CAJ | 학술논문

目的：探讨老年高血压患者社区健康教育干预模式，为进一步做好高血压社区防治提供科学依据。方法将广州军区广州总医院2010年1月~2012年12月收治的60例老年高血压患者随机分为干预组和对照组，每组30例。对照组进行药物降压治疗，干预组在进行药物降压治疗的同时开展健康教育干预，比较两组老年高血压患者治疗效果。结果干预后干预组患者收缩压从干预前的(164±10)mm Hg(1 mm Hg=0.133 kPa)下降为(132±7)mm Hg，舒张压从干预前的(98±12)mm Hg下降为(81±10)mm Hg，干预后血压下降效果明显(P<0.01)；干预后血压正常人数与高血压危险因素知晓人数调查结果显示，干预组分别为29例和28例，而对照组分别为11例和8例，差异均有高度统计学意义(均P<0.01)；干预后不良生活习惯或行为改变情况调查显示，干预组患者高盐高脂饮食和吸烟人数均为4例，而对照组分别为11例和21例，差异有高度统计学意义(P<0.01)；干预后两组患者规律运动例数、限酒与体重控制例数比较，差异有高度统计学意义(均P<0.01)。结论药物治疗配合社区健康教育是高血压防治的有效干预模式。
목적：탐토노년고혈압환자사구건강교육간예모식，위진일보주호고혈압사구방치제공과학의거。방법장엄주군구엄주총의원2010년1월~2012년12월수치적60례노년고혈압환자수궤분위간예조화대조조，매조30례。대조조진행약물강압치료，간예조재진행약물강압치료적동시개전건강교육간예，비교량조노년고혈압환자치료효과。결과간예후간예조환자수축압종간예전적(164±10)mm Hg(1 mm Hg=0.133 kPa)하강위(132±7)mm Hg，서장압종간예전적(98±12)mm Hg하강위(81±10)mm Hg，간예후혈압하강효과명현(P<0.01)；간예후혈압정상인수여고혈압위험인소지효인수조사결과현시，간예조분별위29례화28례，이대조조분별위11례화8례，차이균유고도통계학의의(균P<0.01)；간예후불량생활습관혹행위개변정황조사현시，간예조환자고염고지음식화흡연인수균위4례，이대조조분별위11례화21례，차이유고도통계학의의(P<0.01)；간예후량조환자규률운동례수、한주여체중공제례수비교，차이유고도통계학의의(균P<0.01)。결론약물치료배합사구건강교육시고혈압방치적유효간예모식。
Objective To investigate the intervention model of community health education for hypertension elderly pa-tients, in order to provide scientific basis for future community prevention and control of hypertension. Methods 60 cases of patients with hypertension treated in Guangzhou General Hospital of Guangzhou Military Region from January 2010 to December 2012 were divided into the intervention group and control group, each group had 30 cases. Patients in the control group were given antihypertensive drug therapy, while patients in the intervention group were given health education intervention on the basis of the control group. The therapeutic effect in the two groups were compared. Results After intervention systolic pressure of patients in the intervention group reduced from (164±10) mm Hg (1 mm Hg=0.133 kPa) to (132±7) mm Hg, diastolic blood pressure reduced from (98±12) mm Hg to (81±10) mm Hg, after interven-tion blood pressure reduced statistically significant (P<0.01). The survey results of number of people with normal blood pressure and awareness of hypertension risk factors showed that after intervention there were 29 and 28 cases in the in-tervention group, while 11 and 8 cases in the control group, the differences were statistically significant (P< 0.01). The survey results of changes of unhealthy living habit or behavior after intervention showed that there were both 4 cases had high salinity high fat diet and smoke, while there were 11 and 21 cases in the control group, the differences were statistically significant (P<0.01). After intervention patients with regular exercise, limiting alcohol, weight control in the two groups were compared between the two groups, the differences were statistically significant (P < 0.01). Conclusion Drug treatment combined with community health education is a effective intervention model for hypertension management.