中国全科医学2012，Vol.15Issue(25)：2931-2933,3.DOI:10.3969/j.issn.1007-9572.2012.09.024
1级高血压人群社区综合干预效果的评价
Effects of Community-based Comprehensive Intervention of Grade 1 Hypertension
杨华 1杜文建 1刘静 1芦庆花 1何济民 1苗红 1崔海清1
作者信息
- 1. 250031,山东省济南市第四人民医院社区科
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic and economic effect of community - based comprehensive intervention of Grade 1 hypertension. Methods A total of 200 patients with Grade 1 hypertension were selected in a community in Jinan using gender stratification and systematic sampling. The patients were divided into a study group and a control group using random number table, each group having 50 males and 50 females. The study group was given comprehensive intervention including health education, lifestyle change, psychological assistance and joint management ( patient, doctor, and family members ), while the control group was treated with conventional drug therapy. Blood pressure, blood lipid and blood glucose were measured before and after 3 years of intervention. Hypertension awareness rate, healthy behavior formation rate, and medical costs were also compared between the two groups after 3 years of intervention. Results The cholesterol and physical fitness index were significantly different, but the systolic and diastolic blood pressure, and fasting blood glucose were not significantly different between patients in the two groups after intervention. The hypertension awareness rates were not significantly different between the study group ( 27. 0% ) and the control group ( 29. 0% ) before the intervention ( x2 =0. 099, P =0. 753 ), but after the intervention, hypertension awareness rate in the study group ( 98. 0% ) was significantly higher than that in the control group ( 83. 0% ) ( X2= 12. 767 , P =0. 001 ). Healthy behavior formation rate in the study group ( 96. 9% ) was significantly higher than that in the control group ( 80. 0% ) after the intervention ( x2= 13.832, P < 0. 01 ) . Conclusion Community - based comprehensive intervention is effective in hypertension prevention and control. The intervention improves the awareness rate of hypertension and healthy behavior formation rate, and reduces the medical costs.关键词
高血压/社区综合干预/效果评价Key words
Hypertension/ Community - based general intervention/ Effect evaluation分类
医药卫生引用本文复制引用
杨华,杜文建,刘静,芦庆花,何济民,苗红,崔海清..1级高血压人群社区综合干预效果的评价[J].中国全科医学,2012,15(25):2931-2933,3.
