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[目的]探讨社区干预对高血压病治疗的作用,以减少高血压病对社区人群的危害,增进人们健康。[方法]以广州市黄埔区鱼珠街社区卫生服务中心建卡管理的454例高血压病病人为研究对象,经过一年社区干预后,比较进行行为干预前的高血压病治疗的有效率及年平均住院次数和行为干预后的高血压病治疗的有效率及年平均住院次数。[结果]454例高血压病病人,行为干预前,有效167例,无效287例,总有效率为36.78%;进行行为干预后,有效302例,无效152例,总有效率为66.50%;两种方法有高度显著性差异(P<0.01)。行为干预前,年平均住院次数为25次,住院率是5.51%;进行行为干预后,年平均住院次数为11次,住院率是2.42%;两种方法有显著性差异(P<0.05)。[结论]行为干预对高血压病的治疗有较好的作用。应与药物治疗结合起来防治高血压病,在社区中积极开展行为干预即社区健康教育,健康促进及危险因素的干预,以提高人们的健康水平和生活质量,降低高血压病对社区人群的危害。
[Objective] To explore the effect of community intervention on the treatment of hypertension in order to reduce the harm of hypertension to the community population and enhance people’s health. [Method] Taking 454 hypertensive patients under construction card management in Yuzhu Street Community Health Service Center of Huangpu District of Guangzhou City as the object of study, after a year of community intervention, the efficiency of treatment of hypertension before behavioral intervention and The average annual number of hospitalizations and the effective rate of treatment for hypertension after behavioral intervention and the annual average number of hospitalizations. [Results] Among 454 hypertensive patients, 167 cases were effective and 287 cases were ineffective before the intervention. The total effective rate was 36.78%. After behavioral intervention, 302 cases were effective and 152 cases were ineffective with a total effective rate of 66.50%. Two There was a highly significant difference between the methods (P <0.01). Before the behavioral intervention, the annual average number of hospitalizations was 25 and the hospitalization rate was 5.51%. After performing behavioral interventions, the annual average number of hospitalizations was 11 and the hospitalization rate was 2.42%. There was a significant difference between the two methods (P <0.05). [Conclusion] Behavior intervention has a good effect on the treatment of hypertension. Should be combined with drug treatment to prevent and treat hypertension, active intervention in community is community health education, health promotion and risk factors in order to improve people’s health and quality of life and reduce the risk of hypertension in the community population .