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目的评价以社区为基础对高血压患者实行多因素干预的效果。方法对2009至2010社区高血压患者采用建档管理、饮食指导、行为干预、随访及健康教育的措施对550例高血压患者实施干预,并比较干预前后高血压患者的管理率、治疗率、控制率,高血压病知识的知晓率、不良生活行为改变率进行干预前后的比较及效果评价。结果经社区干预后,高血压患者生活方式改善,提高了高血压患者的高血压相关知识知晓率、治疗率及控制率分别由干预前的46.8%、73.6%、47.2%上升为95.4%、86.8%、74.8%;高血压相关知识知晓率显著提高(P<0.01);干预后居民除饮酒外,其他不良生活行为明显改变,尤其在限盐饮食方面更为突出。结论对高血压病患者实行分级管理,综合个体化干预可作为社区高血压人群的防治措施及管理模式。
Objective To evaluate the effect of community-based multi-factor intervention on hypertensive patients. Methods A total of 550 hypertensive patients were enrolled in this study. The management rate, treatment rate and control of hypertensive patients before and after intervention were compared between the two groups in terms of file management, dietary guidance, behavior intervention, follow-up and health education. Rate of awareness of knowledge of hypertension, the rate of change of adverse life behavior intervention before and after the comparison and effectiveness evaluation. Results After community intervention, lifestyle improvement of hypertensive patients improved the awareness of hypertension-related knowledge, and the rates of treatment and control increased from 46.8%, 73.6% and 47.2% before intervention to 95.4% and 86.8% respectively %, 74.8% respectively. The awareness rate of hypertension-related knowledge increased significantly (P <0.01). After the intervention, residents had significantly changed their unhealthy life behaviors, especially in salt-restricted diet. Conclusion Hierarchical management of patients with hypertension, integrated individualized interventions can be used as community-based prevention and treatment of hypertension and management mode.