健康教育对某社区自发性脑出血危险因素及家庭急救能力的干预效果分析  

Intervention efficacy of community health education on risk factors of spontaneous intracerebral hemorrhage and family emergency ability

作　　者：杨玉玲[1] 高岭燕[2] 王务萍[3] 李平[1] 朱华美[1] 

机构地区：[1]温州医科大学附属第二医院神经外科,浙江温州325027 [2]温州医科大学附属第二医院急诊科,浙江温州325027 [3]温州医科大学附属第二医院内科,浙江温州325027

出　　处：《中国现代医生》2016年第8期138-141,共4页China Modern Doctor

基　　金：浙江省温州市慈善总会资助社区老年人健康促进项目(CS2013004);浙江省公益性技术应用研究计划项目(2015C33144)

摘　　要：目的探讨健康教育对社区自发性脑出血危险因素及家庭急救能力的干预效果分析。方法 2014年1～12月根据某社区提供的基础资料选择该社区自发性脑出血高危人群158例作为健康教育对象。分析健康教育前后该社区高危人群自发性脑出血危险因素的改变以及家庭急救能力情况。结果健康教育后,平均收缩压、舒张压、血脂胆固醇、甘油三酯、空腹血糖、BMI、体重较健康教育前显著下降,HDL水平显著升高,吸烟率、饮酒率、被动吸烟率均显著下降,而体育锻炼率显著升高,与健康教育前比较差异有统计学意义（P〈0.05）。健康教育后,高血压患者定期测量血压率、按时服用降压药率、合理膳食率、体育锻炼率、控制体重率、血压控制正常范围率均在健康教育前显著提高（P〈0.05或P〈0.01）。健康教育后,脑出血相关知识掌握率高于健康教育前,主动了解相关知识、定期体检率以及家庭急救措施掌握率显著高于健康教育前（P〈0.01）。结论社区居民健康教育能够干预自发性脑出血的高危因素,提高家庭急救能力,从而达到预防自发性脑出血发生的效果。Objective To discuss intervention efficacy of community health education on risk factors of spontaneous intracerebral hemorrhage and family emergency ability. Methods From Jan to Dec 2014, a total of 158 cases with high risks of spontaneous intracerebral hemorrhage based on biography of community were selected as a health education target. Spontaneous intracerebral hemorrhage risk factors and family emergency ability before and after community health education were analyzed. Results After community health education, the average SBP, DBP, blood lipids cholesterol, triglycerides, fasting blood glucose, BMI, and body weight were lower, HDL was higher, smoking rate, alcohol consumption rate, passive smoking rate were lower, and exercise rate was higher than before education（P〈0.05）. After community health education, regular measurement of blood pressure, blood pressure medication taking on time rate,reasonable diet rate, exercise rate, weight control rate, and blood pressure control rate of the normal range in patients with hypertension rate were higher（P〈0.05 or P〈0.01）. After community health education, cerebral hemorrhage related knowledge grasping rate, initiativing to understand the relevant knowledge rate, regular physical examination rate, and family aid measures grasping rate were higher than that before education（P〈0.01）. Conclusion Community health education can effect spontaneous intracerebral hemorrhage risk factors, and improve family emergency ability, to prevent spontaneous intracerebral hemorrhage.

关 键 词：健康教育 社区 自发性脑出血 危险因素 家庭急救能力 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R473[医药卫生—临床医学]