Abstract: Background　24-hour ambulatory blood pressure monitoring（ABPM） can reflect the fluctuation of blood pressure during the day，which is of great significance for the diagnosis，treatment，prognosis and research of hypertension.However，it is still not widely used in residents.Objective　To examine the acceptance and associated factors of 24-hour ABPM in hypertensive patients，providing recommendations for the promotion of 24-hour ABPM in patients with standardized hypertension management.Methods　This study was conducted from June to July 2018.Participants were hypertensive patients receiving management services from Jinshan Industrial Park Community Health Center selected by convenience sampling，including 169 who received 24-hour ABPM service in the past year，and 169 hypertensive patients did not.Historical data were collected.And a questionnaire survey was used to obtain both groups' knowledge about hypertension，behavioral risk factors for hypertension，current clinical manifestations and related treatments，and attitudes toward 24-hour ABPM.Logistic regression was used to determine the factors associated with the acceptance of 24-hour ABPM.Results　Patients receiving 24-hour ABPM reported that 24-hour ABPM devices were not convenient to carry and operate，and they were not sure whether such monitoring was beneficial to blood pressure control，and they were less willing to continue to undergo 24-hour ABPM.Those not receiving 24-hour ABPM service reported that they did not receive this service mainly due to inconvenience〔58.6%（99/169）〕，having no need of such service because of owning normal blood pressure〔30.2%（51/169）〕，or having no time〔25.4%（43/169）〕.Patients' understanding of diagnostic criteria，treatment methods and treatment options for hypertension，grandfather/grandfather history of hypertension，frequency of mental stress，whether or not to carry out body mass control，and hypertension-related symptoms were associated with the acceptance of 24-hour ABPM.Conclusion　Recommended facilitation strategies are as follows：providing patient education about 24-hour ABPM from perspectives of hypertensive knowledge，daily behavioral habits associated with hypertension，clinical manifestations and treatment of hypertension，and simplifying the operating procedure of 24-hour ABPM devices.

Key words: Blood pressure detemination；Blood pressure monitoring, ambulatory；Patient acceptance of health care；Root cause analysis

摘要： 背景　动态血压监测能够反映一天中血压的波动，对高血压的诊断、治疗、预后和研究具有重要意义。但还未在广大居民中普及。目的　明确对24 h动态血压监测接受情况的影响因素，为24 h动态血压监测在规范管理高血压患者中的推广提供建议。方法　于2018年6—7月，调取上海市金山工业区社区卫生服务中心过去1年中接受过24 h动态血压监测的在管高血压患者169例，对其进行历史资料调取和问卷调查。同期，采用方便抽样法，按1∶1的比例选择不接受24 h动态血压监测的在管高血压患者169例。调查两组患者对高血压相关知识了解情况、高血压的相关行为危险因素、目前临床表现及相关治疗手段、对24 h动态血压监测的态度。采用Logistic回归分析患者是否接受24 h动态血压监测的影响因素。结果　169例接受24 h动态血压监测的患者表示，24 h动态血压监测不太方便携带和操作、对其是否有利于自身血压控制也不太赞同，也并不十分愿意继续佩戴仪器进行血压监测。169例不接受24 h动态血压监测的患者表示，不接受24 h动态血压监测的最主要原因是不方便〔58.6%（99/169）〕、血压正常无需佩戴〔30.2%（51/169）〕及没时间〔25.4%（43/169）〕。患者对高血压诊断标准、高血压治疗方法及治疗方案考虑因素的了解情况、祖父/外祖父有无高血压病史、精神紧张频率、有无进行体质量控制及高血压相关症状是高血压患者对24 h动态血压监测是否接受的主要影响因素（P<0.05）。结论　可从患者对高血压知识的了解、日常行为习惯、临床表现和治疗等影响因素方面对患者进行动态血压监测宣教普及，以及从简化动态血压监测操作等方面进行24 h动态血压监测推广的改进。

关键词: 血压测定；血压监测, 便携式；病人接受卫生保健的程度；影响因素分析