CAJ | 학술논문

目的：评价综合干预措施对原发性高血压患者的认知、态度、行为（ KAP）和血压控制的效果，为高血压的防治提供依据。方法随机抽取连云港农村社区中原发性高血压患者725人进行调查，对干预前后获得的结果进行描述性统计分析。结果当地高血压患者KAP总得分及格率、知识得分及格率、态度以及行为得分及格率，分别由干预前的50.2%、48.9%、48.1%、37.2%提高到89.0%、78.2%、93.2%、71.7%。干预前患者平均收缩压为（169±13.67）mmHg、舒张压（95.75±9.39）mmHg，干预后平均收缩压为（137.78±17.27）mmHg、舒张压为（84.09±11.16），干预后与干预前相比，患者的高血压知识、态度、行为改变以及高血压的控制均取得了令人满意的效果，差异有统计学意义（ P<0.05）。结论综合干预是社区原发性高血压防治的的有效途径和重要手段。
목적：평개종합간예조시대원발성고혈압환자적인지、태도、행위（ KAP）화혈압공제적효과，위고혈압적방치제공의거。방법수궤추취련운항농촌사구중원발성고혈압환자725인진행조사，대간예전후획득적결과진행묘술성통계분석。결과당지고혈압환자KAP총득분급격솔、지식득분급격솔、태도이급행위득분급격솔，분별유간예전적50.2%、48.9%、48.1%、37.2%제고도89.0%、78.2%、93.2%、71.7%。간예전환자평균수축압위（169±13.67）mmHg、서장압（95.75±9.39）mmHg，간예후평균수축압위（137.78±17.27）mmHg、서장압위（84.09±11.16），간예후여간예전상비，환자적고혈압지식、태도、행위개변이급고혈압적공제균취득료령인만의적효과，차이유통계학의의（ P<0.05）。결론종합간예시사구원발성고혈압방치적적유효도경화중요수단。
Objective:To evaluate the effect of comprehensive intervention on knowledge,attitude,practices( KAP), and blood pressure control among essential hypertension patients and provide reference for prevention and control of hyper-tension. Methods:725 cases of rural patients with hypertension from Lianyungang were randomly sampled and surveyed with a questionnaire. Then the data were analyzed by the descriptive study. Results:After intervention,The passing rates of the KAP total score,knowledge,attitude and practice of all local hypertension patients increased from 50. 2%,48. 9%, 48. 1% and 37. 2% to 89. 0%,78. 2%,93. 2% and 71. 7% respectively and the average systolic blood pressure of them decreased from(169 ± 13. 67)mmHg to(137. 78 ± 17. 27)mmHg,diastolic blood pressure from(95. 75 ± 9. 39)mmHg to (84.09 ±11.16)mmHg with statistical significance(P<0.05). Conclusion:The comprehensive intervention is an im-portant and effective measure for hypertension control in community.