老年高血压社区健康教育干预模式构建与应用  

Construction and application of community health education intervention model in elderly hypertensive

作　　者：周伟梁[1] 秦伟毅[1] 曾凡杰[1] 唐绍辉[1] 彭雄[1] 

机构地区：[1]广州军区广州总医院急诊科,广东广州510010

出　　处：《中国医药导报》2014年第23期136-139,共4页China Medical Herald

基　　金：广东省科技计划项目(编号2011B031800204)

摘　　要：目的探讨老年高血压患者社区健康教育干预模式,为进一步做好高血压社区防治提供科学依据。方法将广州军区广州总医院2010年1月～2012年12月收治的60例老年高血压患者随机分为干预组和对照组,每组30例。对照组进行药物降压治疗,干预组在进行药物降压治疗的同时开展健康教育干预,比较两组老年高血压患者治疗效果。结果干预后干预组患者收缩压从干预前的(164±10)mm Hg(1 mm Hg=0.133 kPa)下降为(132±7)mm Hg,舒张压从干预前的(98±12)mm Hg下降为(81±10)mm Hg,干预后血压下降效果明显(P<0.01);干预后血压正常人数与高血压危险因素知晓人数调查结果显示,干预组分别为29例和28例,而对照组分别为11例和8例,差异均有高度统计学意义(均P<0.01);干预后不良生活习惯或行为改变情况调查显示,干预组患者高盐高脂饮食和吸烟人数均为4例,而对照组分别为11例和21例,差异有高度统计学意义(P<0.01);干预后两组患者规律运动例数、限酒与体重控制例数比较,差异有高度统计学意义(均P<0.01)。结论药物治疗配合社区健康教育是高血压防治的有效干预模式。Objective To investigate the intervention model of community health education for hypertension elderly pa-tients, in order to provide scientific basis for future community prevention and control of hypertension. Methods 60 cases of patients with hypertension treated in Guangzhou General Hospital of Guangzhou Military Region from January 2010 to December 2012 were divided into the intervention group and control group, each group had 30 cases. Patients in the control group were given antihypertensive drug therapy, while patients in the intervention group were given health education intervention on the basis of the control group. The therapeutic effect in the two groups were compared. Results After intervention systolic pressure of patients in the intervention group reduced from （164±10） mm Hg （1 mm Hg=0.133 kPa） to （132±7） mm Hg, diastolic blood pressure reduced from （98±12） mm Hg to （81±10） mm Hg, after interven-tion blood pressure reduced statistically significant （P〈0.01）. The survey results of number of people with normal blood pressure and awareness of hypertension risk factors showed that after intervention there were 29 and 28 cases in the in-tervention group, while 11 and 8 cases in the control group, the differences were statistically significant （P〈 0.01）. The survey results of changes of unhealthy living habit or behavior after intervention showed that there were both 4 cases had high salinity high fat diet and smoke, while there were 11 and 21 cases in the control group, the differences were statistically significant （P〈0.01）. After intervention patients with regular exercise, limiting alcohol, weight control in the two groups were compared between the two groups, the differences were statistically significant （P 〈 0.01）. Conclusion Drug treatment combined with community health education is a effective intervention model for hypertension management.

关 键 词：老年高血压 社区健康教育 效果研究 

分 类 号：R544.1[医药卫生—心血管疾病]