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目的:探索农民高血压防治策略,提高农民生活质量。方法:通过基线调查、综合干预、现场评估等手段,评价农村社区高血压患者的随访干预效果。结果:干预后,10.41%的患者血压降至正常水平,1级、2级、3级高血压病人比例明显下降;规律药物治疗率由13.04%提高到36.35%,不规律服药和不服药患者比例下降明显;患者饮酒和饮食口味偏咸等生活习惯分别由42.81%、36.29%下降至32.08%、26.79%,适量运动比例由31.44%上升到40.10%;每年至少测量1次血压由57.36%上升至99.32%,认为缺少运动、精神紧张、大量饮酒和吃盐多是高血压危险因素的知晓率分别由21.74%、26.59%、41.81%和22.41%上升至28.67%、32.25%、49.32%和32.08%。干预前后各项指标比较有统计学意义。结论:随访干预对高血压患者的血压控制效果显著,对高血压综合防治具有积极意义,是值得全面推广的防治策略。
Objective: To explore peasant hypertension prevention and control strategies to improve the quality of life of peasants. Methods: By means of baseline survey, comprehensive intervention and on-site assessment, the effect of follow-up intervention in rural community hypertensive patients was evaluated. Results: After the intervention, the blood pressure of 10.41% of patients dropped to the normal level, and the proportion of grade 1, grade 2 and grade 3 hypertension decreased significantly. The rate of regular drug treatment increased from 13.04% to 36.35%. The proportion of irregular medication and non-medication Decreased significantly from 42.81% and 36.29% to 32.08% and 26.79% respectively, and the proportion of moderate exercise increased from 31.44% to 40.10%; the blood pressure measured at least once a year increased from 57.36% to 99.32%. The awareness rates of lack of exercise, mental stress, heavy drinking and eating more salt were the risk factors of hypertension increased from 21.74%, 26.59%, 41.81% and 22.41% to 28.67%, 32.25%, 49.32% and 32.08% respectively, . The indicators before and after intervention were statistically significant. CONCLUSION: Follow-up intervention has significant effect on the control of blood pressure in hypertensive patients and has positive significance for the prevention and control of hypertension. It is a strategy worthy of comprehensive promotion.