行为干预在体检中心高血压的防治作用

The role of behavioral intervention in the prevention and treatment of hypertension

目的探讨行为干预控制高血压发生发展和减少并发症的措施。方法我院体检中心通过对高血压高危人群进行健康教育（面对面教育、宣传栏、电视、发放健康手册、深人单位及社区），进行健康知识的宣传教育。对高血压患者进行行为干预（包括生活方式、饮食、运动以及自我管理及药物治疗的指导）。结果实行行为干预后与非干预作比较，5项行为认知程度显著提高（P〈0．05），以及干预后血压明显控制。行为干预组88％高血压患者把血压控制在90～140／60～90mmHg之间，与行为干预前比较，P〈0．05，差异有显著性，从而使高血压患者的知晓率、治疗率和控制率大大提高。结论对高血压患者实行行为干预能明显降低高血压发病率，提高患者的生活质量，值得临床推广应用。

Objective To explore behavioral intervention for controlling hypertension and the measures of reducing complications. Methods Different forms of health education were conducted among individuals at high risk of hypertension, including face to face education, billboard and TV propaganda, health manual, and community education. Behavioral intervention was performed in hypertensive patients, including lifestyle, dietary, exercise, self-management, and medical therapy. Results As compared with those without behavioral intervention, the awareness level of five behavioral standards improved obviously in patients receiving intervention （ P〈 0.05 ）. After behavioral intervention, blood pressure was controlled between 90-140/60-90mmHg in 88% of the hypertensive patients （ P〈 0.05 ）. The awareness rate, treatment rate, and control rate of hypertension were greatly improved. Conclusions Behavioral intervention can lnwer the incidence of hypertension and promote patients＇life-quality.