专科医师参与社区高血压干预效果评价

Effectiveness evaluation of hypertension intervention in community by specialist

目的评价心血管专科医师参与社区高血压干预项目实施6个月后的效果。方法按照社区随机对照试验研究设计,在银川市富宁和康乐社区已经登记入册的社区高血压患者中随机选取患者494人,其中富宁社区250人为干预组,康乐社区244人为对照组。干预组给于心血管疾病专科医师参与高血压管理,对照组给于常规高血压三级管理。比较两组患者在项目实施6个月后各项指标的变化情况。结果干预组6个月后知晓率、治疗率、控制率明显好于对照组(P均<0.01);干预组6个月后收缩压和舒张压分别比对照组多下降了5.59、3.34mmHg;干预组6个月后体重指数(BM I)、血糖、吸烟率、饮酒率、食盐摄入量等危险因素分别比对照组多下降了0.23kg/m2、0.34 mmol/L、11.4%、10.0%、0.7 g/日。结论心血管专科医师参与的社区高血压干预可明显提高患者的知晓率、治疗率、控制率并降低高血压危险因素。

Objective To evaluate the effectiveness of hypertension intervention in community by specialist. Methods A community -based randomized controlled trial design was used in this study. 494 subjects were randomly selected from the previously registered hypertension patients in Funing and Kangle communities of Yinehuan city. 250 subjects in the Funing community were used as the intervention group, and 244 subjects in the Kangle community were used as the control group. The intervention group was managed by the physician specialists who participated in community hypertension and intervention, and the control group was managed by the routine third class hypertension. The changes of each index in two groups were compared 6 months after the project performed. Results The awareness rate, treatment rate and control rate were better in intervention groups than those of control group after 6 months （ P 〈 0.01 ） ; systolic pressure and diastolic pressure decreased 5.59 mmHg and 3.34 mmHg in intervention groups than those of control group after 6 months （ P 〈 0.01 ） ; weight index, blood sugar, smoking rate, alcohol intake rate and salt intake Volume respectively decreased 0.23 kg/m^2 ,0.34 mmol/L, 11.4% , 10.0% , 0.7g/day in intervention groups than those of control group after 6 months. Conclusion Hypertension specialist participating in a community hypertension and intervention project can elevate awareness rate, treatment rate, control rate, and decrease hypertension danger factors and blood pressure levels.