新疆农村地区2009-2012年维吾尔族人群高血压知识、态度和行为干预效果评价  

Effect of the knowledge,attitude and behavior intervention on hypertensives in a Xinjiang Uygur population in 2009-2012

作　　者：刘慧猛 刘佳铭[1] 张眉[1] 牛强[1] 李述刚[1] 马儒林[1] 郭恒[1] 张景玉[1] 丁玉松[1] 郭淑霞[1] 

机构地区：[1]石河子大学医学院预防医学系,新疆石河子832000

出　　处：《中华高血压杂志》2014年第8期749-753,共5页Chinese Journal of Hypertension

基　　金：国家科技支撑计划项目(2009BAI82B04)

摘　　要：目的了解新疆农村地区维吾尔族人群的高血压知识、态度和行为现状,评价高血压健康教育的干预效果。方法采用现场人群试验的方法,应用整群随机抽样的方法,于2009年开始基线调查,抽取新疆喀什伽师县江巴孜乡12个自然村≥18岁的维吾尔族常住居民3762人,随机分为6个干预组村和6个对照组村,并对干预组村实施3年的高血压健康教育活动,对照组不采取高血压健康教育活动,并于2012年对研究现场进行结局调查。结果干预前调查发现,新疆农村地区维吾尔族人群的高血压知识、态度和行为水平极低,其中干预组的12项高血压相关知识知晓率平均为1.3%,7项高血压相关态度的信念形成率平均为2.0%,7项高血压相关行为的形成率平均1.2%,对照组分别为1.5%、1.8%、1.4%;干预后调查发现,干预组的12项高血压知识知晓率平均为24.9%,7项高血压相关态度的信念形成率平均为30.3%,7项高血压相关行为的形成率平均5.6%,对照组则分别为3.7%、6.5%、2.3%。结论新疆农村地区维吾尔族人群的高血压知识、态度和行为水平处于一种极低状态,持续有效的高血压健康教育可以提高其高血压的知识、态度和行为水平,当前该地区高血压的防控策略中应加强对居民高血压健康教育的重视。Objective To investigate the status quo of the knowledge, attitude and behavior for hypertension, and to evaluate the effect of intervention on hypertension in Xinjiang Uygurs. Methods Community field trial and the cluster random sampling methods were adopted in this study. The baseline survey started in 2009. A total of 3762 Uygur residents 18 years and above were enrolled from 12 villages of Jiangbazi township of Kashit and these villages were evenly randomized into the intervention group （n= 6 ） and the control group （n= 6 ）. The intervention group received health education intervention on hypertension for three years, and no intervention was arranged for the control group. The intervention ended in 2012. Results At baseline, the levels of hypertension-related knowledge, attitude, and behavior were extremely low in this Uygur population. The average levels of 12-item hypertension-related knowledge, 7-item belief formation rate for hypertension-related attitude and 7-item hypertension-related behavior formation rate were 1.3%, 2.0% and 1.2% respectively in the intervention group, and 1.5%, 1.8% and 1.4% respectively in the control group. After three-year intervention, the average levels of the aforementioned three as- pects were increased to 24.9%, 30.3% and 5.6% respectively in the intervention group, but remained at 3.7% , 6.5% and 2.3% respectively in the control group. Conclusion The knowledge, attitude and behavior for hypertension are at extremely low levels in Uygurs of Xinjiang rural areas, and this situation can be greatly improved by consistent effective health education on hypertension, to highlight the importance to strengthen hypertension prevention and control in Xinjiang Uygurs.

关 键 词：维吾尔族 高血压 知识、态度和行为 干预 评价 

分 类 号：R193[医药卫生—卫生事业管理]