不同年龄组高血压患者社区综合干预效果评价及影响因素  

Effect evaluation and influential factor of community combination intervention in different age high blood press patients

作　　者：黄仕春[1] 陈勇[1] 黄浩[1] 凌日鼎[1] 

机构地区：[1]广东省深圳市龙岗中心医院愉园社区健康服务中心,深圳518172

出　　处：《按摩与康复医学》2010年第18期21-22,共2页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：研究不同年龄组高血压患者社区综合干预效果及影响因素,寻求针对不同年龄组高血压患者的最有效社区干预措施.方法：对在社区卫生服务中心确诊的80例高血压患者分为中年组和老年组,进行为期一年的社区综合干预,包括健康教育、药物治疗、行为干预和定期随访,并且于干预前后对患者进行问卷调查和医学体检,比较不同年龄组的干预效果并找出前5位影响因素.结果：干预效果老年组明显好于中年组（p〈0.05）,影响中年组干预效果的主要原因是：①应酬多无法戒烟酒; ②生活无规律无时间锻炼;③不健康的人生价值观;④忘记吃药;⑤无不适症状自行停药.结论：常规干预对中年组高血压患者效果较差,应针对个人的不同职业、习惯提供个性化干预措施.Objective：To study effect evaluation and influential factor of community combination intervention in different age high blood press patients, find the most effect community intervention method for different age high blood press patients. Methods：80 patients who were diagnosed high blood press in community service center were divided to middle--aged group and old--aged group, were intervened by health education, drug treatment, behavior intervention, and regular follow--up for one year. To compare the effect of intervention by questionnair and medical examination,and find the most important five influential factors. Results：The effect of old--aged group was better than middle--aged group（p〈0.05）. The influential factors of middle--aged group were not to stop smoking and drinking because of social appointment, irregularity life, less exercise, morbid life value view, forgetting taking drug and stopping taking drug by themselves. Conclusion：There was not good effect by regular intervention for middle--aged high blood press patients,so the individuation intervention should be used according to different occupation and custom.

关 键 词：高血压 社区 综合干预 效果评价 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]