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To explore the impact of follow-up management on blood pressure control in hypertensive patients in Sichuan Province, so as to improve the blood pressure control rate in the population.
Based on the data of the Seventh National Health Service Survey in Sichuan province, 3 587 hypertensive patients were included. Descriptive statistical analysis was used to analyze the follow-up management situation, demographic characteristics, lifestyle behaviors and health status of patients. Combined with the multivariate logistic regression model, the follow-up management factors affecting blood pressure control were explored.
The blood pressure control rate was 68.9%. Among the effectively controlled patients, the rate of taking medications regularly as prescribed was 84.6%, the proportion of those with a follow-up frequency of ≥4 was 71.4%, and the rate of family doctor-signed home visits was 48.1%. Among the patients not effectively controlled, the rate of taking medications regularly as prescribed was 73.4%, the proportion of those with a follow-up frequency of ≥4 was 67.6%, and the rate of family doctor-signed home visits was 45.2%. Multivariate Logistic regression analysis showed that not taking medications regularly as prescribed (OR=1.742, 95%CI:1.453-2.089), a follow-up frequency of <4 (OR=1.287, 95%CI: 1.057-1.567) and other follow-up methods (OR=1.286, 95%CI:1.092-1.516) had significant negative impacts on the blood pressure control effect of patients.
Follow-up management of hypertension is beneficial to blood pressure control. The follow-up frequency should be optimized, drug compliance should be improved, and the interaction between the signed doctor and the patient should be enhanced.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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