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예방의학회지 = Korean journal of preventive medicine v.36 no.3, 2003년, pp.289 - 297   피인용횟수: 7

지역사회 고혈압 환자에서 고혈압 조절 및 항고혈압제 복용에 관련된 요인
Factors Associated with Hypertension Control and Antihypertensive Medication among Hypertensive Patients in a Community

이동한   (연세대학교 의과대학 예방의학교실UU0000936  ); 최연희   (경북대학교 치과대학 예방치과학교실UU0000096  ); 이강희   (한국엠에스디주식회사CC0007856  ); 강대룡   (연세대학교 의과대학 예방의학교실UU0000936  ); 지선하   (연세대학교 보건대학원UU0000936  ); 남정모   (연세대학교 의과대학 예방의학교실UU0000936  ); 서일   (연세대학교 의과대학 예방의학교실UU0000936  );
  • 초록

    Objectives : The main objectives of this study are to identify the factors associated with hypertension control and to determine the influencing factors associated with antihypertensive therapy. Methods : The study was conducted on 107 subjects who participated in the 1999 and 2002 Gwacheon Study and who had had uncontrolled hypertension (systolic $\geq$ 140 or diastolic $\geq$ 90mmHg) in 1999, We compared the characteristics of the controlled and uncontrolled hypertensive group and investigated the characteristics of those taking antihypertensive medication. Univariate associations between hypertension control and its characteristics and the association between antihypertension treatment and its characteristics were tested with $x^2$ -test. We also peformed logistic regression analysis. Results : The participants who had their blood pressure checked within 6 months before their first measurement and those who had taken the antihypertensive medication showed significantly better hypertension control during the follow-up. The multivariate analysis showed that baseline antihypertensive therapy was the most important determinant factor of hypertension control during the follow-up. Socioeconomic level and life style did not affect hypertension control when controlled by the treatment variable in this study. The factors associated with antihypertensive therapy at follow-up were previous antihypertensive therapy, old age, and high educational level. Conclusions : Those who received antihypertensive therapy and those who had their blood pressure re-checked within 6 months both showed well controlled hypertension. The subjects with high educational level complied well with the antihypertensive regimen, but those in their forties did not.


  • 주제어

    Hypertension .   Fellow-up studios .   Preventive medicine .   Community medicine.  

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  • 이 논문을 인용한 문헌 (7)

    1. Chun, Sung-A ; Na, Baeg-Ju ; Kim, Chul-Woung ; Lee, Moo-Sik 2008. "The Effect of Re-building of Public Health Facilities on the Hypertension Control in the Rural Area" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 33(1): 37~45     
    2. Park, Jeong-Sook ; Kwon, Young-Sook ; Oh, Yun-Jung 2009. "The Comparison of Variables between Therapy Continuity Group and Therapy Discontinuity Group of Patients With Hypertension and Diabetes in Daegu Initiative" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 26(2): 135~148     
    3. Jang, Hyo-Soon ; Hyoung, Hee-Kyoung ; Kim, Kyoung-Huy 2009. "Comparison of Health-related Characteristics and Self-care Behavior between a Hypertension Controlled Group and a Non-Controlled Group of Hypertension Patients in a Customized Home Visiting Health Service" 지역사회간호학회지 = Journal of korean academy of community health nursing, 20(4): 483~492     
    4. Son, Kyung-Ae ; Kim, Yoon-Shin ; Hong, Min-Hee ; Jeong, Mi-Ae 2010. "Analysis of the medication compliance of hypertensives and its influential factors" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 11(5): 1897~1904     
    5. Huh, Soon-Im ; Lee, Sue-Hyung 2011. "Unmet Health Care Needs and Associated Factors among Patients with Hypertension and Those with Diabetes in Korea" 보건행정학회지 = Korean journal of health policy and administration, 21(1): 1~22     
    6. Lee, Hyung-Min ; Kim, Yu-Mi ; Lee, Cheol-Heon ; Shin, Jin-Ho ; Kim, Mi-Kyung ; Choi, Bo-Youl 2011. "Awareness, Treatment and Control of Hypertension and Related Factors in the Jurisdictional Areas of Primary Health Care Posts in a Rural Community of Korea" Journal of preventive medicine and public health = 예방의학회지, 44(2): 74~83     
    7. Ko, Yeong Ju ; Park, Eunok 2013. "Factors Related to Blood Pressure Control in Hypertensive Patients in Jeju Province" 韓國保健看護學會誌 = Journal of Korean public health nursing, 27(2): 267~279     

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