中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
24期
135-137
,共3页
高血压%社区%干预%评价
高血壓%社區%榦預%評價
고혈압%사구%간예%평개
Hypertension%Community-based%Interventions%Evaluation
目的：评价社区高血压患者综合干预效果。方法：对自愿加入综合干预组的无锡市华庄社区82例高血压患者，进行为期一年的综合干预，开展问卷调查、持续强化高血压相关知识健康教育、体格检查、个体化用药指导、定期血压监测以及血生化检查等指标，比较干预前后患者高血压知晓率、治疗率、控制率。结果：干预后高血压患者收缩压和舒张压分别为（135.93±11.63）mm Hg和（86.12±9.36）mm Hg，均低于干预前的（145.01±12.58）mm Hg和（93.16±8.38）mm Hg（P<0.001）；高血压知晓率、治疗率和控制率分别为81.71%、90.24%和84.15%，较干预前的62.20%、71.95%和63.41%提高（P<0.05）。结论：综合干预措施可以使患者血压水平控制良好，提高患者高血压知晓率、治疗率和控制率，促进患者建立健康生活方式。坚持社区高血压综合干预可使高血压患者获益。
目的：評價社區高血壓患者綜閤榦預效果。方法：對自願加入綜閤榦預組的無錫市華莊社區82例高血壓患者，進行為期一年的綜閤榦預，開展問捲調查、持續彊化高血壓相關知識健康教育、體格檢查、箇體化用藥指導、定期血壓鑑測以及血生化檢查等指標，比較榦預前後患者高血壓知曉率、治療率、控製率。結果：榦預後高血壓患者收縮壓和舒張壓分彆為（135.93±11.63）mm Hg和（86.12±9.36）mm Hg，均低于榦預前的（145.01±12.58）mm Hg和（93.16±8.38）mm Hg（P<0.001）；高血壓知曉率、治療率和控製率分彆為81.71%、90.24%和84.15%，較榦預前的62.20%、71.95%和63.41%提高（P<0.05）。結論：綜閤榦預措施可以使患者血壓水平控製良好，提高患者高血壓知曉率、治療率和控製率，促進患者建立健康生活方式。堅持社區高血壓綜閤榦預可使高血壓患者穫益。
목적：평개사구고혈압환자종합간예효과。방법：대자원가입종합간예조적무석시화장사구82례고혈압환자，진행위기일년적종합간예，개전문권조사、지속강화고혈압상관지식건강교육、체격검사、개체화용약지도、정기혈압감측이급혈생화검사등지표，비교간예전후환자고혈압지효솔、치료솔、공제솔。결과：간예후고혈압환자수축압화서장압분별위（135.93±11.63）mm Hg화（86.12±9.36）mm Hg，균저우간예전적（145.01±12.58）mm Hg화（93.16±8.38）mm Hg（P<0.001）；고혈압지효솔、치료솔화공제솔분별위81.71%、90.24%화84.15%，교간예전적62.20%、71.95%화63.41%제고（P<0.05）。결론：종합간예조시가이사환자혈압수평공제량호，제고환자고혈압지효솔、치료솔화공제솔，촉진환자건립건강생활방식。견지사구고혈압종합간예가사고혈압환자획익。
Objective:To evaluate the effects of community-based integrated intervention on patients with hypertension in Huazhuang district in Wuxi.Method:An integrated intervention was administered to voluntary participants (n=82)over the course of one year.Participants were given a matter investigate,sustained intensify healthy education about hypentension knowledge,guided drug using individual,a physical examination and a laboratory blood test to compare the following before and after the intervention:level of awareness,treatment adherence,treatment effectiveness, life habits,blood pressure,fasting blood glucose and blood lipid. Result:After the intervention the average systolic blood pressure(SBP)and average diatolic blood pressure(DBP)of participants were significantly decreased from (145.01±12.58)mm Hg and (93.16±8.38)mm Hg to(135.93±11.63)mm Hg and(88.12±9.36)mm Hg, respectively(P<0.001).The levels of awareness,treatment adherence and treatment effectiveness were significantly increased from 62.20%,71.95%and 63.41%to 81.71%,90.24%and 84.15%,respectively(P<0.05). Conclusion:Developing an integrated intervention including follow-up classification management,encouragement of self-management and family management,and promotion of education about hypertension can effectively decrease blood pressure among persons with hypertension,improve the level of awareness,improve treatment and control of hypertension,and promote a healthy life style.To insist on the intervention for patients with hypertension can give more medical healthy-care.
