Investigation On Prevention And Treatment Of Hypertension In Community Of Hefei Countryside Area

The research is a part of the contents in Anhui province of “cardiovascular diseasemonitoring and diagnosis and treatment and prevention warning technology applicationresearch-hypertension standardization management” for National Center forCardiovascular Disease.Objective To investigate the basic statistics of patients with hypertension in communityof Hefei countryside area，and analysis the basic situation and different characteristicsbetween functional communities with agencies, colleges and universities primarily andresidential communities, in order to establish scientific basis for developingcomprehensive measures of hypertension control in functional community and furtherimprove the diagnosis and treatment of hypertension and other chronic diseases。Methods We chose327patients with hypertension from seven functional communitiesand three residential communities in Hefei countryside area from April2010toDecember2010. We used the survey methodology and questionnaire which was madeby National Center for Cardiovascular Disease. The survey included: the generalsituation, related disease history, family history, physical examination, biochemicalindex of blood examination, diet behavior and treatment of status indicators. The datawas managed and inputted by EpiData3.0. All statistics were analyzed via the SPSS16.0.Results216patients from functional communities and111patients from residential communities were participated in this study.(1) the research object gave priority to male,functional community was more than residential community，the differences werestatistically significant (P <0.05); the research object gave priority to age group of61to70, functional community was less than residential community, the differences werestatistically significant (P <0.05); the research object national to Han mainly, the twogroups were not statistically significant (P>0.05); the research object education toUniversity/College mainly, occupational to all kinds of professional, and technicianmainly, functional community was more than residential community，the differenceswere statistically significant (P <0.05); the research object marriage status to marriedmainly, functional community was less than residential community，the differenceswere statistically significant (P <0.05); the research object medical protection status tosocial medical insurance mainly, functional community was less than residentialcommunity，the differences were statistically significant (P <0.05); the way gettinghealth care knowledge:44.3%functional community chose TV, which was less thanresidential community，the differences were statistically significant (P <0.05);14.4%functional community chose mobile phone,45.4%chose network,52.6%chose thehospital doctors,14.9%chose other, were more than residential, the differences werestatistically significant (P <0.05); the way getting health care knowledge: newspapers,community physicians, the two groups were not statistically significant (P>0.05);2.6%functional communities study had been included in community chronic diseasemanagement, significantly less than residential communities, the difference werestatistically significant (P <0.05);(2) two groups in regular before treatment systolicblood pressure, diastolic blood pressure level, stroke, cerebral ischemia in history andother related history (nephritis, renal cysts, etc.) was not statistically significant (P>0.05);91%subjects had a history of hypertension,8.1%subjects had a history ofdiabetes,5.9%subjects had a history of angina, functional community was less thanresidential community, the differences were statistically significant (P <0.05);(3) the two groups compared to the differences in hypertension, stroke, coronary heart diseaseand family history of diabetes were not significant (P>0.05);(4) the two groups inwaist circumference (WC), body mass index (BMI), and average heart rate, averagesystolic blood pressure, average diastolic pressure, creatinine (CRE), and high-densitylipoprotein cholesterol (HDL-C) and the left ventricular hypertrophy, no statisticallysignificant (P>0.05); functional community study of high-total cholesterol (TCH),high triglyceride (TG), high fasting glucose detection was less than the residents of thecommunity. two groups compared to the difference was statistically significant (P<0.05);(5) the two groups in the tastes, history of smoking and drinking history andpsychological factors, the difference was not statistically significant (P>0.05);29.1%functional community edible vegetable intake≥400g, was less than residentialcommunity, the difference was statistically significant (P <0.05);78.8%functionalcommunity edible fruit weight≥100g, was less than residential community, thedifference was statistically significant (P <0.05); residential community more limit theintake of high fat foods than the functional community subjects, the difference wasstatistically significant (P <0.05);40.2%of the functional community study per weekexercise three to five times more than the residential community, the difference wasstatistically significant (P <0.05);(6)49.7%research dangerous tiered for high risk,functional community less than residential community, the differences were statisticallysignificant (P<0.05);(7)64.4%study of functional community nearly three monthsreceiving treatment for hypertension, the proportion was lower than the residents of thecommunity, the difference was statistically significant (P <0.05);65.2%research preferantihypertensive drug treatment, and functional community was less than residentialcommunity, two groups the difference was statistically significant (P <0.05); in themedication regimen, two groups were not statistically significant (P>0.05).Conclusion (1) functional community with better basic medical units and highermedical personnel quality, can more effective diagnosis most hypertension than residential community;(2) Patients with hypertension in functional community at thecultural level of awareness of hypertension are higher in patients with hypertension thanthat in residential community, can be more active treatment;(3) functional communityin hypertensive patients by adding standardized prevention and treatment ofhypertension is not enough, functional communities in hypertensive patients should beencouraged to join the community chronic disease management to strengthen thefunctional community physician of hypertension the standardization prevention training;(4) we should improve the community hypertension intervention on lifestyle awareness,pay attention to health education of hypertension patients in community;(5) We shouldmake full use of medical resources, to strengthen chronic disease prevention and controlof the authorities, universities and other functional communities.