ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-03-001 综述 2026, 2(03): 1-4

社区高血压患者疾病感知现状及影响因素的研究进展

华中科技大学医院

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摘要

在社区慢性病管理中,高血压因其持续上升的患病率及其对心脑血管事件的显著影响而备受关注。患者对疾病的认知、情绪反应及行为倾向共同构成其疾病感知的核心内容,并深刻影响其治疗决策与日常管理行为。近年来,国内外学者围绕这一主题开展了广泛研究,现有证据表明社区高血压患者的疾病感知整体处于中等或偏低水平,在认知维度上普遍对疾病的病因、长期并发症及个体化管理目标存在认识不足或偏差;在情绪维度上则呈现两极分化趋势,部分患者因症状隐匿而忽视疾病风险,另一部分则因过度担忧并发症而产生焦虑情绪。因此,深入探讨其疾病感知特点及相关影响因素,对优化社区健康管理策略具有重要的实践价值。本文将围绕疾病感知现状、形成机制及研究进展进行系统综述,以期为社区高血压管理的精准化推进提供参考。

Abstract

In the management of chronic diseases in the community, hypertension has attracted much attention due to its continuously rising prevalence and significant impact on cardiovascular and cerebrovascular events. The patients' cognition of the disease, emotional response and behavioral tendency jointly constitute the core content of their disease perception and profoundly affects their treatment decisions and daily management behaviors. In recent years, scholars at home and abroad have carried out extensive research on this topic. The available evidence indicates that the illness perception of patients with hypertension in the community was generally at a moderate or low level, and there was generally insufficient cognition or cognitive deviation in the cognitive dimension of the etiology of the disease, long-term complications and individualized management goals. In the emotional dimension, there was a polarizing trend, some patients ignored the risk of disease because of the hidden symptoms, and the other group had significant anxiety due to excessive worry about complications. Therefore, an in-depth exploration of the disease perception characteristics and related influencing factors has important practical value for optimizing community health management strategies. This article conducts a systematic review on the current status, formation mechanism and research progress of disease perception, with the aim of providing a reference for the precise advancement of hypertension management in the community.

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[1]叶坤妃,冯丹,王伍姣.社区高血压患者疾病感知现状及影响因素的研究进展[J].疾病预防与控制,2026,2(03):1-4.