高血压患者疾病防治认知情况与其并发症的相关性研究OA

Objective To clarify the awareness level of disease prevention/control-related knowledge among primary-level hypertension patients in Anhui Province,to analyze its association with complications,and to optimize primary-level prevention and control strategies for chronic diseases,thus providing evidence for targeted interventions.Methods A multi-stage stratified cluster random sampling method was adopted to conduct a survey on chronic disease risk factors and hypertension prevention/control-related knowledge among hypertensive patients in eight counties/districts of Anhui Province.The chi-square test and logistic regression analysis were applied to explore the influencing factors for the risk of hypertension-related complications.Results A total of 1 797 hyper-tensive patients were surveyed,and 21.5％were diagnosed as presenting with complications.Results of the multi-variate logistic regression analysis,after adjusting for confounding factors,showed that compared with patients who believed that hyperglycemia and hyperlipidemia were not related to hypertension,those who recognized the associa-tion between hyperglycemia,hyperlipidemia and hypertension had a lower likelihood of developing complications(OR=0.611,95％CI:0.449～0.830);compared with individuals who thought mental stress was unrelated to hypertension,those who acknowledged the relationship between mental stress and hypertension had a lower risk of complications(OR=0.589,95％CI:0.421～0.824).However,the study also found that compared with indi-viduals who believed that medication could be discontinued once blood pressure returned to normal,those who thought medication should not be discontinued(OR=1.874,95％CI:1.206～2.914)and those who were unsure about whether to discontinue medication(OR=2.667,95％CI:1.364～5.214)had a higher probability of de-veloping complications.Conclusions A correlation was observed between patients' awareness of hypertension prevention and the occurrence of complications.Therefore,chronic disease prevention strategies at the primary care level should reorient their focus:while continuing to enhance patients' health knowledge,interventions must prioritize behavior modification as a core component.This can be achieved by developing actionable behavioral change plans and establishing multi-dimensional support and monitoring mechanisms to facilitate the translation of knowledge into concrete health actions,thereby improving the management of hypertension and reducing its com-plications.