社区高血压患者知晓、治疗和控制效果评估  

Effect of community-based intervention on hypertension

作　　者：赵芳[1] 郑建中[1] 陈博文[2] 谢晓桦[2] 

机构地区：[1]山西医科大学公共卫生学院社会医学教研室,太原030001 [2]首都儿科研究所

出　　处：《山西医科大学学报》2003年第1期43-44,共2页Journal of Shanxi Medical University

基　　金：加拿大IDRC资助项目;首都儿科研究所陈博文研究小组开展的"促进中国城市社区卫生策略计划"项目

摘　　要：目的　评价高血压患者的契约式管理模式是否可行。方法　在玉林社区组织“高血压俱乐部” ,对这部分高血压病人实行契约式管理 ,半年后总结干预效果。结果　通过半年的强化干预 ,干预后高血压判定标准知晓率 (SBP≥ 140mmHg ,DBP≥ 90mmHg)由干预前的 5 8 0 6%上升到 74 19% (P <0 0 5 ) ,体育锻炼一项干预后与干预前相比 ,健康行为比率增加了 (P <0 .0 5 ) ;高血压治疗率由干预前的 87 10 %上升到 89 2 5 % ,总体血压控制率由干预前的 3 8 3 9%上升到 64 2 9% ,增长了 1倍 ,差异显著 (P <0 0 1)。结论　经过强化干预管理 ,干预后高血压健康知识知晓率和控制率都呈上升趋势 ,说明干预管理有成效 ,该模式是有效的、可行的。Objective To testify the feasibility of managing by contract between general practitioner and patients. Methods Holding 'family of hypertension patients' in Yulin community in Chengdu city of Sichuan province,general practitioner in 'community health service center' makecontract with hypertension patients to take charge of their health. After halfa year, the effect of community based intervention on hypertension was analysed. Results After half a year,the awareness rate of the criterion of hypertension(SBP≥140 mmHg,DBP≥90 mmHg) increased from 58 06% to 74 19%( P <0 05). The rate of taking exercise was higher than that before intervention( P <0 05). The rate of treament of hypertensive patients was higher following half a year. Control rates of hypertension increased from 38 39% to 64 29%( P <0 01). Conclusion It is proved that the model of managing is available to increase the awareness rate of hypertension by comparison between general practitioner and patients in community. It is a feasible method by synthetic treatment to increase the rate of controlling high blood pressure.

关 键 词：高血压 社区卫生服务 健康教育 干预管理 

分 类 号：R544.1[医药卫生—心血管疾病]