摘要
目的探讨老年高血压患者频繁就医原因分析及影响多因素Logistic回归分析。方法选择2019年5月至2022年2月老年高血压患者148例为对象,统计入组患者频繁就医次数,并采用自拟调查问卷对老年高血压患者频繁就医原因进行分析。根据患者是否频繁就医分为频繁就医组和非频繁就医组。查阅两组患者的临床资料,对可能因素完成单因素及多因素分析。结果148例老年高血压患者经自拟调查问卷确定频繁就医患者34例,占22.97%。频繁就诊原因排在前三位分别为:家庭原因、心理因素及疾病因素,分别占38.24%、26.47%和23.53%;单因素及多因素分析结果表明:年龄(β=1.213,OR=3.582,95%CI=2.482-6.313)、饮酒吸烟(β=1.563,OR=6.413,95%CI=5.682-8.452)、遵医用药(β=1.454,OR=4.083,95%CI=3.235-4.572)、饮食指导(β=2.934,OR=1.034,95%CI=0.283-4.394)、体育锻炼(β=1.691,OR=1.593,95%CI=1.241-1.786)、定期血压监测(β=1.336,OR=1.246,95%CI=0.987-1.583)均为老年高血压患者频繁就医的危险因素(P<0.05)。结论老年高血压患者频繁就医原因与疾病因素、家庭因素等有关,应针对可能影响因素制定干预对策,降低患者就医率。
Objective To explore the analysis of the reasons for frequent medical treatment in elderly hypertensive patients and the impact of multiple logistic regression analysis.Method 148 elderly hypertensive patients from May 2019 to February 2022 were selected as the subjects,and the frequency of frequent medical treatment for the enrolled patients was counted.A self-designed questionnaire was used to analyze the reasons for frequent medical treatment for elderly hypertensive patients.According to whether patients frequently seek medical treatment,they are divided into frequent medical treatment group and non frequent medical treatment group.Review the clinical data of two groups of patients and complete univariate and multivariate analysis of possible factors.Result Among 148 elderly hypertensive patients,34 patients(22.97%)were identified as frequently seeking medical treatment through a self-designed questionnaire.The top three reasons for frequent medical visits are family factors,psychological factors,and disease factors,accounting for 38.24%,26.47%,and 23.53%respectively;The results of single and multiple factor analysis indicate that age(β=1.213,OR=3.582,95%CI=2.482-6.313),drinking and smoking(β=1.563,OR=6.413,95%CI=5.682-8.452),medication adherence(β=1.454,OR=4.083,95%CI=3.235-4.572),dietary guidance(β=2.934,OR=1.034,95%CI=0.283-4.394),physical exercise(β=1.691,OR=1.593,95%CI=1.241-1.786),regular blood pressure monitoring(β=1.336,OR=1.246,95%CI=0.987-1.583)are all risk factors for frequent medical treatment in elderly hypertensive patients(P<0.05).Conclusion The frequent medical seeking reasons for elderly hypertensive patients are related to disease factors,family factors,etc.Intervention strategies should be developed based on possible influencing factors to reduce the patient's medical seeking rate.
作者
万云风
WAN Yunfeng(Department of Internal Medicine,the Second People's Hospital of Dongxiang District,Fuzhou City,Fuzhou 331812,China)
出处
《中国医药指南》
2023年第24期127-129,共3页
Guide of China Medicine
