哈尔滨市高血压社区干预效果的评价

Evaluation on the Effectiveness of Hypertention Community Intervention in Harbin City

目的探讨高血压社区干预的实施效果,以促进高血压社区管理模式的建立。方法通过文献法、德尔菲法制定高血压干预措施,对社区507名高血压患者实施干预,根据3年后的调查情况,进行干预项目的效果评价。结果实施干预3年后,项目指标中的血压控制率、体重腰围下降比例、高血压管理率等均达到优秀,干预对象的高血压知晓率、膳食、饮酒和吸烟等情况有所改善,但差别无统计学意义。结论短期干预对高血压患者的行为、认知等有改善,但对血压、体重等暂无明显改善,说明高血压的社区干预已初见成效,但仍是一个长期的过程。

OBJECTIVE To evaluate the effectiveness of hypertension community management and improve the control of hypertension.METHODS Literature review and Delphi method were used to formulate intervention measures.Evaluate the implementation of intervention project through field investigation.RESULTS Blood pressure control rate,weight loss rate and waist down scale,hypertension management rate all have achieved outstanding.However,there were no significant differences at the knowledge of hypertension,diet,alcohol consumption and smoking.CONCLUSION The intervention on hypertension is still a long-term process.