高血压防治适宜技术社区应用疗效评价

Assessment on appropriate techniques of hypertension prevention and control in community

目的评价高血压防治适宜技术在社区高血压患者管理中的效果。方法随机抽取2011年6—9月西交通大学社区卫生服务站管理的高血压患者533例作为综合管理组,以同期西安交通大学医院内科门诊就诊的高血压患者517例作为门诊组,对两组进行血压测量和问卷调查。结果综合管理组患者高血压知识知晓率明显好于门诊组(P<0.05),其生活方式(遵医行为、体育锻炼、食盐量等)及血压控制情况均好于门诊组(均P<0.05)。结论在社区规范应用高血压防治适宜技术控制、治疗高血压经济有效,值得推广。

Objective To assess the efficacy of appropriate techniques in the prevention of control of hypertension in com- munity. Methods From June to September in 2011, a total of 533 hypertensive patients were randomly selected from community health services of Jiaotong university and enrolled into integrated management group, and 517 patients with hy- pertension were selected as outpatient group who were receiving medical attention in the outpatient department of affiliated hospital of Xikn Jiaotong university over the same period. Blood pressure was measured and a questionnaire survey was con- ducted in both groups. Results Integrated management group demonstrated a higher awareness rate of hypertension than outpatient group （P 〈 0. 05）. Lifestyles（ compliance to physicians＇directions, amount of physical exercise, and amount of salt consumption, etc. ） and blood pressure control in integrated management group were better than those in outpatient group （allP 〈 0.05）. Conclusions Appropriate techniques are applied in a standardized way in community is low cost and effective in controlling and preventing hypertension.