正常高值血压人群中高血压危险因素的社区干预研究

Evaluate the effectiveness of community intervention on hypertension risk factors in people with high-normal blood pressure

目的:对正常高值血压人群中的高血压危险因素进行社区干预并评价其效果。方法:对10个不同社区的646例正常高值血压者进行相关因素的调查,并进行1年的社区综合管理及健康干预。结果:该646例正常高值血压者经社区健康服务中心管理干预后,知、信、行的掌握人数较干预前明显增多,知识掌握人数增长32.81%,干预前后比较,有显著性差异(P<0.01);不良行为(吸烟、饮酒、氯化钠摄入过多、饮食不合理、不参加体育锻炼)人数较干预前显著减少(P<0.01);血压控制水平比干预前明显改善(P<0.01);体重指数则干预前后无明显变化(P>0.05)。结论:对正常高值血压人群经社区健康服务中心综合管理进行社区干预,能够减少该人群的不良行为习惯,建立科学良好的生活方式,从而达到促进和维护健康的目的。

Objective： To intervene on hypertension risk factors in population with high-normal blood pressure and evaluate the effectiveness. Methods： Total number of 646 people with high-normal blood pressure from 10 communities were screened out and health intervention was carried out. Results： After 1-year of intervention, the number of people who knows, believes and take actions to prevent hypertension significantly increased by 32.81% （P〈0.01）, the number of people with unhealthy habits （smoking, alcohol-drinking, taking in too much salt, and doing no body exercises） dropped off substantially （P〈0.01）, the blood pressure was well controlled （P〈0.01）, and the body mass index did not change significantly （P〉0.05）. Conclusion： Community intervention of population with high-normal blood pressure can help this group population to change their unhealthy habits, establish a healthy life style and promote or maintain health.