合肥师范学院学报
閤肥師範學院學報
합비사범학원학보
JOURNAL OF ANHUI INSTITUTE OF EDUCATION
2011年
6期
89-91
,共3页
高血压%社区%干预
高血壓%社區%榦預
고혈압%사구%간예
hypertension%community%intervention
目的探讨高血压病社区综合干预的可行性和有效性。方法通过对我院92名高血压病患者进行健康教育、生活方式干预和根据高血压病防治指南制定的个体化药物干预，随访16个月，观察其生活方式的改变、血压下降程度和并发症的发生。结果干预前我院高血压病人戒烟限酒、低盐饮食、规律运动和控制体重人数比率分别为21．7%、28．3％、34．7％和32．60，干预后分别为86．9％、89．1％、85．9％和71．7％（P〈0．01）。干预前我院高血压病患者对高血压知晓率、治疗率和控制率分别为60．8％、43．4％、28．3％，干预后分别为97．8％、80．4％、84．8%（P〈0．05）；干预前收缩压为（158．73±10．06）mmHg，舒张压为（103．40±7．21）mmHg;干预后收缩压为（128．40±9．36）mmHg，舒张压为（87．64±5．73）mmHg（P〈0．05）。结论社区高血压综合干预能有效提高高血压患者的知识知晓率、治疗率和控制率，能有效降低血压和减少并发症的发生。
目的探討高血壓病社區綜閤榦預的可行性和有效性。方法通過對我院92名高血壓病患者進行健康教育、生活方式榦預和根據高血壓病防治指南製定的箇體化藥物榦預，隨訪16箇月，觀察其生活方式的改變、血壓下降程度和併髮癥的髮生。結果榦預前我院高血壓病人戒煙限酒、低鹽飲食、規律運動和控製體重人數比率分彆為21．7%、28．3％、34．7％和32．60，榦預後分彆為86．9％、89．1％、85．9％和71．7％（P〈0．01）。榦預前我院高血壓病患者對高血壓知曉率、治療率和控製率分彆為60．8％、43．4％、28．3％，榦預後分彆為97．8％、80．4％、84．8%（P〈0．05）；榦預前收縮壓為（158．73±10．06）mmHg，舒張壓為（103．40±7．21）mmHg;榦預後收縮壓為（128．40±9．36）mmHg，舒張壓為（87．64±5．73）mmHg（P〈0．05）。結論社區高血壓綜閤榦預能有效提高高血壓患者的知識知曉率、治療率和控製率，能有效降低血壓和減少併髮癥的髮生。
목적탐토고혈압병사구종합간예적가행성화유효성。방법통과대아원92명고혈압병환자진행건강교육、생활방식간예화근거고혈압병방치지남제정적개체화약물간예，수방16개월，관찰기생활방식적개변、혈압하강정도화병발증적발생。결과간예전아원고혈압병인계연한주、저염음식、규률운동화공제체중인수비솔분별위21．7%、28．3％、34．7％화32．60，간예후분별위86．9％、89．1％、85．9％화71．7％（P〈0．01）。간예전아원고혈압병환자대고혈압지효솔、치료솔화공제솔분별위60．8％、43．4％、28．3％，간예후분별위97．8％、80．4％、84．8%（P〈0．05）；간예전수축압위（158．73±10．06）mmHg，서장압위（103．40±7．21）mmHg;간예후수축압위（128．40±9．36）mmHg，서장압위（87．64±5．73）mmHg（P〈0．05）。결론사구고혈압종합간예능유효제고고혈압환자적지식지효솔、치료솔화공제솔，능유효강저혈압화감소병발증적발생。
Objective： Exploring the feasibility and effectiveness of community-based intervention on hyper- tension. Method： 92 patients with hypertension in our school were given health care, and life style inter- vention and individualized medicine intervention according to the guide to hypertension prevention, then all the patients were followed up for 16 months, and the changes of life style, decreasing degree in high blood and the occurrence of related complications were carefully observed. Result： Before the intervention, the number of the subjects who gave up smoking and drinking, ate low-salt diet, exercised regularly and con- trolled their weight was 21, 7%, 28. 3%, 34. 7% and 32.6 respectively. But after the intervention, the number was 86. 9%, 89. 1%, 85. 9% and 71. 7% （P〈0. 01） respectively. Before the intervention, the awareness rate, treatment rate and control rate for patients with hypertension in our school was 60. 8%, 43.4%,28. 3%t, after the intervention, rate was raised to 97.8%,80.4%,84.8% （P%0.05）. Before the intervention, the average SBP was 158. 73±10.06mmHg, and DBP was 103. 40±7. 21mmHg, while after the intervention, the average SBP was 128.40±9. 36mmHg, and DBP was 87. 64±5.73mmHg（P〈0. 05）. Conclusion： Comprehensive community-based intervention on hypertension can effectively raise the awareness rate, treatment rate and control rate for patients and reduce the hypertension and the related complications.
