.18-4.26).Those able to follow regular rules in life and work do better in lower blood pressure.Compared to those suffer very little pressure,do not attend leisure activities and social activities,take medicine in time, those who suffer medium pressure,often attend social and leisure activities,maybe take medicine in time,are more dangerous in hypertension,the factors can even worsen the treatment.Conclusion:Individual behavior and self-control have obvious impact on hypertension,and different life way and psychological situation differs statistically on the control of blood pressure.Factors have a negative impact on hypertension are: mentality pressure,obesity,family inheritance,harmful habit like smoking,excitant diet,irregular medicine-taking,and lack of exercise.While positive factors on hypertension are:increasing the taking vegetables and fruits rich in vitamin,doing regular exercise and universalizing the hypertension knowledge.Those behaviors like ability in suffering the pressure,following a regular life way,often attending leisure activities and social activities have a direct affect on blood pressure.The behaviors mentioned above can be affected by personal control,which indirectly,have a great impact on hypertension.