고혈압 환자의 혈압조절 관련요인

Abstract

This study was conducted to identify blood pressure control rate and related factors in hypertensive patients and to provide the basic data for the development of a hypertension management program. A convenience sampling of 268 hypertensive patients aged 40 or more in six senior centers, two branches of public health center, two welfare centers and a local market in Jeju Self-Governing Province were collected, using face to face survey with measuring blood pressure from the 26th of April to 11th of May, 2012. The collected data were analyzed by using t-test, χ²-test and univariate logistic regression with SPSS 18.0 Program.

The results of this study were as follows: 1. The mean rate of blood pressure control was 56.7%, and 53.2% and 58.1% in men and women respectively. 2. In regard to the behavior of hypertension management, medication compliance showed the highest point with 3.74 (±0.52), followed by no smoking 3.57 (±0.84), sleep and rest 2.75 (±0.86), stress management 2.72 (±0.70), low sodium diet 2.45 (±0.80), dietary habit 2.41 (±0.55), blood pressure measurement and record 2.20 (±0.53) and physical activity and weight control 1.95 (±0.86). 3. Difference in general and hypertension-related characteristics between uncontrolled group and controlled hypertension group showed significant differences by marital status (p=.002). 4. Difference in behavior of hypertension management between uncontrolled group and controlled hypertension group showed significant differences by low sodium diet (p=.033), stress management (p=.006) and sleep and rest (p=.002). 5. Subjects without spouses were 2.19 times more likely to control their blood pressures (p=.002). Whenever subjects came up 1 score in the low sodium diet score, they were 1.37 times more likely to control their blood pressures (p=.044). The possibility of blood pressure control rose 1.58 times per point in the stress management score (p=.011) and the sleep and rest score (p=.002). It was found that marital status, low sodium diet, stress management and sleep and rest is the most affecting factor on the blood pressure control. It is important to develop education and intervention program of lifestyle regarding low sodium diet, stress management and sleep and rest, in order to improve the blood pressure control.