社区人群预防脑血管病健康教育效果评价(英文)  

Evaluation of health education on prevention of cerebrovascular diseases in the community population

作　　者：江滨[1] 王文志[1] 吴升平[1] 洪震[2] 黄茂盛[2] 杨期东[3] 刘运海[3] 杜晓立[1] 鲍秋菊[1] 刘红梅[1] 

机构地区：[1]北京市神经外科研究所神经流行病学室,北京市100050 [2]复旦大学附属华山医院神经病学研究所流行病学室,上海市200040 [3]中南大学附属湘雅医院神经病学研究所神经流行病学室,湖南省长沙市410078

出　　处：《中国临床康复》2004年第1期171-173,共3页Chinese Journal of Clinical Rehabilitation

基　　金：国家"九五"科技攻关计划资助项目(96-906-02-20)~~

摘　　要：目的:探索适合中国城市社区的脑血管疾病预防与控制措施,并评价其效果。方法:按类试验设计,于1991年在北京、上海和长沙3城市各选取10万社区人群,开展我国社区人群脑血管病危险因素综合性干预试验。各城市再随机分为干预和对照社区各5万人,使得两社区框架人群年龄性别构成相似。“九五”期间(1996-2000),在3城市干预社区开展以健康教育为主的预防脑血管病综合性干预措施,按类试验设计评价其对社区人群知识、态度和行为水平的影响。结果:干预后3地人群和高血压人群KAB水平均分分别净提高6.01(Z=9.36,P<0.01)和6.12(Z=5.96,P<0.01)分,均有统计学差异。高血压人群的3个月以内测压及规律服药人数比例干预后分别净提高9.65%(Z=2.49,P<0.05)和7.33%(Z=1.94,P>0.05),前者有统计学差异。结论:健康教育能提高人群预防脑血管病知识、态度和行为水平,对预防脑血管病具有重要的意义,并且尤为适合我国城市社区。AIM:To explore the prevention and control measures of cerebrovascular diseases(CVD) suitable for the urban communities in China and to evaluate their effects. METHODS:A comprehensive intervention trial on the risk factors of CVD was conducted in 1991 in a total of 300 000 community population from Beijing,Shanghai and Changsha respectively.The subjects were randomly divided into intervention groups and control groups respectively.A comprehensive community based intervention with health education as the major measure for CVD prevention was carried out in the communities of the 3 cities during the periods of the Ninth 'Five year' Plan(1996-2000),and its effect on the knowledge,attitude and behavior(KAB) of the community population were evaluated according to quasi trial designation. RESULTS:The net KAB level was significantly increased by 6.01(Z=9.36,P< 0.01) in the 3 cities and by 6.12(Z=5.96,P< 0.01) in hypertensive patients after intervention.The ratios of hypertensive patients who took blood pressure measurement within 3 months and who reported regular use of anti hypertension drugs for therapy increased by 9.65 %(Z=2.49,P< 0.05) and 7.33 %(Z=1.94, P >0.05) respectively after the intervention. CONCLUSION: Health education promotes the level of knowledge, attitude and behavior toward CVD, which is of great importance for preventing CVD in the urban communities in China.

关 键 词：社区人群 脑血管病 健康教育 预防措施 卫生服务 

分 类 号：R743[医药卫生—神经病学与精神病学]