高血压患者社区随访干预效果评价  

Effect evaluation of community follow-up intervention among hypertensive patients

作　　者：孙高峰[1] 阿丽娅.买买提热依木 宋芳[1] 伊力努尔.阿吉 任东力 孙金莲 曹丹 

机构地区：[1]新疆乌鲁木齐市疾病预防控制中心慢性非传染性疾病控制科,830026 [2]新疆乌鲁木齐米东区卡子湾社区卫生服务中心

出　　处：《中国公共卫生》2010年第11期1354-1355,共2页Chinese Journal of Public Health

基　　金：乌鲁木齐市科技局三项经费资助项目(Y050103)

摘　　要：目的评价高血压患者社区随访干预效果。方法抽取新疆乌鲁木齐市卡子湾街道办事处育林社区确诊的219例高血压患者,随访干预1年后进行效果评价;对参加全程相关生理指标检测的100例高血压患者进行生理指标评价。结果干预后高血压患者治疗率、显效、有效控制率分别提高了19.97%,29.74%,36.54%;平均收缩压、舒张压的血压值分别下降了7.56 mm Hg(1 mm Hg=0.133 kPa)和4.92 mm Hg;运动参与率、膳食清淡率分别提高了26.02%和19.26%,(P<0.01或P<0.05);吸烟率、饮酒率均有所下降,但仅饮酒率差异有统计学意义(P<0.05);限盐勺使用率为72.82%(P<0.01),每日食盐量<6 g者占96.67%;100例高血压患者随访干预后平均血糖、血脂各项指标均有所下降,但仅平均总胆固醇、低密度脂蛋白胆固醇差异有统计学意义(均P<0.01)。结论高血压患者社区随访干预效果明显,方法切实可行。Objective To study the effect of community follow-up intervention among hypertesive patients.Methods Overall 219 hypertensive patients were intervened by one year follow-up with cluster sampling in Yulin community,Urumuqi city.The results of surveillance in 100 hypertensive patients were used to evaluate the indicators of the intervention including physiological index.Results The treatment rate,the notable effective rate and effective rate of blood pressure control were raised by 19.97,29.74 and 36.54 percent,respectively.The average systolic blood pressure（SBP） and dias-tolic blood pressure（DBP） were decreased by 7.56 mmHg（1 mmHg = 0.133 kPa） and 4.92 mmHg,respectively.The ratios of taking exercise and light diet among the patients were raised by 26.02 and 19.26 precent,respectively（P 0.01 or P 0.05）.Smoking and alcohol drinking rates were decreased,and the desrease of drinking rate was statistically singificant（P 0.05）.The usage of salt limitation scoop was 72.82 percent（P 0.01）.Percentage of subjects with daily salt intake lower than 6 g were 96.67% in 100 hypertensive patients after the community-based follow-up intervention.The average blood glucose and lipids were decreased,and the decreases of total cholesterol and low-density lipoprotein-c were statistically significant（P 0.01）.Conclusion The results indicate that the communmity-based comprehensive intervention for hyper-tensive patients is effective and feasible.

关 键 词：社区随访干预 高血压 健康教育 效果评价 

分 类 号：R544.1[医药卫生—心血管疾病]