社区健康教育对高血压病疗效影响的观察

The Effect of Community Health Education on Treatment of Essential Hypertension

目的观察社区健康教育对高血压病治疗的疗效及对脑血管事件发生率的影响。方法从本院慢性病管理的365例原发性高血压且无心脑血管事件发生的患者中随机抽取100例,将100例原发性高血压患者随机分为观察组(对照组)48例和社区健康教育组(治疗组)52例,进行为期2年的前瞻性研究。两年后比较两组高血压病治疗的效果及脑血管事件发生率。结果社区健康教育组高血压病治疗的效果优于观察组(P<0.05);社区健康教育组脑血管事件发生率为3.85%,观察组为18.75%(P<0.01),均具有统计学意义。结论社区健康教育对高血压病的治疗及防止脑血管事件发生起到非常积极的作用。社区健康教育既具有生物学意义,也具有社会学意义。

Objective To observe the effect of community health education on treatment of essential hypertension and its effect on incidence of cerebrovascular events. Methods Among 365 cases of chronic disease management of cerebrovascular e- vents in patients with essential hypertension, 100 cases was drawn randomly, observation on 100 cases of primary hypertension pa- tients were randomly assigned to a group（ the control group） of 48 cases and community health education group（ treatment group） of 52 cases, for their two-year prospective study. Two years later, two sets of effects in the treatment of essential hypertension and incidence of cerebral vessels events were compared. Results The effect of community health education of hypertension in unit of treatment was better than the observer group （ P 〈 0.05 ）, in community health education group, incidence of cerebrovascular e- vents was 3.85 %, observer group was 18.75 % （P 〈 0.01 ）, the difference was statistically significant. Conclusion Community health education on treatment and prevention of hypertension cerebrovascular incident played a very active role. Community health education was of biological importance, also of sociological significance.