高级检索
谢瑾. 社区高血压患者及高危人群综合干预效果评价[J]. 中国公共卫生, 2010, 26(3): 275-276. DOI: 10.11847/zgggws2010-26-03-10
引用本文: 谢瑾. 社区高血压患者及高危人群综合干预效果评价[J]. 中国公共卫生, 2010, 26(3): 275-276. DOI: 10.11847/zgggws2010-26-03-10
XIE Jin.. Community-based intervention of hyperten sion and its effect[J]. Chinese Journal of Public Health, 2010, 26(3): 275-276. DOI: 10.11847/zgggws2010-26-03-10
Citation: XIE Jin.. Community-based intervention of hyperten sion and its effect[J]. Chinese Journal of Public Health, 2010, 26(3): 275-276. DOI: 10.11847/zgggws2010-26-03-10

社区高血压患者及高危人群综合干预效果评价

Community-based intervention of hyperten sion and its effect

  • 摘要: 目的 探讨北京市社区高血压患者及其高危人群规范化管理及其效果。方法 以干预社区中自愿参与规范化管理的高血压患者及其高危人群作为干预对象,通过问卷调查、体格测量及血生化检查进行危险分层后,按照《中国高血压防治指南2005》进行随访和规范化管理。结果 高血压患者干预后的收缩压均值明显下降(Z=-7.624,P<0.001),舒张压均值也明显下降(Z=-6.717,P<0.001),均低于干预前;高血压患者干预后按医嘱规律服药率为68.9%,明显高于干预前的62.7%(χ2=7.538,P=0.006);高血压患者干预后每日吸烟率明显低于干预前(χ2=7.021,P=0.008)、饮酒率明显低于干预前(χ2=-7.280,P=0.007),而体力活动率明显高于干预前(χ2=8.959,P=0.003);干预后高血压患者对高血压危险因素等相关知识的知晓率明显提高;高血压高危人群的血压均值和相关知识知晓率经过干预均无明显改善。结论 干预后,社区高血压人群各项指标均有改善,规范化管理是降低高血压患者心脑血管病发病的重要措施。

     

    Abstract: Objective To study the community-based intervention of hypertension and its effects.Methods The hypertension patients who voluntarily participated the management in the community were divided into groups with different levels of risk factors according to the results of questionnaire investigation, physical examination and laboratory test.The participants were under two years management according to《China hypertension prevention and treahnent guideline, 2005》.Results(1)The average systolic blood pressure (SBP) of the patients was significantly decreased(Z=-7.624,P<0.001) and the diastolic blood pressure(DBP) was also significantly decreased (Z=-6.717, P<0.001).(2) The rate of taking medicine regularly was significantly higher than that of before the management(χ2=7.538, P=0.006).(3) The rate of smoking everyday was significantly lower than that of before the intervention (χ2=-7.021, P=0.008) and alcohol drinking was also significantly decreased (χ2=-7.280, P=0.007).The rate of physical activity was significantly increased (χ2=8.959, P=0.003).(4) Through the intervention, the awareness rate of risk factors of hypertension was significantly higher than that of before (5) There was no significant inprovement in SBP, DBP level and hypertention related know ledge rate among high risk group.Conclusion It is more effective to decrease incidence and mortality of cardio-cerebrovascular diseases by community-based management.

     

/

返回文章
返回