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[目的]评价高血压患者社区综合干预效果。[方法]2006年,抽取乌鲁木齐市青年路街道办事处新民路西社区确诊的235例高血压患者,进行为期1年的综合干预,评价有关指标的变化情况。[结果]235例高血压患者中,接受为期1年综合干预的222例,治疗率干预前后分别为80.00%、88.74%(P<0.05);显效控制率、有效控制率,干预前分别为27.23%、27.23%,干预后分别为50.90%、60.81%(P<0.01);平均收缩压、平均舒张压干预前后分别为(146.46±19.75)mmHg、(84.37±13.43)mmHg,(132.89±13.28)mmHg、(75.87±7.98)mmHg(P<0.01);干预前后吸烟率、饮酒率分别为11.91%、11.26%,7.66%、4.05%(P>0.05)。运动参与率干预前后分别为68.94%、79.28%(P<0.05)。膳食清淡者所占比例干预前后分别为28.51%、49.10%(P<0.01)。干预后限盐勺使用率为62.16%,每日食用食盐量<6 g者占94.90%。[结论]对高血压患者开展的社区综合干预效果显著,应研究有效提高良好行为形成率的措施。
[Objective] To evaluate the effect of community-based intervention in hypertensive patients. [Method] In 2006, 235 hypertensive patients diagnosed in Xinmin Road West Community Office of Qingnian Road Subdistrict Office of Urumqi were selected for a one-year comprehensive intervention to evaluate the changes of relevant indicators. [Results] Of the 235 hypertensive patients, 222 cases received comprehensive one-year intervention. The treatment rates were 80.00% and 88.74% respectively before and after intervention (P <0.05). The effective control rate and effective control rate were 27.23 % And 27.23%, respectively. The average systolic blood pressure and mean diastolic blood pressure were (146.46 ± 19.75) mmHg, (84.37 ± 13.43) mmHg and (132.89 ± 13.28) mmHg respectively before and after intervention were 50.90% and 60.81% mmHg and (75.87 ± 7.98) mmHg respectively (P <0.01). The smoking and drinking rates before and after intervention were 11.91%, 11.26%, 7.66% and 4.05%, respectively (P> 0.05). The participation rate of exercise was 68.94% and 79.28% respectively before and after intervention (P <0.05). The proportion of light meal before and after intervention were 28.51% and 49.10% respectively (P <0.01). After the intervention limit salt spoon usage was 62.16%, daily consumption of salt <6 g were 94.90%. [Conclusion] The comprehensive community intervention in patients with hypertension has significant effects. Measures to effectively improve the rate of good behavior should be studied.