北京东四社区中老年高血压患者社区健康教育指导的效果  

Effect of health education and home monitoring on the aged patients with hypertension in Dongsi community of Beijing

作　　者：刘春萍[1] 王娟[1] 张萱[1] 金玉[1] 王显[1] 陈杭薇[1] 

机构地区：[1]北京军区总医院,北京市100700

出　　处：《心血管康复医学杂志》2009年第5期430-432,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析北京东四社区中老年人高血压综合干预效果,探讨社区中老年高血压综合管理方法。方法:2007年1月～12月调查北京东四社区4个居委会,共计2235名≥50岁中老年人的生活方式、高血压患病、服药及血压控制情况。对该群体进行每月1次的健康大课堂教育、每周1次的入户血压监测及个体化用药指导,比较干预前后社区居民生活方式的改善、高血压患者服药及血压控制情况。结果:确诊高血压514例(23.00%),其中,男224例(10.02%),女290例(12.98%);80.71%高血压患者知道患有高血压病,19.3%否认或不知道有高血压病,是在入户服务中首次诊断的;514例高血压患者中服降压药治疗者354例(68.87%),正确规律服药者仅135名(26.27%);血压控制达标者仅260例(50.58%)。干预后高血压患者服药者482例(93.77%),正确服药者395例(76.85%),血压达标人数450例(87.55%),P均<0.001;居民生活方式明显改善,参加运动人数显著增加,吸烟人数、饮食钠超标人数显著减少(P<0.001)。结论:高血压的社区发病率高,治疗依从性差,控制率低,健康教育结合入户个体化定期监测、指导可明显提高其服药依从性和血压控制率。Objective： To investigate the effect of health education and home monitoring on the aged patients with hypertension in Dongsi community of Beijing. Methods： A total of 2235 aged residents （age≥50 years old） of Dongsi communities were investigated from January to December 2007, including life style investigation, blood pressure measurement and related information. They were given health education once every month and home blood measurement and guidance once every week. The life style and blood pressure of patients with hypertension were compared before and one year after intervention. Results： The 514 persons （23.00%） were confirmed hypertension, with male 224 （10. 02%） and female 290 （12.98%）. In which 80.71% were diagnosed hypertension, 19.3% were denied hypertension and diagnosed hypertension by home blood measurement of this study. A total of 354 （68.87%） of 514 hypertension were taking medicine and only 135 （26.27%） taken medicine correctly, the control rate of blood pressure was only 50.58% （260/514）. After one year＇ s intervention, 482 （93. 77%） hypertensive patients taken medication, 395 （76.85 %） taken medicine correctly, and the control rate of blood pressure increased to 87.55 %（450/514）, P〈0. 001 all. At the same time, the patients participated exercise significantly increased, the smoking patients and patients with natrium〉6.0/d of diet significantly decreased （P〈0. 001 all）. Conclusion： Hypertension is also a commonly, seen disease in Dongsi community with high incidence and bad treatment compliance and low control rate. Health education,home monitoring and guidance can improve the treatment compliance, blood control rate of hypertension and life style.

关 键 词：健康教育 社区卫生服务 高血压 

分 类 号：R544.109[医药卫生—心血管疾病]