CAJ | 학술논문

目的评价山东省中西部地区农村居民高血压相关知识的健康教育干预效果.方法2007-2010年,在山东省中西部农村地区开展为期3年的慢性病控制项目.基线调查于2007年4月进行,按照多阶段随机抽样的方法,选取山东省中西部的8个县(市、区),对年龄≥25岁的常住居民(20 087名)进行高血压与饮食、吸烟、肥胖有无关系的知识调查.干预期间对干预人群进行合理膳食、控制体重和控烟等为核心内容的健康教育.终期评估调查于2010年10月进行,在8个县抽取干预组(4071名)和对照组(2145名)进行相同的调查,对照组来自非干预人群.2007年基线调查作为2010年干预组和对照组共同的基线资料.通过比较干预前后高血压相关知识的变化了解干预效果.结果高血压与饮食的关系的知晓率由2007年基线的34.0％ (6830/20 087)上升到2010年干预组的69.3％ (2821/4071)(x2=1757.30,P＜0.01)和2010年对照组的44.8％(961/2145)(x2=99.30,P＜0.0l)；高血压与吸烟关系的知晓率由2007年基线的25.6％(5142/20087)上升到2010年干预组的55.2％ (2247/4071)(X2=1396.59,P＜0.01)和2010年对照组的30.9％ (662/2145)(x2=27.83,P＜0.01)；高血压与肥胖关系的知晓率由2007年基线的37.2％(7472/20087)上升到2010年干预组的68.3％ (2780/4071)(x2=1339.27,P＜0.01)和2010年对照组的45.1％ (967/2145)(x2 =51.14,P＜0.01).结论健康教育等综合干预措施可以明显提高山东中西部地区农村居民高血压相关知识知晓率.
목적 평개산동성중서부지구농촌거민고혈압상관지식적건강교육간예효과.방법2007-2010년,재산동성중서부농촌지구개전위기3년적만성병공제항목.기선조사우2007년4월진행,안조다계단수궤추양적방법,선취산동성중서부적8개현(시、구),대년령≥25세적상주거민(20 087명)진행고혈압여음식、흡연、비반유무관계적지식조사.간예기간대간예인군진행합리선식、공제체중화공연등위핵심내용적건강교육.종기평고조사우2010년10월진행,재8개현추취간예조(4071명)화대조조(2145명)진행상동적조사,대조조래자비간예인군.2007년기선조사작위2010년간예조화대조조공동적기선자료.통과비교간예전후고혈압상관지식적변화료해간예효과.결과 고혈압여음식적관계적지효솔유2007년기선적34.0％ (6830/20 087)상승도2010년간예조적69.3％ (2821/4071)(x2=1757.30,P＜0.01)화2010년대조조적44.8％(961/2145)(x2=99.30,P＜0.0l)；고혈압여흡연관계적지효솔유2007년기선적25.6％(5142/20087)상승도2010년간예조적55.2％ (2247/4071)(X2=1396.59,P＜0.01)화2010년대조조적30.9％ (662/2145)(x2=27.83,P＜0.01)；고혈압여비반관계적지효솔유2007년기선적37.2％(7472/20087)상승도2010년간예조적68.3％ (2780/4071)(x2=1339.27,P＜0.01)화2010년대조조적45.1％ (967/2145)(x2 =51.14,P＜0.01).결론 건강교육등종합간예조시가이명현제고산동중서부지구농촌거민고혈압상관지식지효솔.
Objective To evaluate the intervention effect of health education on hypertension knowledge in mid-western rural area of Shandong province.Methods A project was launched on chronic disease control in mid-western rural area of Shandong province from 2007 to 2010.The baseline survey was performed using multi-stage random sampling method in 8 counties of mid-western rural area of Shandong province in April,2007.A total of 20 087 participants aged 25 and above were recruited in the survey to study the relationship between awareness of hypertension and diet,smoking,obesity.Health education focusing on balance diet,physical activity promotion and tobacco control was performed among intervention population.The final evaluation survey using same questionnaire was performed in 2010,classified in intervention (4071 participants) and control (2145 participants) group.Control group was selected from non- intervention town in same county.Intervention and control group shared the same baseline data in 2007 for evaluation.By comparing the changes of hypertension knowledge before and after intervention,the intervention effect was evaluated.Results Awareness of the relationship between hypertension and diet rose from 34.0％ ( 6830/20 087 ) at baseline in 2007 to 69.3％ ( 2821/4071 ) ( x2 =1757.30,P ＜ 0.01 ) of intervention group and 44.8％ (961/2145) ( x2 =99.30,P ＜0.01 ) of control group in 2010.Awareness of hypertension associated to smoking rose from 25.6％ (5142/20 087 )at baseline in 2007 to 55.2％ (2247/4071) ( x2 =1396.59,P ＜ 0.01 ) in intervention group,30.9％ ( 662/2145 ) ( x2 =27.83,P ＜0.01) in control group in 2010.Awareness of hypertension related to obesity rose from 37.2％(7472/20 087 ) of the baseline in 2007 to 68.3％ (2780/407 1 ) ( x2 =1339.27,P ＜ 0.0l ) in intervention group,45.1％ (967/2145) (x2 =51.14,P＜0.01 ) in control group in 2010.Conclusion Community comprehensive intervention showed significant effects on hypertension related knowledge improvement in mid-western rural area of Shandong province.