摘要
目的了解社区高血压患者的自我管理情况和对高血压患者危险因素的监控,提高社区高血压患者的血压控制率,降低心脑血管疾病的发病率和死亡率。方法根据《中国高血压防治指南》的高血压定义和危险因素分层,对社区1294位高血压患者进行问卷调查及随访干预,对调查结果进行分析。结果经过3年的社区干预管理,血压水平有了明显的下降,收缩压平均下降了9.86mmHg,舒张压平均下降了9.31mmHg。高血压主要危险因素发生了明显变化,吸烟、过量饮酒与不合理饮食(嗜盐)、超重等比例明显下降,而参加体育锻炼、遵医嘱正规服药、定期测血压等比例明显上升;高血压的知晓率、治疗率、控制率有很大提高。结论本研究所运用的管理模式效果良好,有一定的推广价值。
Objective To comprehend the self-management of community patients with hypertension and monitoring the risk factors of the hypertension patients; enhance the control of patients’ blood pressure; reduce cardiovascular disease morbidity and mortality. Methods According to the 'China's prevention and treatment guidelines for hypertension',with the definition of hypertension and the stratification of risk factors,the survey was carried out on 1 294 community hypertension patients in Baoshan district,and follow-up intervention as well. The results have been analyzed. Results The results show that after three years the levels of blood pressure had dropped significantly under community control. The average systolic blood pressure decreased by 9.86mmHg. Diastolic blood pressure fell by an average of 9.31mmHg. The main risk factors of hypertension had changed markedly. For example,smoking,excessive drinking and unreasonable diet (halophilic),and overweight,etc. decreased in proportion. On the other hand,participation in physical activities,taking prescribed medicine and measuring blood pressure on a regular basis increased significantly. The knowledge rate of hypertension,treatment and control has been greatly improved. Conclusion The effective management mode that we have worked on is worth promoting to a certain degree.
出处
《健康教育与健康促进》
2008年第4期28-30,39,共4页
Health Education and Health Promotion
关键词
高血压
社区管理
效果评价
Hypertension
Risk factors
Community management
Effect evaluation
