目的 了解维持性血液透析合并高血压患者的家庭血压监测现状及影响因素。方法 2019 年 6-8 月对 681 例维持性血液透析合并高血压患者的家庭血压监测行为现状进行横断面调查，分析 规律监测家庭血压的影响因素。结果 患者家庭血压自测率为 61.1%，在家庭血压监测频率、测量时间、 重复测量次数、测量结果记录总体规范执行率分别为 76.5%、46.0%、31.4%和 15.3%。多因素 logistic 回归 分析显示，服用降压药物、吸烟、透析龄是患者规律监测家庭血压的影响因素。结论 维持性血液透析合 并高血压患者的家庭血压自测率总体较高，但多数患者的监测行为尚不规范。未服用降压药物、吸烟、长 透析龄的患者是家庭血压监测不规范的高危人群

Objective To investigate the current status and affecting factors of blood pressure monitoring at home in maintenance hemodialysis patients with hypertension. Methods From June 2019 to August 2019，a cross ⁃sectional survey on blood pressure monitoring at home was conducted in 681 maintenance hemodialysis patients with hypertension. The affecting factors of regular home blood pressure monitoring at home were analyzed. Results The rate of self⁃measurement at home was 61.1%。 The standard implementation rates of monitoring frequency，time to measurement，number of repeated measurement，and records of measurement results were 76.5%，46.0%，31.4% and 15.3% ，respectively. Multivariate logistic regression analysis showed that use of antihypertensive drugs was the affecting factor of regular measurement of blood pressure. Conclusions The self ⁃measurement rate of blood pressure was generally higher in maintenance hemodialysis patients with hypertension. However，the measurement was still lack of standardization in most of the patients. The patients who do not take antihypertensive drugs， smoke，and have prolong dialysis are at high risk for not monitoring home blood pressure normatively.