苏州市吴江区心脑血管疾病高危人群社区干预研究  

Community Intervention Study on High Risk Groups of Cardiovascular and Cerebrovascular Diseases in Wujiang District,Suzhou

作　　者：董小英 沈利军 周文婷 陆建芳 何元 DONG Xiao-ying;SHEN Li-jun;ZHOU Wen-ting;LU Jian-fang;HE Yuan(Department of Cardiology,SuzhouWujiang District Fourth People’s Hospital,Suzhou Jiangsu,215231,China)

机构地区：[1]苏州市吴江区第四人民医院心内科,江苏苏州215231

出　　处：《中华养生保健》2022年第14期15-18,共4页CHINESE HEALTH CARE

基　　金：苏州市吴江区“科教兴卫项目”(wwk202032)。

摘　　要：目的探讨健康管理平台对苏州市吴江区心脑血管疾病高危人群的干预效果并观察评价生活质量。方法以问卷调查形式收集2021年1月~2022年2月吴江区震泽镇心脑血管疾病高危常住人群1000例,将1000例患者按照随机数表法分为对照组和干预组,两组均为500例患者。对照组患者在首次问卷调查时给予健康宣教、指导用药、督促改善生活方式等干预,干预组在对照组的基础上,另外每月在健康管理平台上继续给予健康宣教、指导用药、督促改善生活方式等干预一次,干预6个月,共干预指导6次。干预指导后,对比两组患者的慢病知晓率、服药率、生活质量评分及心脑血管事件发生率。结果治疗后,干预组较对照组慢病知晓率、服药率均有明显增加,差异有统计学意义(P<0.05);干预组较对照组生活质量评分更低,差异有统计学意义(P<0.05),即生活质量改善更明显;干预组较对照组心血管事件发生率更低,差异有统计学意义(P<0.05)。结论在健康管理平台上进行定期健康宣教、生活干预,可以提高心脑血管疾病高危人群的知晓率、服药率、生活质量,降低脑血管事件的发生率。Objective To explore the effect of health management platform on high-risk groups of cardiovascular and cerebrovascular diseases,observe and evaluate the quality of life.Methods A questionnaire survey was used to collect 1000 high-risk permanent residents of cardiovascular and cerebrovascular diseases in Zhenze Town,our district from January 2021 to February 2022.There were 500 patients in both groups.The patients in the control group were given health education,guiding medication and urging the improvement of lifestyle during the fi rst questionnaire survey.The intervention group was based on the control group.In addition,the patients in the intervention group continued to be given health education,guiding medication and Supervise and urge the improvement of lifestyle and other interventions once for 6 months,with a total of 6 interventions and guidance.After the intervention and guidance,compare the awareness rate of chronic diseases,medication rate,quality of life score and the incidence of cardio cerebrovascular time between the two groups.Results After treatment,the awareness rate and medication rate of chronic diseases in the intervention group were signifi cantly higher than those in the control group(P<0.05);The quality of life score of the intervention group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05);The incidence of cardiovascular events in the intervention group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Regular health education and life intervention of health management platform can improve the awareness rate,medication rate and quality of life of high-risk groups of cardiovascular and cerebrovascular diseases,and reduce the occurrence of cerebrovascular events.

关 键 词：心脑血管疾病 高危人群 健康管理平台 欧洲五维健康量表 

分 类 号：R541.4[医药卫生—心血管疾病]