CAJ | 학술논문

目的：探讨居民健康素养综合干预对糖尿病合并高血压的治疗效果，为临床干预措施的实施提供参考。方法随机抽取1684例社区居民为研究对象。以健康讲座、一对一咨询、发放健康手册等方式对居民实施健康素养综合干预。对比居民综合干预前后的《中国公民健康素养调查问卷》调查结果，并调查居民糖尿病、高血压知晓率，对比综合干预前后高血压、糖尿病的知晓率、规范治疗率以及血压、血糖的控制率。结果经过综合干预后，居民的健康基础知识和理念的比例为81．94％，健康生活方式和行为的比例为82．18％，健康技能的比例为81．77％，健康素养为54．98％，均显著高于综合干预前，差异均有统计学意义（χ2＝17．88、90．67、193．72、413．88，均P＜0．05），；高血压的患病人数为537例，患病率为31．89％。高血压患病居民经过综合干预后，高血压的知晓率为64．06％，规范治疗率为51．02％，血压控制率为35．01％，均显著高于综合干预前（χ2＝67．93、24．85、30．66，均P＜0．05）；糖尿病的患病人数为269例，患病率为15．97％。糖尿病患病居民经过综合干预后，糖尿病的知晓率为78．07％，规范治疗率为60．97％，血糖控制率为37.17％，均显著高于综合干预前（χ2＝68．78、6．33、17．48，均P＜0．05）。结论居民健康素养综合干预是提高居民健康素养的有效措施，而健康素养的提高有利于高血压、糖尿病患者血压、血糖指标的控制，对促进高血压、糖尿病病情的控制有积极的意义。
목적：탐토거민건강소양종합간예대당뇨병합병고혈압적치료효과，위림상간예조시적실시제공삼고。방법수궤추취1684례사구거민위연구대상。이건강강좌、일대일자순、발방건강수책등방식대거민실시건강소양종합간예。대비거민종합간예전후적《중국공민건강소양조사문권》조사결과，병조사거민당뇨병、고혈압지효솔，대비종합간예전후고혈압、당뇨병적지효솔、규범치료솔이급혈압、혈당적공제솔。결과경과종합간예후，거민적건강기출지식화이념적비례위81．94％，건강생활방식화행위적비례위82．18％，건강기능적비례위81．77％，건강소양위54．98％，균현저고우종합간예전，차이균유통계학의의（χ2＝17．88、90．67、193．72、413．88，균P＜0．05），；고혈압적환병인수위537례，환병솔위31．89％。고혈압환병거민경과종합간예후，고혈압적지효솔위64．06％，규범치료솔위51．02％，혈압공제솔위35．01％，균현저고우종합간예전（χ2＝67．93、24．85、30．66，균P＜0．05）；당뇨병적환병인수위269례，환병솔위15．97％。당뇨병환병거민경과종합간예후，당뇨병적지효솔위78．07％，규범치료솔위60．97％，혈당공제솔위37.17％，균현저고우종합간예전（χ2＝68．78、6．33、17．48，균P＜0．05）。결론거민건강소양종합간예시제고거민건강소양적유효조시，이건강소양적제고유리우고혈압、당뇨병환자혈압、혈당지표적공제，대촉진고혈압、당뇨병병정적공제유적겁적의의。
Objective To investigate the comprehensive intervention residents health literacy with the thera-peutic efficacy of hypertensive patients on diabetes,and to provide a reference for the implementation of clinical inter-ventions.Methods 1 684 cases of community residents were selected as the research objects.Lectures on health,one on one counseling,health manuals mode on the implementation of comprehensive intervention residents health litera-cy.Comparison of the residents after comprehensive intervention "China citizen health literacy questionnaire"survey results,and the awareness rate of diabetes,high blood pressure,diabetes hypertension compared after comprehensive intervention,the awareness rate,treatment rate and control rate of blood pressure,blood glucose were investigated. Results After comprehensive intervention,the basic knowledge and concept healthy residents of the ratio of 81.94%,healthy lifestyle and behavior of the ratio of 82.18%to 81.77%the proportion of health,skills,health liter-acy was 54.98%,which were significantly higher than those of intervention,the difference (χ2 =17.88,90.67, 193.72,413.88,all P<0.05);the number of patients of hypertension in 537 cases,the incidence was 31.89%.The prevalence of hypertension in residents after comprehensive intervention,the awareness rate was 64.06%,the stand-ardized treatment rate was 51.02%and the control rate of hypertension was 35.01%,which were significantly higher than those of intervention(χ2 =67.93,24.85,30.66,all P<0.05);prevalence of diabetes in 269 cases,the inci-dence was 15.97%.The prevalence of diabetes in residents after comprehensive intervention,the awareness rate of diabetes was 78.07%,standardized treatment rate was 60.97%,the blood sugar control rate was 37.17%,which were significantly higher than those of intervention(χ2 =68.78,6.33,17.48,all P<0.05).Conclusion The comprehensive intervention residents health literacy is the effective measures to improve the residents'health literacy and health liter-acy,improve help control blood pressure in patients with hypertension and diabetes,glycemic index,which is of posi-tive significance to promoting the control hypertension,diabetes.