摘要
目的探究分级分类干预措施对社区居民脑卒中发病风险的干预效果。方法于2020年9月-2021年9月在上海某街道应用多阶段抽样方法招募志愿者,按照随机分组的方法分为试验组和对照组,各300名,分别采取不同干预措施进行为期1年的干预,并通过基线调查问卷、中国心血管疾病风险预测模型采集相关信息。结果600名居民干预前脑卒中10年发病高危风险率为12.33%;终生发病高危风险率为11.03%。干预后试验组脑卒中10年发病风险为4.42分,脑卒中终生发病风险为16.33分,均略低于干预前该项平均得分(P<0.05);试验组干预后10年发病风险降低0.37,优于对照组的0.25(P<0.05);终生发病风险降幅为2.27,优于对照组的2.01(P<0.05)。结论对脑卒中高危人群进行分级分类管理的方式在降低居民脑卒中10年发病风险、脑卒中终生发病风险上的作用要优于现行的脑卒中高危人群的干预措施。
Objective To explore the effect of hierarchical classification intervention on the risk of stroke in community residents.Methods The stratified random sampling method was used to recruit volunteers from the physical examination population in a street in Shanghai from September 2020 to September 2021.According to the method of random grouping,the volunteers were divided into the experimental group and the control group,with 300 people in each group,and different intervention measures were taken for a one-year intervention,and the relevant information was collected through the baseline questionnaire and the Chinese cardiovascular disease risk prediction model.Results The high risk rate of stroke in 600 residents for 10 years before intervention was 12.33%,the lifetime high risk rate of morbidity was 11.03%.After intervention,the 10-year risk of stroke was 4.42 scores and the life-long risk of stroke was 16.33 scores in the experimental group,which were slightly lower than the average score before intervention(P<0.05).After intervention,the 10-year risk reduction in the experimental group was 0.37,which was better than 0.25 in the control group,and the life-long risk reduction was 2.27,which was better than 2.01 in the control group by(P<0.05).Conclusion The hierarchical classification management of high-risk population of stroke is superior to the current intervention measures in reducing the 10-year risk of stroke and the lifetime risk of stroke in residents.
作者
周宇
张盼盼
蒋怡华
王丽娜
王丰
ZHOU Yu;ZHANG Pan-pan;JIANG Yi-hua;WANG Li-na;WANG Feng(Department of Prevention and Treatment,Minhang District Mental Health Center,Shanghai 201112,China;Public Health Management Division,Minhang Branch,School of Public Health,Fudan University,Shanghai 200240,China;Pharmacy Department of Changqiao Community Health Service Center,Xuhui District,Shanghai 200231,China)
出处
《医学信息》
2024年第2期87-90,共4页
Journal of Medical Information
基金
2021年闵行区自然科学研究课题(编号:2021MHZ035)
上海市闵行区公共卫生重点学科项目(编号:MGWXK05)。
关键词
脑卒中
发病风险
分级分类管理
干预措施
Stroke
Risk of morbidity
Hierarchical classification management
Intervention measures
