宁夏回族自治区高血压城镇社区健康教育干预效果  

Intervention effect of community-based health education on hypertension in towns of Ningxia Hui Autonomous Region

作　　者：汪浩[1] 贾绍斌[2] 丛广志[2] 罗彩琴[2] 刘静[1] 

机构地区：[1]宁夏医科大学,银川750004 [2]宁夏医科大学心脏中心,银川750004

出　　处：《中国循证心血管医学杂志》2012年第6期521-523,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：宁夏回族自治区科技攻关项目(2007-182)

摘　　要：目的评价宁夏回族自治区城镇社区进行高血压健康知识教育和健康促进干预策略的有效性。方法对采取分层整群随机抽取的12个城镇社区843例高血压患者采用集中授课、发放宣传材料等健康教育措施,对比干预前后高血压患者的治疗率、控制率和体质指数(BMI)达标情况以及不良生活方式改变情况。结果健康干预后,与干预前比较所纳入高血压患者的治疗率(48.44%vs.58.50%)、血压控制达标率(40.95%vs.71.56%)、BMI达标率(37.82%vs.49.66%)均升高,差异均有统计学意义(P<0.05);干预前后平均收缩压[(137.70±14.83)mmHgvs.(136.09±11.08)mmHg]及舒张压[(84.59±10.55)mmHgvs.(83.23±7.11)mmHg]下降,差异有统计学意义(P<0.05);高血压危险因素,吸烟率(16.03%vs.10.33%)和饮酒率(9.51%vs.6.66%)下降;合理运动率(21.36%vs.50.20%)和低盐饮食率(8.57%vs.19.46%)升高,且差异均有统计学意义(P<0.05)。结论社区健康教育能够提高居民健康生活水平,健康干预对高血压控制具有良好的促进作用。Objective To evaluate the effectiveness of intervention strategies in hypertension health education and health improvement in urban communities of Ningxia Hui Autonomous Region. Methods The hypertension patients （ n =735 ） selected by stratified-cluster randomized sampling from three town communities were given lesions and publicity materials. The treatment rate, control rate, body mass index （BMI） and changes of adverse life style were compared before and after the intervention. Results After health education intervention, the treatment rate （ 48.44% vs. 58.50% ） , control rate （ 40.95% vs . 71.56% ） and BMI standard rate （ 37.82% vs . 49.66% ） increased in all selected patients （ P 0.05 ） . The average level of systolic blood pressure （ 137.70 ± 14.83 mmHg vs. 136.09 ± 11.08 mmHg ） and diastolic blood pressure （ 84.59 ± 10.55 mmHg vs . 83.23 ± 7.11 mmHg ） decreased （ P 0.05 ） . The smoking rate （ 16.03% vs . 10.33% ） and drinking rate （ 9.51% vs . 6.66% ） decreased. The reasonable sport rate （ 21.36% vs. 50.20% ） and low-salt diet rate （ 8.57% vs. 19.46% ） increased （ P 0.05 ） . Conclusion The community-based health education can improve the health life level and is effective in hypertension control.

关 键 词：高血压 社区 健康教育 效果 

分 类 号：R544.1[医药卫生—心血管疾病]