社区综合干预在原发性高血压患者中的效果评价

Effect of comprehensive intervention on essential hypertension

目的通过评价社区干预对高血压患者血压控制的效果,为制订适合社区的高血压干预策略,建立科学的综合干预方案提供依据。方法于2010年6月～2011年6月在社区中选取50例高血压患者建档后,随机分为干预组和对照组各25例。对干预组进行建立个人档案、开展健康讲座、专家咨询等多种形式的高血压教育及指导饮食习惯,运动行为的社区综合干预,对照组未采取干预措施,为期1年,再对两组患者的血压、靶器官的损害情况进行效果评定。结果经过社区的健康教育,干预组在血压稳定控制及器官的损害上明显低于对照组,采取社区干预方法的高血压患者的血压控制效果优于非干预组(P<0.05)。结论对高血压患者采用社区的综合干预,有利于患者建立良好的生活方式,提高服药依从率,更好的稳定控制血压,防止心血管病事件的发生。

Objective To investigate the effect of the community-based intervention on blood pressure control among essential hy- pertensive patients, the development of intervention strategies for community and the establishment of a science intervention pro- grams. Methods Selected 50 cases of patients with hypertension filing in the community from June 2010 to June 2011, 25 patients were randomly divided into intervention and control groups. To create a profile, carry out health talks, expert advice and other forms of hypertension education and guidance eating habits, and movement behavior of the community intervention. After a period of one year, to evaluate the effects of blood pressure and target organ on two groups of patients in the intervention. Results Com- munity health education, the intervention group was significantly lower than in the stable control of blood pressure and organ in the control group, to take the effects of community interventions in hypertensive patients with blood pressure control than non-inter- vention group（P〈0.05）. Conclusion Hypertensive patients with community-based intervention help to establish a good lifestyle, and enhance medication compliance rate, the better the stability of the control of blood pressure to prevent cardiovascular disease.