Study on the status quo and influencing factors of self-management of hypertension patients contracted by community of Shenzhen

XIANG Ruixuan; XU Hui; LUO Nana; PENG Weiqun; DING Xiaorong; LAI Wenjuan; LIU Chunmei; WANG Qun

doi:10.3969/j.issn.1671-315x.2024.11.006

Abstract：Objective To explore the status quo and influencing factors of self-management of hypertensive patients contracted by community,and to provide reference for further improving the level of self-management of patients.Methods A total of 1 140 hypertensive patients were selected from 10 community health service centers in 6 administrative districts of Shenzhen City from January 2021 to December 2023.General information,self-management ability of hypertensive patients,attitude and belief in hypertension treatment were investigated by questionnaire.The status quo and influencing factors of self-management were analyzed.Results The self-management score of the hyperten-sion patients was(66.18±8.83),the score of treatment attitude and belief scores was(70.17±10.53).Pearson correlation analysis showed that the score of treatment attitude and belief were positively correlated with the score of self-management ability in community-contracted hypertension patients(r=0.490,P＜0.01).The results of multiple linear regression analysis further showed that gender,educational level,the history of hypertension,signing time with family doctor,treatment attitude and belief were the influential factors of self-management of com-munity hypertension patients(P＜0.05).Conclusion There is still room for improvement in the self-management ability of hypertensive pa-tients who signed community contracts.Managers of primary healthcare institutions should evaluate the self-management status of patients based on their gender,educational level,the history of hypertension,signing time with family doctor,treatment attitude and beliefs,and adopt targeted intervention strategies to effectively improve patients'self-management ability.