NAH系统治疗管理方案对高血压人群社区干预效果评价

Evaluation of the community based intervention with NAH program on the population with hypertension

目的评价NAH系统治疗管理方案对社区高血压人群的干预效果。方法从泰州市4个社区人群中用随机抽样法选取500名NAH方案治疗管理的高血压患者作为干预组,并从同一社区选取500名未采用NAH方案的高血压患者作为对照组,用自制的调查问卷调查两组人群的高血压相关知识和行为。结果干预组经NAH治疗方案干预1 a后,高血压危险因素知晓率、健康生活行为形成率较对照组都得到了显著地提高;治疗率86.2%,控制率达62.4%,每月主动测血压率达86.8%。对照组1 a后知晓率无显著改变,差异有显著性。结论NAH治疗管理方案是可行的和可持续发展的,对社区人群开展高血压防治有着重要的意义和广泛的应用价值。

Objective To evaluate the intervention effects of NAH systemic theory-management program on community population with hypertension. Methods 500 hypertension patients with NAH systemic theory-management program were selected as the investigating team through simple random sampling among four communities in Taizhou city and the other 500 hypertension patients with non-NAH systemic theory-management program as the control. Questionnaire were performed between the two teams about adverse factors and knowledge of hypertension. Results After the intervention for one year, the know rate of risk factors, harm of hypertension and healthy life-style for the intervention group greatly increased. In addition, the treated rate, the control rate and the initiative blood-pressure-measure rate were 86.2% （424/492）, 62.4% （307/492） and 86.8% （427/492） respectively. Compared with hypertension cases in the baseline survey, the control group had no significant change for the know rate of risk factors, harm of hypertension and healthy life-style. Conclusions The project was significant for the prevention and treatment of hypertension and may be widely application in the community.