对哈萨克族原发性高血压患者实施社区健康教育的实践

The effect of community health education among Kazak primary hypertension patients

目的:探讨对乌鲁木齐市南山牧区哈萨克族原发性高血压患者实施社区健康教育的方法。方法:采用类实验的单组时间序列设计,随机整群抽取乌鲁木齐市南山牧区252例哈萨克族原发性高血压患者作为研究对象,实施以社区健康教育为主要手段的连续10个月高血压病综合干预。结果:实施干预后,哈萨克族原发性高血压患者的健康调查量表总分及4个维度得分均比干预前明显提高,差异有统计学意义(P<0.05)。哈萨克族原发性高血压患者的血压控制率由57.54%提高到了71.03%,差异有统计学意义(P<0.05)。结论:社区健康教育有助于提高高血压患者的自我保健意识,对控制疾病发展、减少和推迟并发症、提高生存质量具有重要意义。

Objectives： To explore the effect of community health education on quality of life among Kazak primary hypertension patients in Nanshan pasturing area of Urümqi. Methods： We adopted single group time series design of quasi-experiment by random cluster sampling method and 252 Kazak primary hypertension patients received a 10-month community health education. Results： After 10 months intensified intervention, the scores of total quality of life scale and four dimensions were improved significantly （P0.05）. Comparing with the base line data,the blood pressure control rate wasim proved significantly from 57.54% to 71.03% （P0.05）. Conclusions： Community health education can effectively improve the patients＇ self-care awareness, control their blood pressure effectively, control the disease progress,reduce the complications and enhance their quality of life.