Hypertension knowledge, awareness, and attitudes in a hypertensive population
Hypertension knowledge, awareness, and attitudes in a hypertensive population
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DOI：
10.1111/j.1525-1497.2005.30353.x
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发表时间：
2005-03-01
影响因子：
5.7
通讯作者：
Hill, MN
中科院分区：
文献类型：
--
作者：
Oliveria, SA;Chen, RS;Hill, MN
目的：提高对收缩压（SBP）重要性的认识已被确定为预防和治疗高血压（HTN）的主要公共卫生和医学挑战之一。 SBP 是心血管疾病的一个强大的独立危险因素，但没有关于患者是否了解其 SBP 水平重要性的信息。本研究的目的是评估高血压人群对 HTN 的了解、认识和态度，特别是与高血压人群中的 SBP 相关的知识、意识和态度。 设计/环境/患者：我们使用自动索赔数据（国际疾病分类，第九版 [ICD-9] 代码 401.0-401.9）在大型中西部卫生系统的初级保健环境中确定了 HTN 患者 (N=2,264)。我们随机选择了 1,250 名患者，在排除不符合条件的患者后，报告了 826 名已完成的患者电话访谈的结果（72% 的应答率 [826/1,151]）。 主要结果：90% 的高血压患者知道降低血压 (BP) 会改善健康，91% 的患者报告医疗保健提供者告诉他们他们患有高血压。然而，41% 的患者不知道自己的血压水平。百分之八十二的患者正确地将 HTN 理解为“高血压”。 34% 的患者正确地将 SBP 识别为其读数中的“最高”数字； 32% 的人正确地将舒张压 (DBP) 识别为“底部”数字；总体而言，只有 30% 的患者能够正确识别收缩压和舒张压测量值。 27% 的 SBP 和 DBP 升高的患者（根据他们的病历显示）认为他们的血压很高。 24% 的患者不知道收缩压或舒张压的最佳水平。当被问及舒张压或收缩压水平对于疾病的控制和预防哪个更重要时，41%的人报告舒张压，13%的人报告收缩压，30%的人报告两者都很重要，17%的人不知道。结论：这些结果表明，虽然对高血压的一般知识和认识是足够的，但患者对这种情况没有全面的了解。例如，患者没有认识到收缩压水平升高的重要性或血压控制的当前状态。有机会将患者教育计划和干预措施重点放在与不受控制的高血压相关的心血管风险上，特别是收缩压水平升高。
OBJECTIVE: Improved recognition of the importance of systolic blood pressure (SBP) has been identified as one of the major public health and medical challenges in the prevention and treatment of hypertension (HTN). SBP is a strong independent risk factor for cardiovascular disease but no information is available on whether patients understand the importance of their SBP level. The purpose of this study was to assess HTN knowledge, awareness, and attitudes, especially related to SBP in a hypertensive population.DESIGN/SETTING/PATIENTS: We identified patients with HTN (N=2,264) in the primary care setting of a large midwestern health system using automated claims data (International Classification of Diseases, Ninth Revision [ICD-9] codes 401.0-401.9). We randomly selected 1,250 patients and, after excluding ineligible patients, report the results on 826 completed patient telephone interviews (72% response rate [826/1,151]).MAIN RESULTS: Ninety percent of hypertensive patients knew that lowering blood pressure (BP) would improve health and 91% reported that a health care provider had told them that they have HTN or high BP. However, 41% of patients did not know their BP level. Eighty-two percent of all patients correctly identified the meaning of HTN as "high blood pressure." Thirty-four percent of patients correctly identified SBP as the "top" number of their reading; 32% correctly identified diastolic blood pressure (DBP) as the "bottom" number; and, overall, only 30% of patients were able to correctly identify both systolic and diastolic BP measures. Twenty-seven percent of patients with elevated SBP and DBP (as indicated by their medical records) perceived that their BP was high. Twenty-four percent of patients did not know the optimal level for either SBP or DBP. When asked whether the DBP or SBP level was more important in the control and prevention of disease, 41% reported DBP, 13% reported SBP, 30% reported that both were important, and 17% did not know.CONCLUSIONS: These results suggest that, although general knowledge and awareness of HTN is adequate, patients do not have a comprehensive understanding of this condition. For instance, patients do not recognize the importance of elevated SBP levels or the current status of their BP control. An opportunity exists to focus patient education programs and interventions on the cardiovascular risk associated with uncontrolled HTN, particularly elevated SBP levels.