曾涌, 唐国强. 重庆市主城地区高血压急症院前急救延迟时间的影响因素分析[J]. 上海预防医学, 2022, 34(7): 687-692. DOI: 10.19428/j.cnki.sjpm.2022.21802
引用本文: 曾涌, 唐国强. 重庆市主城地区高血压急症院前急救延迟时间的影响因素分析[J]. 上海预防医学, 2022, 34(7): 687-692. DOI: 10.19428/j.cnki.sjpm.2022.21802
ZENG Yong, TANG Guoqiang. Influencing factors associated with delayed time in pre-hospital emergency medical care for hypertensive emergency in the main urban area of Chongqing[J]. Shanghai Journal of Preventive Medicine, 2022, 34(7): 687-692. DOI: 10.19428/j.cnki.sjpm.2022.21802
Citation: ZENG Yong, TANG Guoqiang. Influencing factors associated with delayed time in pre-hospital emergency medical care for hypertensive emergency in the main urban area of Chongqing[J]. Shanghai Journal of Preventive Medicine, 2022, 34(7): 687-692. DOI: 10.19428/j.cnki.sjpm.2022.21802

重庆市主城地区高血压急症院前急救延迟时间的影响因素分析

Influencing factors associated with delayed time in pre-hospital emergency medical care for hypertensive emergency in the main urban area of Chongqing

  • 摘要:
    目的 调查和分析重庆主城地区高血压急症患者院前急救延迟时间的影响因素。
    方法 选取重庆主城地区1 246例高血压急症患者(2018年3月—2021年8月),调查院前急救延迟时间分布,采用多元线性回归模型分析院前急救延迟时间的影响因素。
    结果 高血压急症患者院前急救延迟时间集中在0~12 h,平均延迟时间为(5.89±1.96) h;性别、年龄、心房颤动史、合并糖尿病、文化水平、发病时间、转运方式、高血压急症知晓情况、发病时血压水平、急症发作时是否有人员在场不同情况下患者院前延迟时间比较,差异有统计学意义(P<0.05)。多元线性回归分析表明,文化水平、发病时间、发病时血压水平、高血压急症知晓情况、发病时人员在场与高血压急症患者院前延迟时间延长呈线性相关(P<0.05)。
    结论 重庆主城地区高血压急症患者受文化水平、发病时间、发病时血压水平、高血压急症知晓情况、发病时人员在场等因素影响普遍存在一定程度院前急救延迟现象,应尽早完善急救干预措施,以减少院前延迟,提高急救效率。

     

    Abstract:
    Objective To investigate the influencing factors associated with delayed time in pre-hospital emergency medical care in patients with hypertensive emergency in the main urban area of Chongqing.
    Methods A total of 1 246 patients with hypertension in the main urban area of Chongqing from March 2018 to August 2021 were included in this study. The delayed time in the pre-hospital emergency medical care was determined. A multivariate linear regression model was used to analyze the influencing factors.
    Results The delayed time in the pre-hospital emergency medical care for the patients with hypertensive emergency was concentrated in 0‒12 h, with the average of (5.89±1.96) h. The delayed time differed significantly by gender, age, history of atrial fibrillation, diabetes, educational level, time of onset, mode of transportation, awareness of hypertensive emergency, blood pressure at the onset, and presence of persons at the onset of emergency (P<0.05). Multivariate linear regression analysis showed that educational level, time of onset, blood pressure at the onset, awareness of hypertensive emergency, presence of persons at the onset were linearly correlated with delayed time in the pre-hospital medical care for hypertensive emergencies (P<0.05).
    Conclusion Delay in pre-hospital medical care is prevalent for patients with hypertensive emergency in the main urban area of Chongqing. The delayed time is associated with multiple factors, such as educational level, time of onset, blood pressure at onset, awareness of hypertensive emergency, and presence of persons at onset. It warrants further improvement in the interventions to reduce the delay in the pre-hospital medical care.

     

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