Survey on KAP of Patients with Hypertension in Urban and Rural Areas in Chronic Disease Management System of Chongqing

doi:10.12114/j.issn.1007-9572.2018.34.021

Abstract

Abstract: Objective　To know and analyze the status of knowledge，attitude，and practice（KAP） of patients with hypertension in urban and rural areas in chronic disease management system of Chongqing，so as to provide some suggestions for prevention and treatment of hypertension in the future.Methods　Multistage stratified random sampling was employed to select a total of 900 patients with hypertension in three districts and counties in Chongqing from July to December 2017，and a self-made questionnaire including general characteristics and survey of KAP was used.Comparison of knowledge，attitude and practice between patients with hypertension in urban and rural areas in chronic disease management system was analyzed by chi-square test and Wilcoxon rank sum test.Results　A total of 831 effective questionnaires were collected，including 421 rural patients and 410 urban patients.The passing rate of knowledge，attitude and practice survey of hypertensive patients in urban areas were significantly higher than those in rural areas（P<0.05）.The overall and individual score of KAP survey of hypertension patients in urban areas were significantly higher than those in rural areas（P<0.05）.Conclusion　The status of KAP of patients with hypertension in urban areas in the chronic disease management system is better than those in rural areas in Chongqing，yet the overall level of KAP in both areas should be improved.We should give full play to medical staff to carry out the prevention and treatment of hypertension by adopting different health education methods for hypertensive patients in urban and rural areas.

Key words: Hypertension；Health knowledge, attitudes, practice；Urban and rural areas

摘要： 目的　了解重庆市慢性病管理系统中城乡高血压患者的知识-态度-行为（KAP）情况，并分析其差异，为今后高血压防治工作提供参考及建议。方法　2017年9—12月采用多阶段分层随机抽样的方法，选择重庆市3个区（县）慢性病管理系统中的城乡高血压患者900例为调查对象，采用包括个人一般情况及KAP问卷的自制问卷进行调查，采用χ2检验和Wilcoxon秩和检验比较慢性病管理系统中城乡高血压患者知识、态度、行为的差异。结果　回收有效问卷831份，其中农村患者421例，城镇患者410例。城镇高血压患者知识、态度、行为的及格率均高于农村高血压患者，差异有统计学意义（P<0.05）；城镇高血压患者知识、态度、行为得分及KAP总分均高于农村高血压患者，差异有统计学意义（P<0.05）。结论　重庆市慢性病管理系统中城镇高血压患者的KAP水平优于农村，但两地区总体KAP水平均有待提高。应充分发挥医务人员的重要作用，对城乡高血压患者采取不同的健康教育方式开展高血压防治工作。

关键词: 高血压；健康知识, 态度, 实践；城乡

XIAO Meng,SUN Zhenxing,XIANG Hui, et al. Survey on KAP of Patients with Hypertension in Urban and Rural Areas in Chronic Disease Management System of Chongqing　[J]. Chinese General Practice, 2018, 21(34): 4266-4271. DOI: 10.12114/j.issn.1007-9572.2018.34.021.
肖梦,孙振兴,向辉等. 重庆市慢性病管理系统中城乡高血压患者知识-态度-行为的调查研究[J]. 中国全科医学, 2018, 21(34): 4266-4271. DOI: 10.12114/j.issn.1007-9572.2018.34.021.

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