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[目的]提高社区居民及高血压患者的自我保护意识,探索实际有效的高血压社区防治模式。[方法]2004年12月至2006年12月,对淄博市周村区某街道60岁以上老年高血压患者实施系统的健康教育干预,比较干预前后患者的高血压认知水平、卫生行为和血压控制程度。[结果]调查高血压患者183例。高血压知识得分,干预前为15.78±5.04分,干预后为21.67±2.84分(P<0.01);低盐摄入、不吸烟或已戒烟、不饮酒或已戒酒、经常运动、规则服药者所占比例,干预前分别为19.12%、58.46%、60.11%、28.42%、16.94%,干预后分别为60.26%、72.85%、80.79%、61.59%、86.09%(P<0.01);收缩压与舒张压,干预前分别为154.20±10.54 mmHg、95.61±9.83 mmHg,干预后分别为133.05±10.36 mmHg、83.42±8.02 mmHg(P<0.01)。[结论]社区健康教育干预对于提高老年高血压患者的高血压相关知识水平,改变危险行为,降低血压有一定效果。
[Objective] To improve the self-protection consciousness of community residents and hypertensive patients, and to explore practical and effective hypertension prevention and control model. [Methods] From December 2004 to December 2006, systematic health education intervention was conducted on elderly hypertensive patients over the age of 60 in a street of Zhoucun District, Zibo City. The levels of cognition of hypertension, health behaviors and blood pressure were compared between before and after intervention Degree of control. [Results] 183 hypertensive patients were investigated. Hypertension knowledge score was 15.78 ± 5.04 before intervention and 21.67 ± 2.84 after intervention (P <0.01); low salt intake, no smoking or had quit, no alcohol or alcohol, regular exercise, regular medication The proportions were 19.12%, 58.46%, 60.11%, 28.42% and 16.94% respectively before intervention and 60.26%, 72.85%, 80.79%, 61.59% and 86.09% respectively after intervention (P <0.01) The diastolic blood pressure before intervention was 154.20 ± 10.54 mmHg and 95.61 ± 9.83 mmHg, respectively, which were respectively 133.05 ± 10.36 mmHg and 83.42 ± 8.02 mmHg after intervention (P <0.01). [Conclusion] The intervention of community health education has the certain effect to improve the knowledge about hypertension, change the risk behavior and lower the blood pressure in elderly hypertensive patients.