论文部分内容阅读
目的通过对北京市怀柔区农村社区高血压患者的综合干预效果观察,探讨农村社区高血压防治模式。方法于2006年对怀柔某农村社区经基线调查确诊的高血压患者进行为期1a的社区综合干预(健康教育、行为干预、药物治疗和定期随访等),对患者进行干预前、后问卷调查和医学体检,评价其干预效果。结果参加社区高血压综合干预的高血压患者193例,其中男性84例,女性109例,平均年龄(57.61±10.24)岁。在高血压诊断标准、危险因素、主要损害器官、高血压不能根治、服降压药感觉良好后仍需坚持用药等知识知晓率方面干预前后差别均有统计学意义(P<0.05)。对控制体重、限制食盐、增加运动、限制饮酒、戒烟等非药物治疗的使用率均上升,除戒烟外,其余干预前后差别有统计学意义(P<0.01)。干预后高血压患者复查率、药物治疗率和控制率较干预前分别提高了10.88%,6.74%和10.37%,其中干预前后复查率和控制率差别有统计学意义(P<0.05)。结论针对农村社区高血压患者健康状况,对患者进行定期随访、改变不良生活习惯、开展健康教育等社区高血压综合干预,对提高患者高血压知识知晓率、非药物治疗依从性及血压控制率等具有重要意义。
Objective To observe the effect of comprehensive intervention on hypertensive patients in rural communities in Huairou District of Beijing to explore the prevention and treatment of hypertension in rural communities. Methods A comprehensive community-based intervention (health education, behavioral intervention, drug treatment and regular follow-up) was conducted on hypertensive patients confirmed by baseline survey in a rural community in Huairou in 2006. Before and after the intervention, the questionnaire and medical Physical examination, evaluation of the intervention effect. Results A total of 193 hypertensive patients participated in community hypertension intervention, including 84 males and 109 females, with an average age of 57.61 ± 10.24 years. There were significant differences in the diagnostic criteria before and after the intervention (P <0.05) in the diagnostic criteria of hypertension, the risk factors, the main organ damage, the inability to cure the hypertension, the persistence of knowledge on the medication after taking the antihypertensive drugs. The use of non-drug treatment such as weight control, salt restriction, increased exercise, restriction of alcohol consumption, and smoking cessation were all increased, with the exception of smoking cessation. The differences were statistically significant before and after the other interventions (P <0.01). The intervention rate of hypertension, drug treatment and control rates were increased by 10.88%, 6.74% and 10.37% respectively after intervention. The difference between the two groups before and after intervention was statistically significant (P <0.05). Conclusions Aiming at the health status of hypertension patients in rural community, regular follow-up of patients, changing bad habits and carrying out community-based hypertension intervention such as health education are helpful to improve knowledge of hypertension, non-drug treatment compliance and blood pressure control rate It is of great significance.