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目的对沧州市农村居民高血压患者实施团队综合干预后效果进行分析,为农村地区探索有效的高血压防治模式提供参考依据。方法采用整群随机抽样方法抽取沧县纳入基本公共卫生服务项目规范管理满一年的500例患者为对象,实施为期一年的团队综合干预,对效果进行分析。结果干预后对成人血压正常值、高血压主要危险因素、高血压主要危害等10项相关知识知晓比例均高于干预前,差异有统计学意义(χ~2=37.24,78.61,90.20,302.04,381.43,91.71,90.97,225.33,296.41,279.45,P<0.01)。干预后规范服药比例、血压控制率高于干预前,差异有统计学意义(χ~2=76.95,36.22,P<0.01)。结论团队综合干预模式是提高沧州市农村居民高血压防治知识知晓水平,建立家庭合理饮食等健康生活行为,提高患者规范服药率和血压控制率的有效途径之一。
Objective To analyze the effect of comprehensive intervention of rural residents in rural residents in Cangzhou City to provide reference for exploring effective prevention and treatment of hypertension in rural areas. Methods A total of 500 randomized patients in Cangxian County, who were included in the basic public health service project for one year, were enrolled in this study. A one-year team intervention was carried out to analyze the effect. Results After the intervention, the awareness rate of 10 related knowledge such as the main risk factors of hypertension, major risk factors of hypertension and major hazard of hypertension were higher than those before intervention (χ ~ 2 = 37.24,78.61,90.20,302.04, 381.43, 91.71, 90.97, 225.33, 296.41, 279.45, P <0.01). The proportion of standardized medication after intervention, blood pressure control rate was higher than before intervention, the difference was statistically significant (χ ~ 2 = 76.95,36.22, P <0.01). Conclusion The team intervention model is one of the effective ways to improve the level of awareness of hypertension prevention and control among rural residents in Cangzhou and to establish healthy life behaviors such as family reasonable diet and to improve the rate of patients taking prescription drugs and controlling blood pressure.